Grand Terrace sees $2,911,816 in Medicaid payments for Medicine Services and Procedures in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Grand Terrace billed $2,911,816 for services grouped under Medicine Services and Procedures, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represented a 49.6% jump from 2023, when providers claimed $1,947,015 for the same services.

Medicaid operates as a public health insurance initiative managed by states and financed with both federal and state contributions. It provides health coverage for low-income groups, seniors, children, and individuals with disabilities, making it a core component of the U.S. health care system.

Since taxpayer funds support Medicaid payments, shifts in local billing reflect how health care resources are distributed within a community.

The “Medicine Services and Procedures” category encompasses a set of Medicaid-billed services defined by care type, following standardized HCPCS and CPT coding groupings. Each billing code was assigned to a single service category for this review, using consistent code ranges and prefixes so related services could be evaluated together without double counting, ensuring accurate comparisons over time.

While Medicaid spending rose in multiple categories, Medicine Services and Procedures were the second-largest Medicaid expenditure in Grand Terrace for 2024.

In California, this category was the third-largest Medicaid payment group in 2024.

From 2019 through 2024, Medicaid payments for Medicine Services and Procedures in Grand Terrace increased by $1,348,771, an 86.3% rise. There were periods of accelerated spending, notably in 2020 and 2021 with significant year-over-year growth.

Spending on Medicine Services and Procedures spread throughout the city, but payments were concentrated within a few ZIP codes. In 2024, ZIP code 92313 accounted for all $2,911,816 in Medicaid payments for this category, representing 100% of such payments in the area that year.

A small number of individual billing codes accounted for most Medicaid payments in Medicine Services and Procedures.

To compare, payments for this category in Grand Terrace increased by 49.6% from 2023 to 2024, whereas all Medicaid claim categories in the city grew by only 3.5% over the same period.

The Centers for Medicare & Medicaid Services reports that overall federal and state Medicaid outlays reached approximately $871.7 billion in fiscal year 2023, representing about 18% of total U.S. health expenditures. This was a steep rise from $613.5 billion in 2019, before the pandemic.

This growth indicates an increase of about 40% over just a few years, mainly due to higher enrollment and greater use of services during and after the pandemic.

Recent federal legislation enacted under the Trump administration introduced notable proposals to cut federal Medicaid spending and modify its structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to trim over $1 trillion from federal Medicaid expenditures during the next decade. The law also implements measures such as work requirements and heightened cost-sharing that could reduce coverage and available funds for certain beneficiaries. These changes are projected to shift more financial responsibility to states and may slow federal Medicaid funding growth even as the program continues to serve millions.

Medicaid Payments Tied to Medicine Services and Procedures in Grand Terrace, California Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $1,563,045 64.8%
2021 $2,109,265 34.9%
2022 $1,819,324 -13.7%
2023 $1,947,015 7%
2024 $2,911,816 49.6%
Top Categories by Medicaid Payments in Grand Terrace, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $3,741,794 56.2%
2 Medicine Services and Procedures $2,911,816 43.7%
3 Evaluation and Management $5,365 0.1%
4 Dental Services $0 <0.1%
4 Pathology and Laboratory Procedures $0 <0.1%
4 Procedures / Professional Services $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Grand Terrace, California, 2024

HCPCS Code Description Medicaid Payments Claims
92507 Tx sp lang voice comm indiv $2,319,401 17
92014 Compre oph exam est pt 1/> $266,287 22
90837 Psytx w pt 60 minutes $92,169 13
92523 Speech sound lang comprehen $77,621 14
92700 Unlisted orl service/px $58,609 15
92522 Evaluate speech production $47,134 13
92609 Use of speech device service $44,792 10
97535 Self care mngment training $5,080 1
90792 Psych diag eval w/med srvcs $719 4
90833 Psytx w pt w e/m 30 min $0 2
92015 Determine refractive state $0 4
92551 Pure tone hearing test air $0 8

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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