Val Verde Medicaid spending on Medicine Services and Procedures rises to $1,524 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Val Verde Medicaid providers billed $1,524 in 2024 for services in the Medicine Services and Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. The total represented a 980.9% increase from 2023, when claims in this category totaled $141.

Medicaid is a public health insurance program managed by states and funded by both federal and state governments. The program provides coverage for low-income families and individuals, seniors, children, and people with disabilities, and is a major component of the U.S. health care system.

Because Medicaid funds are sourced from taxpayers, shifts in local billing levels reflect how public health care resources are distributed in each community.

The “Medicine Services and Procedures” category encompasses a set of Medicaid-billed services identified by the type of care provided, using standardized HCPCS and CPT code groups. This analysis assigned each billing code to a single service category based on consistent code prefixes and numeric groupings, enabling grouped assessment of related services, preventing double counting, and maintaining accuracy in category rankings through time.

Though Medicaid expenditures increased in several service categories, Medicine Services and Procedures was the third-highest category by Medicaid payments in Val Verde for 2024.

Statewide in California, the Medicine Services and Procedures category also ranked third for total Medicaid payments in 2024.

Aggregate Medicaid payments for Medicine Services and Procedures in Val Verde grew by $1,524 over the five years ending in 2024—a change of 0%. The rate of spending growth increased during multiple intervals, with substantial year-over-year growth seen in 2023 and 2022.

Payments for care in the Medicine Services and Procedures category were spread throughout Val Verde, but mainly concentrated in a few ZIP codes. In 2024, ZIP code 91384 had the highest Medicaid payment total for this category at $1,523. Altogether, these top ZIP codes accounted for 100% of Val Verde’s Medicaid payments in the Medicine Services and Procedures category for the year.

Within this category, Medicaid payments mostly concentrated on a small subset of individual billing codes.

Comparatively, Medicaid payments for Medicine Services and Procedures in Val Verde rose by 980.9% from 2023 to 2024, while all claim categories in the city saw a 9.5% change during that time.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid funding amounted to approximately $871.7 billion in fiscal year 2023, which represented around 18% of total U.S. health spending. This was a notable increase compared to about $613.5 billion reported in 2019 before the COVID-19 pandemic.

This growth of roughly 40% over several years was largely attributed to expanded enrollment and greater utilization during and following the pandemic.

The Trump administration’s recent federal budget legislation included major proposals to lower federal Medicaid spending and adjust the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over the next decade, introducing new policies such as work requirements and greater cost-sharing that could impact coverage and available funding. The changes are anticipated to shift more financial responsibilities to states and curtail overall federal Medicaid support, even as the program remains essential for tens of millions of Americans.

Medicaid Payments Tied to Medicine Services and Procedures in Val Verde, California Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2021 $0 -100%
2022 $0 –
2023 $141 –
2024 $1,523 978.1%
Top Categories by Medicaid Payments in Val Verde, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $476,788 97.1%
2 Evaluation and Management $12,904 2.6%
3 Medicine Services and Procedures $1,523 0.3%
4 Pathology and Laboratory Procedures $14 <0.1%
5 Alcohol and Drug Abuse Treatment $0 <0.1%
5 Procedures / Professional Services $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Val Verde, California, 2024

HCPCS Code Description Medicaid Payments Claims
90834 Psytx w pt 45 minutes $1,391 12
90791 Psych diagnostic evaluation $126 3
96127 Brief emotional/behav assmt $5 6
90837 Psytx w pt 60 minutes $0 1
92551 Pure tone hearing test air $0 1

Note: HCPCS codes are provided for illustrative purposes within the category. Totals and rankings are based on aggregated service groupings rather than on individual codes.

The source for this article’s information is the U.S. Department of Health and Human Services Medicaid Provider Spending database. The raw data can be accessed here.



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