Medicaid spending on medicine services and procedures grows 0.6% in Ben Lomond in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Ben Lomond Medicaid providers billed $42,334 for Medicine Services and Procedures in 2024, with data from the U.S. Department of Health and Human Services Medicaid Provider Spending database showing a 0.6% rise from 2023, when $42,065 in claims were submitted for the same category.

Medicaid is a state-administered health insurance program funded jointly by federal and state governments. The program insures low-income individuals, families, seniors, children and people with disabilities, making it a foundational component of the U.S. health care system.

Since Medicaid payments are financed by taxpayers, shifts in local claims volume reflect how public health dollars circulate in a given community.

The “Medicine Services and Procedures” designation encompasses Medicaid-billed care organized by standardized HCPCS and CPT coding. For this review, billing codes were sorted into categories using uniform code prefixes and numeric brackets, which ensures that similar services are viewed together without duplicating counts or distorting longitudinal rankings.

Medicine Services and Procedures placed first for total Medicaid dollars spent among all categories in Ben Lomond in 2024, even as spending expanded in multiple areas.

Statewide in California, Medicine Services and Procedures was the third-largest category for Medicaid payments in 2024.

During the five-year period ending in 2024, Medicaid spending related to Medicine Services and Procedures in Ben Lomond grew by $5,335, or 11.2%. Some years saw especially strong growth, with year-over-year rises in 2023 and 2020 standing out.

While these payments were spread within the city, they were heavily concentrated in just one ZIP code during 2024. The highest Medicaid payments in this category came from ZIP code 95005, amounting to $42,333. This single ZIP code made up 100% of Ben Lomond’s Medicaid spending in the Medicine Services and Procedures category for the year.

Medicaid claims within this category were also focused among a small group of billing codes.

Between 2024 and 2023, Medicaid payments in Ben Lomond tied to Medicine Services and Procedures climbed 0.6%, while all Medicaid claim categories collectively rose by 2.8% over the same span.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, about 18% of all U.S. health expenditures, a jump from $613.5 billion in 2019, the year before the COVID-19 pandemic.

That nearly 40% climb happened in just a few years and is attributed in large part to expanded participation and more intensive use during and after the pandemic.

Recent federal spending packages enacted during the Trump administration have included plans to reduce federal Medicaid allocations and to rework the structure of the program. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to trim over $1 trillion in federal Medicaid funding over the next decade and demands changes like work requirements and higher cost-sharing, which could shrink coverage and decrease resources for some participants. More costs are likely to move to state budgets, and federal contributions are projected to slow, even while tens of millions rely on Medicaid.

Medicaid Payments Tied to Medicine Services and Procedures in Ben Lomond, California Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $47,668 74.9%
2021 $52,061 9.2%
2022 $18,449 -64.6%
2023 $42,064 128%
2024 $42,333 0.6%
Top Categories by Medicaid Payments in Ben Lomond, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $42,333 98.2%
2 Vision Services $770 1.8%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Ben Lomond, California, 2024

HCPCS Code Description Medicaid Payments Claims
92508 Tx sp lang voice comm group $21,480 9
97110 Therapeutic exercises $15,848 8
92507 Tx sp lang voice comm indiv $4,415 3
92015 Determine refractive state $320 1
92340 Fit spectacles monofocal $268 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.

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.



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