Highland Medicaid payments for medicine services reach $1.8 million in 2024, rising 6.5%

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Highland Medicaid providers billed $1,840,907 for services in the Medicine Services and Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This was a 6.5% rise from the $1,728,908 submitted in 2023 for the same kind of services.

Medicaid, administered by the states and funded in partnership between federal and state governments, provides health insurance coverage to low-income individuals and families, children, seniors, and people with disabilities, making it one of the primary components of U.S. health care.

Because Medicaid payments originate from taxpayer funding, adjustments in local billing levels represent shifts in how a community’s public health care dollars are spent.

The “Medicine Services and Procedures” group includes Medicaid claims for services determined by type of care, using standardized HCPCS and CPT coding. Each billing code in this study is tied to just one service category based on standardized code prefixes and numeric ranges, allowing assessment of grouped services while avoiding duplicate counting and supporting consistent rankings.

Though Medicaid allocations increased across several categories, Medicine Services and Procedures accounted for the highest Medicaid payments in Highland in 2024.

Over the five-year period ending in 2024, payments linked to Medicine Services and Procedures in Highland rose $697,520, or 61%. Periods of sharper growth occurred in 2021 and 2020, marking significant year-over-year gains.

Spending on Medicine Services and Procedures was distributed citywide, but payments largely centered in only a few ZIP codes. During 2024, ZIP code 92346 alone accounted for $1,840,906 in this category. The leading ZIP code comprised 100% of these Medicaid payments for the year in Highland.

Meanwhile, most Medicine Services and Procedures Medicaid funding concentrated within a small number of individual billing codes.

To compare, the 6.5% increase for Highland’s Medicine Services and Procedures from 2023 to 2024 contrasted with a 12.1% change across all Medicaid claim categories locally in the same timeframe.

The Centers for Medicare & Medicaid Services report that total federal and state Medicaid spending hit roughly $871.7 billion in fiscal year 2023—about 18% of overall national health expenditures—a notable climb from approximately $613.5 billion in 2019, pre-pandemic.

This expansion represents a roughly 40% surge in a few years, mainly tied to higher enrollment and greater use of health care during and following the pandemic.

Recent federal budget measures enacted under the Trump administration proposed major reductions to federal Medicaid funding, altering the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to trim federal Medicaid spending by over $1 trillion through the next decade, introducing provisions like work requirements and increased out-of-pocket costs. These changes are likely to shift financial responsibility to states and slow the growth of federal Medicaid contributions, even as the program continues to support tens of millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $1,143,386 21.6%
2021 $1,403,401 22.7%
2022 $1,603,007 14.2%
2023 $1,728,907 7.9%
2024 $1,840,906 6.5%
Top Categories by Medicaid Payments in Highland, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $1,840,906 82.9%
2 Dental Services $318,001 14.3%
3 Vision Services $49,533 2.2%
4 Evaluation and Management $6,632 0.3%
5 Drugs Administered Other than Oral Method $4,988 0.2%
6 Procedures / Professional Services $725 <0.1%
7 Temporary Codes $32 <0.1%
8 Anesthesia $0 <0.1%
8 Medical And Surgical Supplies $0 <0.1%
8 Pathology and Laboratory Procedures $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Highland, California, 2024

HCPCS Code Description Medicaid Payments Claims
90999 Unlisted dialysis procedure $1,358,398 10
90837 Psytx w pt 60 minutes $189,711 15
92004 Compre oph exam new pt 1/> $101,896 19
92340 Fit spectacles monofocal $35,512 15
92014 Compre oph exam est pt 1/> $29,565 19
92015 Determine refractive state $23,259 19
92507 Tx sp lang voice comm indiv $19,740 5
92341 Fit spectacles bifocal $14,284 14
97130 Ther ivntj ea addl 15 min $13,198 8
97110 Therapeutic exercises $12,724 11
97810 Acup 1/> wo estim 1st 15 min $11,726 10
97129 Ther ivntj 1st 15 min $9,781 8
97112 Neuromuscular reeducation $9,466 9
92523 Speech sound lang comprehen $2,780 1
92250 Fundus photography w/i&r $2,044 4
97533 Sensory integration $1,627 2
97140 Manual therapy 1/> regions $1,561 1
90656 Iiv3 vacc no prsv 0.5 ml im $1,072 2
97530 Therapeutic activities $838 2
97799 Unlisted physcl med/rehab px $758 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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