Medicaid spending for non-oral drug administration totals $5,385 in Weirton in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Weirton reported $5,385 in billings for services classified under Drugs Administered Other than Oral Method, based on data collected by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 9.2% gain over 2023, when claims submitted for this service category totaled $4,930.

Medicaid operates as a public health insurance system managed at the state level with joint financing from federal and state authorities. The program covers families and individuals with low incomes, as well as children, seniors, and people with disabilities, making it a core segment of the U.S. health care framework. For additional information on Medicaid’s funding, visit this explainer.

Because taxpayer resources fund Medicaid payments, shifts in local billing activity illustrate how community health care dollars are used.

The “Drugs Administered Other than Oral Method” service type includes Medicaid-billed services identified by the approach to care, utilizing standardized HCPCS and CPT code groups. Each billing code for the analysis was matched to a single service type based on established code prefixes and numerical groupings so that related services could be analyzed collectively and double counting avoided, maintaining accuracy for longer-term trends and rankings.

While Medicaid spending grew in several other service groups, Drugs Administered Other than Oral Method held the 15th spot among Weirton’s service categories by total Medicaid payments for 2024.

Across West Virginia, the Drugs Administered Other than Oral Method category was 15th among all categories statewide by total Medicaid disbursements for 2024.

Over the five years up to 2024, Medicaid payments in Weirton connected to the Drugs Administered Other than Oral Method service increased by $2,918, a 118.2% rise. Payments saw faster growth during specific periods, with significant annual increases in 2021 and 2023.

While spending on Drugs Administered Other than Oral Method was distributed throughout the city, payments were mainly recorded in a small set of ZIP codes. In 2024, ZIP code 26062 contributed the entire $5,385 total, representing 100% of local Medicaid payments in this group.

Only a limited group of billing codes accounted for the majority of Medicaid payments in the Drugs Administered Other than Oral Method services.

Mediacaid spending in Weirton’s Drugs Administered Other than Oral Method category increased 9.2% between 2024 and 2023. Across all Medicaid claim types in the city, this period saw a 27.9% change.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached roughly $871.7 billion during fiscal 2023, representing about 18% of overall national health care spending. This is a notable increase from $613.5 billion in 2019, before the COVID-19 pandemic.

The reported increase marks growth of about 40% over several years, partly due to greater enrollment and demand during and after the pandemic.

Recent federal budget laws enacted during the Trump administration introduced measures to restrict federal Medicaid funding and alter the program. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to cut more than $1 trillion from federal Medicaid funding over the next ten years, adding provisions like work requirements and increased cost sharing that could limit some coverage. Such reforms are anticipated to pass more costs to states while restricting growth in federal contributions, though Medicaid is still expected to serve many millions of Americans.

Medicaid Payments Tied to Drugs Administered Other than Oral Method in Weirton, West Virginia Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $2,467 -94.1%
2021 $6,826 176.6%
2022 $3,807 -44.2%
2023 $4,929 29.5%
2024 $5,385 9.2%
Top Categories by Medicaid Payments in Weirton, West Virginia, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $3,477,346 35%
2 Temporary National Codes (Non-Medicare) $2,703,943 27.2%
3 Evaluation and Management $1,218,213 12.3%
4 Medicine Services and Procedures $733,191 7.4%
5 Procedures / Professional Services $324,201 3.3%
6 Radiology Procedures $281,199 2.8%
7 Durable Medical Equipment $235,097 2.4%
8 Pathology and Laboratory Procedures $230,231 2.3%
9 Alcohol and Drug Abuse Treatment $220,865 2.2%
10 Ambulance and Other Transport Services and Supplies $219,129 2.2%
11 Dental Services $145,647 1.5%
12 Medical And Surgical Supplies $74,999 0.8%
13 Surgery $34,141 0.3%
14 Vision Services $26,728 0.3%
15 Drugs Administered Other than Oral Method $5,385 0.1%
16 Anesthesia $3,615 <0.1%
17 Administrative, Miscellaneous and Investigational $1,330 <0.1%
18 Temporary Codes $57 <0.1%
19 Miscellaneous Medical Services $0 <0.1%
19 Outpatient PPS $0 <0.1%
Top 20 HCPCS Codes Within the Drugs Administered Other than Oral Method Category in Weirton, West Virginia, 2024

HCPCS Code Description Medicaid Payments Claims
J7030 Normal saline solution infus $1,852 19
J7040 Normal saline solution infus $759 19
J2405 Ondansetron hcl injection $455 30
J2704 Inj, propofol, 10 mg $379 12
J1885 Ketorolac tromethamine inj $377 17
J1170 Hydromorphone injection $265 9
J7120 Ringers lactate infusion $219 7
J1100 Dexamethasone sodium phos $161 12
J2785 Regadenoson injection $151 6
J3010 Fentanyl citrate injection $118 11
J0689 Inj cefazolin sodium, baxter $115 4
J2272 Inj, morphine (fresenius) $101 10
J0690 Cefazolin sodium injection $88 6
J0696 Ceftriaxone sodium injection $88 11
J2919 Inj, methylpred sod succ 5mg $67 7
J0780 Prochlorperazine injection $47 6
J0134 Inj acetaminophen -fresenius $35 6
J2930 Methylprednisolone injection $30 2
J7060 5% dextrose/water $25 6
J2270 Morphine sulfate injection $14 4

Note: HCPCS codes are shown for context within the category. Category totals and rankings in this article are based on standardized service groupings rather than individual billing codes.

Information in this article was obtained from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data can be found here.



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