In 2024, Medicaid providers in Millbury submitted $8,066,301 in claims for Enteral and Parenteral Therapy services, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 54.4% rise from 2023, when claims for these services totaled $5,224,177.
Medicaid is a public insurance initiative managed by the states and funded by both federal and state governments. The program offers coverage to low-income adults and families, seniors, children, and people with disabilities, making it a significant part of the U.S. health care system.
Because Medicaid is taxpayer funded, shifts in local billing reflect how public health care resources are distributed in the community.
The “Enteral and Parenteral Therapy” classification groups Medicaid-billed care by type, using specific HCPCS and CPT coding. For this review, each billing code was placed into one service category through standardized prefixes and ranges, ensuring services were not counted more than once and allowing for accurate comparisons over time.
While Medicaid spending increased across various categories, Enteral and Parenteral Therapy topped all service areas in Millbury for Medicaid payment totals in 2024.
Statewide, Enteral and Parenteral Therapy ranked 16th in Massachusetts for total Medicaid payments in 2024.
Medicaid payments tied to Enteral and Parenteral Therapy in Millbury rose by $3,915,941, or 94.4%, over the five years leading up to 2024. This upward trend saw especially strong year-over-year growth in both 2023 and 2021.
Although Enteral and Parenteral Therapy services were billed across the city, Medicaid payments were highly concentrated in specific ZIP codes. In 2024, ZIP code 01527 accounted for $8,066,300, comprising 100% of Medicaid payments for this service group in Millbury during the year.
Within the Enteral and Parenteral Therapy segment, Medicaid payments focused on a limited set of billing codes.
By comparison, Millbury’s Medicaid payments for Enteral and Parenteral Therapy grew 54.4% between 2024 and 2023, while payments for all Medicaid claim categories in the city went up 23.9% in the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined reached about $871.7 billion in fiscal year 2023. That represented about 18% of total U.S. health spending, and a large increase from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.
This reflects about 40% growth within several years, largely attributed to increased enrollment and a rise in service utilization during and after the pandemic.
Recent federal budget legislation enacted under the Trump administration contained significant changes to federal Medicaid funding and the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut federal Medicaid support by over $1 trillion over 10 years. The act also introduces policy changes such as new work requirements and higher cost-sharing, which may reduce coverage and funding for some recipients. These policy shifts are anticipated to shift more Medicaid costs to states and may slow the growth of federal support, even as the program continues to cover millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $4,150,360 | 14.2% |
| 2021 | $4,753,713 | 14.5% |
| 2022 | $3,918,828 | -17.6% |
| 2023 | $5,224,176 | 33.3% |
| 2024 | $8,066,300 | 54.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Enteral and Parenteral Therapy | $8,066,300 | 68.6% |
| 2 | National Codes Established for State Medicaid Agencies | $3,303,741 | 28.1% |
| 3 | Administrative, Miscellaneous and Investigational | $136,873 | 1.2% |
| 4 | Medical And Surgical Supplies | $121,865 | 1% |
| 5 | Alcohol and Drug Abuse Treatment | $58,530 | 0.5% |
| 6 | Temporary National Codes (Non-Medicare) | $36,420 | 0.3% |
| 7 | Durable Medical Equipment | $16,706 | 0.1% |
| 8 | Medicine Services and Procedures | $9,735 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| B4161 | Ef ped hydrolyzed/amino acid | $4,440,759 | 12 |
| B4160 | Ef ped caloric dense>/=0.7kc | $2,412,234 | 12 |
| B4154 | Ef spec metabolic noninherit | $303,904 | 12 |
| B4150 | Ef complet w/intact nutrient | $297,556 | 12 |
| B4152 | Ef calorie dense>/=1.5kcal | $280,602 | 12 |
| B4158 | Ef ped complete intact nut | $210,437 | 12 |
| B4100 | Food thickener oral | $51,640 | 12 |
| B4155 | Ef incomplete/modular | $30,982 | 12 |
| B9998 | Enteral supp not otherwise c | $20,639 | 9 |
| B4102 | Ef adult fluids and electro | $13,506 | 10 |
| B4103 | Ef ped fluid and electrolyte | $4,037 | 3 |
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.
