Rowlett Medicaid billing for Administrative, Miscellaneous and Investigational services climbs to $59,702 in 2024

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show Rowlett’s Medicaid providers billed $59,702 for Administrative, Miscellaneous and Investigational services in 2024. This figure represents a 37.2% increase over 2023, when claims for these services totaled $43,506.

Medicaid is a public health insurance program administered by individual states and funded through a partnership between federal and state governments. The program provides coverage for low-income families and individuals, seniors, children and those with disabilities, making it one of the largest components of the U.S. health care landscape.

Since Medicaid funding is sourced from taxpayers, local billing changes reflect how public health dollars are distributed in a given area.

The “Administrative, Miscellaneous and Investigational” classification includes a range of Medicaid-billed services defined by the type of care rendered, based on standardized HCPCS and CPT code groupings. Each code in this analysis was assigned to one category using consistent code prefixes and numerical ranges, which groups related services together and maintains accuracy by preventing double counting and ensuring consistent rankings over time.

While Medicaid expenses grew across several types of services, Administrative, Miscellaneous and Investigational placed ninth in Rowlett for overall Medicaid payments in 2024.

Statewide in Texas, Administrative, Miscellaneous and Investigational was the 19th largest category for total Medicaid payments in 2024.

Over the five years up to 2024, payments for Administrative, Miscellaneous and Investigational services in Rowlett increased by $59,702, a 0% change. Growth accelerated in select years, with notable increases during 2023 and 2022.

In 2024, Medicaid payments for Administrative, Miscellaneous and Investigational services were spread throughout Rowlett but were highly concentrated in a few ZIP codes. ZIP code 75089 alone accounted for $59,702, representing 100% of the city’s Medicaid payments for this category that year.

Most payments within the Administrative, Miscellaneous and Investigational classification were associated with only a handful of individual billing codes.

Between 2024 and 2023, Medicaid payments linked to this category in Rowlett rose 37.2%, compared to a citywide increase of 0.5% across all Medicaid claim categories during that period.

Centers for Medicare & Medicaid Services data show that federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, equaling about 18% of total national health expenditures. This was a significant increase from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth of around 40% over several years has been largely attributed to expanded enrollment and increased service usage during and after the pandemic.

Major proposals affecting Medicaid funding have been included in federal budget legislation enacted during the Trump administration. The “One Big Beautiful Bill Act,” passed in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over the next decade, introducing policies like work requirements and higher cost-sharing that may limit coverage and funding for certain beneficiaries. These changes are expected to shift more costs to the states and constrain federal Medicaid funding growth, even as the program continues to cover tens of millions of Americans.

Note: HCPCS codes are provided for context within the category. Rankings and totals in this article are based on standardized service groupings, not on 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.