In 2024, Medicaid providers in Covington submitted $2,093,061 in claims for Enteral and Parenteral Therapy, as indicated by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 13.9% rise from 2023, when claims totaled $1,837,020 for comparable services.
Medicaid, a health insurance program managed at the state level and funded in partnership between state and federal governments, serves low-income individuals, families, children, seniors, and people with disabilities, maintaining its role as a cornerstone of U.S. health care.
Because Medicaid is funded through taxpayer dollars, shifts in local Medicaid billing help illustrate how public health spending is distributed in individual communities.
The “Enteral and Parenteral Therapy” category includes groups of Medicaid-billed services designated by care type, using standardized HCPCS and CPT code sets. For this assessment, each code was mapped to a single service group, enabling the analysis of related service claims without overlap and preserving accurate year-to-year rankings.
Medicaid spending grew in various service categories, while Enteral and Parenteral Therapy ranked sixth overall by total Medicaid dollars in Covington for 2024.
Statewide, Enteral and Parenteral Therapy ranked 20th by Medicaid payment volume in Kentucky in 2024.
Between 2019 and 2024, Medicaid payments associated with Enteral and Parenteral Therapy in Covington rose by $1,363,582, or 186.9%. Higher rates of spending growth were seen in select years, including both 2023 and 2022.
Across Covington, payments for care in this category grouped mainly into a few ZIP codes. For 2024, Medicaid payments for Enteral and Parenteral Therapy in ZIP code 41015 totaled $2,093,061. This accounted for 100% of the category’s Medicaid spending in the city during the year.
Within Enteral and Parenteral Therapy, Medicaid payments concentrated around a select number of specific billing codes.
Compared to an overall Medicaid claim increase of 12.7% in Covington, tied payments for Enteral and Parenteral Therapy in the city grew by 13.9% from 2023 to 2024.
Data from the Centers for Medicare & Medicaid Services shows that total combined state and federal Medicaid spending hit about $871.7 billion in fiscal 2023, making up about 18% of national health care expenditures—up from $613.5 billion in 2019, before the onset of COVID-19.
This rise represent a nearly 40% increase in only a few years, mostly due to expanded program enrollment and greater service utilization during and after the pandemic.
Recent federal budget measures from the Trump administration included substantial efforts to trim federal Medicaid funding and reshape the program’s fiscal structure. The “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid funding by over $1 trillion across the next 10 years, instituting provisions such as work mandates and larger cost shares—policies that could restrict coverage and funding for some participants. As a result, more financial responsibilities may shift to states, curbing the growth of federal support for Medicaid while the program continues serving millions nationally.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $729,479 | 4.2% |
| 2021 | $765,918 | 5% |
| 2022 | $1,087,091 | 41.9% |
| 2023 | $1,837,019 | 69% |
| 2024 | $2,093,061 | 13.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Procedures / Professional Services | $20,378,735 | 29.5% |
| 2 | National Codes Established for State Medicaid Agencies | $15,617,298 | 22.6% |
| 3 | Pathology and Laboratory Procedures | $11,917,527 | 17.2% |
| 4 | Alcohol and Drug Abuse Treatment | $7,866,027 | 11.4% |
| 5 | Medicine Services and Procedures | $7,031,045 | 10.2% |
| 6 | Enteral and Parenteral Therapy | $2,093,061 | 3% |
| 7 | Durable Medical Equipment | $2,069,470 | 3% |
| 8 | Evaluation and Management | $822,413 | 1.2% |
| 9 | Medical And Surgical Supplies | $592,018 | 0.9% |
| 10 | Temporary National Codes (Non-Medicare) | $353,630 | 0.5% |
| 11 | Ambulance and Other Transport Services and Supplies | $185,773 | 0.3% |
| 12 | Administrative, Miscellaneous and Investigational | $151,102 | 0.2% |
| 13 | Surgery | $99,585 | 0.1% |
| 14 | Dental Services | $9,675 | <0.1% |
| 15 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $9,581 | <0.1% |
| 16 | Radiology Procedures | $205 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| B4035 | Enteral feed supp pump per d | $671,166 | 12 |
| B4161 | Ef ped hydrolyzed/amino acid | $566,546 | 12 |
| B4160 | Ef ped caloric dense>/=0.7kc | $251,724 | 12 |
| B9002 | Enter nutr inf pump any type | $189,419 | 11 |
| B4088 | Gastro/jejuno tube, low-pro | $93,327 | 12 |
| B4149 | Ef blenderized foods | $92,083 | 11 |
| B4153 | Ef hydrolyzed/amino acids | $79,137 | 9 |
| B9998 | Enteral supp not otherwise c | $52,407 | 11 |
| B4034 | Enter feed supkit syr by day | $45,201 | 12 |
| B4155 | Ef incomplete/modular | $21,345 | 11 |
| B4158 | Ef ped complete intact nut | $14,096 | 7 |
| B4150 | Ef complet w/intact nutrient | $13,902 | 8 |
| B4036 | Enteral feed sup kit grav by | $2,702 | 1 |
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.
The information in this article was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Complete source data is available here.
