Medicine Services and Procedures billing under Medicaid reaches $23,571 in Mad River in 2024

In 2024, providers in Mad River billed Medicaid $23,571 for services under the Medicine Services and Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total marks an 81.9% jump from 2023, when claims for these services amounted to $12,956.

Medicaid is a state-operated public health insurance program funded in partnership with federal and state governments. It provides coverage to low-income people, seniors, children, and individuals with disabilities, making it one of the largest contributors to U.S. health care spending.

Since Medicaid is funded by taxpayers, shifts in local Medicaid billing reflect how public funds are distributed for health care in communities.

The Medicine Services and Procedures category includes a range of Medicaid-billed treatment types defined using standardized HCPCS and CPT coding systems. For this report, individual billing codes were assigned to a single category based on code prefixes and number ranges, ensuring services were grouped for analysis without double counting and with consistent rankings over time.

Although Medicaid outlays increased for several service types, Medicine Services and Procedures ranked as the second-largest Medicaid payment category in Mad River for 2024.

On a statewide basis, Medicine Services and Procedures was the third-ranking category by total Medicaid payments in California in 2024.

Looking back at the five years up to 2024, Medicaid claims for the Medicine Services and Procedures category in Mad River rose by $22,354, or 1837.2%. Periods such as 2023 and 2022 saw a surge in annual spending growth.

Payments for Medicine Services and Procedures were distributed around Mad River, yet were primarily associated with a small number of ZIP codes. In 2024, ZIP code 95552 represented $23,570 in Medicaid payments for this service group. Collectively, the top ZIP code accounted for 100% of payments in the Medicine Services and Procedures category in Mad River for the year.

Medicaid payments within the Medicine Services and Procedures group were also concentrated in a few specific individual billing codes.

Between 2024 and 2023, Medicine Services and Procedures billing in Mad River increased by 81.9%, compared to a 21.1% change across all Medicaid claim categories in the area during that time frame.

The Centers for Medicare & Medicaid Services report that combined national Medicaid spending was about $871.7 billion in fiscal year 2023 — around 18% of overall U.S. health expenditures, up significantly from approximately $613.5 billion in 2019, just before the COVID-19 pandemic.

This change represents an increase of about 40% over just several years, largely attributed to higher enrollment and greater service use amid and after the pandemic.

Federal budget changes during the Trump administration have included major proposals aimed at scaling back federal Medicaid funding and overhauling the program. The “One Big Beautiful Bill Act,” signed in 2025, is forecast to decrease federal Medicaid spending by over $1 trillion over a decade. The law introduces measures like work requirements and added cost-sharing, creating possible reductions in recipient coverage and public funding. Costs are expected to shift to the states while federal growth slows, though Medicaid continues to serve millions nationwide.

Note: HCPCS codes are provided to illustrate the services included in this category. The totals and rankings presented are derived from standardized groupings rather than from counts of individual billing codes.

Information for this article is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Data is available here.