In 2024, Medicaid providers in Conway billed $2,387,290 for services within the Enteral and Parenteral Therapy category, as detailed in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects an 83.1% rise from 2023, when providers submitted $1,303,797 in claims for the same services.
Medicaid, a government health insurance program administered by states and financed by both federal and state governments, serves low-income individuals, families, seniors, children and those with disabilities. It is one of the country’s largest health care programs.
Trends in local Medicaid billing reflect how public health care expenditures are distributed at the community level, as payments are funded by taxpayers.
The “Enteral and Parenteral Therapy” classification covers a range of Medicaid-billed services grouped by the type of care delivered, identified using standard HCPCS and CPT code groupings. For this report, each billing code was allocated to a single service category based on code prefixes and ranges, which allows for analysis across related services while maintaining accuracy and avoiding double counting for rankings over time.
Among various Medicaid service categories, Enteral and Parenteral Therapy placed sixth in Conway for total Medicaid payments in 2024.
Statewide in Arkansas, this category ranked 12th by total payments in 2024.
From 2019 through 2024, Conway saw a $1,871,382 (362.7%) increase in Medicaid payments tied to Enteral and Parenteral Therapy, with particularly sharp growth in 2022 and 2023.
Payments for Enteral and Parenteral Therapy were spread around Conway but tended to be heavily concentrated in specific ZIP codes. During 2024, ZIP code 72032 accounted for $2,387,290, representing 100% of all Medicaid payments for Enteral and Parenteral Therapy in the city that year.
Within this services category, a small number of billing codes represented the majority of Medicaid payments.
Comparing 2024 to 2023, Conway’s Medicaid payments for Enteral and Parenteral Therapy surged by 83.1%. Across all Medicaid billing categories in the city, the overall increase over the same period was 6.9%.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, roughly 18% of total U.S. health spending. That is a significant jump from about $613.5 billion in 2019, before the COVID-19 pandemic.
This rise equals nearly 40% growth in a few years, due in large part to increased enrollment and utilization during and after the pandemic.
Recent federal budget laws enacted under the Trump administration have brought major proposals to reduce federal Medicaid funding and redesign program structures. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is estimated to cut over $1 trillion in federal Medicaid spending over the next decade and sets new requirements like work mandates and higher cost-sharing, which could impact both coverage and funding for some recipients. These adjustments could result in more costs being passed to states and slower federal Medicaid spending growth, while the program still covers tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $515,907 | 0.2% |
| 2021 | $497,621 | -3.5% |
| 2022 | $530,111 | 6.5% |
| 2023 | $1,303,797 | 145.9% |
| 2024 | $2,387,290 | 83.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $25,620,665 | 42.6% |
| 2 | Medicine Services and Procedures | $17,495,184 | 29.1% |
| 3 | Alcohol and Drug Abuse Treatment | $4,048,237 | 6.7% |
| 4 | Medical And Surgical Supplies | $3,044,706 | 5.1% |
| 5 | Evaluation and Management | $2,883,387 | 4.8% |
| 6 | Enteral and Parenteral Therapy | $2,387,290 | 4% |
| 7 | Pathology and Laboratory Procedures | $1,498,691 | 2.5% |
| 8 | Temporary National Codes (Non-Medicare) | $1,086,686 | 1.8% |
| 9 | Radiology Procedures | $539,365 | 0.9% |
| 10 | Dental Services | $486,153 | 0.8% |
| 11 | Durable Medical Equipment | $340,130 | 0.6% |
| 12 | Ambulance and Other Transport Services and Supplies | $282,374 | 0.5% |
| 13 | Surgery | $222,064 | 0.4% |
| 14 | Procedures / Professional Services | $42,515 | 0.1% |
| 15 | Temporary Codes | $34,801 | 0.1% |
| 16 | Drugs Administered Other than Oral Method | $22,185 | <0.1% |
| 17 | Coronavirus Diagnostic Panel | $16,738 | <0.1% |
| 18 | Anesthesia | $14,878 | <0.1% |
| 19 | Orthotic Procedures and services | $5,664 | <0.1% |
| 20 | Outpatient PPS | $2,195 | <0.1% |
| 21 | Hearing Services | $564 | <0.1% |
| 22 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| B4160 | Ef ped caloric dense>/=0.7kc | $680,485 | 24 |
| B4161 | Ef ped hydrolyzed/amino acid | $450,011 | 24 |
| B4150 | Ef complet w/intact nutrient | $301,187 | 23 |
| B4100 | Food thickener oral | $244,790 | 12 |
| B4035 | Enteral feed supp pump per d | $205,968 | 22 |
| B4149 | Ef blenderized foods | $187,285 | 18 |
| B4152 | Ef calorie dense>/=1.5kcal | $170,252 | 23 |
| B9998 | Enteral supp not otherwise c | $51,917 | 13 |
| B4153 | Ef hydrolyzed/amino acids | $43,097 | 4 |
| B9002 | Enter nutr inf pump any type | $25,057 | 21 |
| B4155 | Ef incomplete/modular | $12,356 | 16 |
| B4154 | Ef spec metabolic noninherit | $7,554 | 2 |
| B4034 | Enter feed supkit syr by day | $7,325 | 14 |
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.
