Fontana Medicaid spending for Medicine Services and Procedures reaches $17.7 million in 2024

In 2024, Fontana Medicaid providers billed $17,697,243 for Medicine Services and Procedures, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 119% jump over the previous year, when $8,080,019 in claims were recorded for these services.

Medicaid, a joint state and federal public health insurance program, provides coverage for low-income residents, children, seniors, and those with disabilities. As a result, it plays a crucial role in the U.S. health care system. More information about its funding is available through the Commonwealth Fund.

Since Medicaid payments are supported by taxpayer money, shifts in local claims levels reflect how funds are used in a city’s health care system.

The “Medicine Services and Procedures” category contains grouped Medicaid-billed services, defined by care type and standardized using HCPCS and CPT code groupings. For this reporting, each billing code was mapped to a single service category, using set code prefixes and ranges, to analyze similar services collectively, prevent double counting, and provide accurate ranking comparisons over time.

While Medicaid spending was up in several categories, Medicine Services and Procedures was the second-largest by total payment volume in Fontana for 2024.

At the state level, Medicine Services and Procedures ranked third in California for total Medicaid payments in 2024.

During the five years before 2024, Medicaid payments in Fontana for this category rose by $12,268,806, or 226%. Notable year-on-year increases took place in 2023 and 2020, marking periods of accelerated spending growth.

Although payments for Medicine Services and Procedures were made throughout the city, most funds went to a few ZIP codes. In 2024, ZIP code 92335 received $14,327,375, 92337 accounted for $2,622,136, and 92336 saw $747,730. These 3 ZIP codes combined represented all Medicaid spending in this category for the year in Fontana.

Within the category, a small set of billing codes concentrated the majority of Medicaid payments.

For comparison, the 119% rise in Medicaid spending on Medicine Services and Procedures from 2023 to 2024 was higher than the 93% increase observed across all claim categories in Fontana for the same period.

Centers for Medicare & Medicaid Services data show that combined Medicaid spending reached about $871.7 billion in fiscal year 2023, or about 18% of total national health spending, climbing sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.

The roughly 40% increase over a few years was primarily attributed to expanded enrollment and increased service use during and after the pandemic.

Recent budget measures during the Trump administration have included initiatives to decrease federal Medicaid contributions and alter the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the coming decade. It enacts requirements like work mandates and greater cost-sharing, potentially reducing both coverage and funding for certain beneficiaries. These adjustments are likely to delay federal Medicaid growth and transfer additional costs to the states, despite ongoing high enrollment.

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.