In 2024, Medicaid providers in League City billed $3,393,488 for Enteral and Parenteral Therapy services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 26.7% increase from 2023, when providers submitted $2,678,122 in claims for these services.
Medicaid, a publicly funded health insurance initiative, is administered by states and supported by both federal and state governments. The program insures low-income groups, seniors, children, and those with disabilities, making it one of the cornerstones of health care in the U.S.
Medicaid expenditures, funded by taxpayers, reflect local decisions about how public health funds are used in a given community as billing levels change.
The Enteral and Parenteral Therapy category groups Medicaid-billed services based on type of care, using recognized HCPCS and CPT code classifications. Each code for this analysis was assigned to one service category with consistent prefixes and number ranges to allow for comparative analysis over time, ensuring accurate rankings without duplicating counts.
While Medicaid expenditures grew in various service categories, Enteral and Parenteral Therapy was the top-ranked category by total Medicaid payments in League City for 2024.
At the state level in Texas, this category ranked ninth by total Medicaid payments for 2024.
Between 2020 and 2024, Medicaid spending attributed to Enteral and Parenteral Therapy in League City increased by $3,264,665, equivalent to a 2534.2% rise. Notable year-over-year growth occurred during specific periods, especially in 2021 and 2023.
Though payments for Enteral and Parenteral Therapy were dispersed throughout the city, the majority were concentrated within a few ZIP codes. In 2024, ZIP code 77573 accounted for $3,393,487 of these Medicaid payments. This single ZIP code represented 100% of the city’s Medicaid payments in this category for the year.
Medicaid funds within the Enteral and Parenteral Therapy category were also largely associated with a few billing codes.
Comparing 2024 to 2023, Medicaid payments in this category in League City rose by 26.7%, while total Medicaid claims across all categories in the city increased by just 1.9% over the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays reached $871.7 billion in fiscal year 2023, or about 18% of all national health spending—a sharp rise from $613.5 billion in 2019, predating the COVID-19 pandemic.
This jump equates to roughly a 40% increase across just a few years, mainly due to higher enrollment and increased use during and after the pandemic.
Major budget legislation during the Trump administration brought proposed cuts to federal Medicaid dollars and changes to program structure. For instance, the “One Big Beautiful Bill Act,” passed in 2025, is forecast to reduce federal Medicaid spending by more than $1 trillion over the coming decade and add measures like work requirements and greater cost-sharing, potentially decreasing both funding and access for some beneficiaries. As a result, states could absorb more costs and encounter slower federal funding growth even as Medicaid continues to serve millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $128,823 | – |
| 2021 | $1,197,339 | 829.4% |
| 2022 | $1,742,250 | 45.5% |
| 2023 | $2,678,122 | 53.7% |
| 2024 | $3,393,487 | 26.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Enteral and Parenteral Therapy | $3,393,487 | 26.1% |
| 2 | Alcohol and Drug Abuse Treatment | $2,675,279 | 20.6% |
| 3 | National Codes Established for State Medicaid Agencies | $1,990,048 | 15.3% |
| 4 | Medical And Surgical Supplies | $955,059 | 7.3% |
| 5 | Durable Medical Equipment | $890,800 | 6.8% |
| 6 | Pathology and Laboratory Procedures | $778,893 | 6% |
| 7 | Evaluation and Management | $645,160 | 5% |
| 8 | Dental Services | $617,701 | 4.7% |
| 9 | Temporary National Codes (Non-Medicare) | $430,085 | 3.3% |
| 10 | Surgery | $344,713 | 2.6% |
| 11 | Vision Services | $84,406 | 0.6% |
| 12 | Medicine Services and Procedures | $81,225 | 0.6% |
| 13 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $58,800 | 0.5% |
| 14 | Radiology Procedures | $37,698 | 0.3% |
| 15 | Ambulance and Other Transport Services and Supplies | $16,112 | 0.1% |
| 16 | Administrative, Miscellaneous and Investigational | $12,049 | 0.1% |
| 17 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| B4161 | Ef ped hydrolyzed/amino acid | $911,669 | 21 |
| B4035 | Enteral feed supp pump per d | $842,292 | 23 |
| B9998 | Enteral supp not otherwise c | $471,468 | 23 |
| B4160 | Ef ped caloric dense>/=0.7kc | $374,459 | 15 |
| B4153 | Ef hydrolyzed/amino acids | $216,151 | 9 |
| B4158 | Ef ped complete intact nut | $162,371 | 12 |
| B4149 | Ef blenderized foods | $145,471 | 12 |
| B9002 | Enter nutr inf pump any type | $112,708 | 12 |
| B4154 | Ef spec metabolic noninherit | $87,022 | 11 |
| B4155 | Ef incomplete/modular | $57,275 | 12 |
| B4082 | Enteral ng tubing w/o stylet | $8,759 | 12 |
| B4034 | Enter feed supkit syr by day | $1,710 | 1 |
| B4103 | Ef ped fluid and electrolyte | $1,171 | 1 |
| B4100 | Food thickener oral | $954 | 4 |
| B4104 | Additive for enteral formula | $1 | 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.
