Medicaid spending for Procedures / Professional Services in Redlands climbs 33.1% in 2024

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Redlands billed $6,529,647 in 2024 for services within the Procedures / Professional Services category. This was a rise of 33.1% from 2023, when $4,906,315 in claims were submitted for the same service group.

Medicaid, a public health insurance initiative managed by states and funded collectively by federal and state governments, insures low-income people and families, seniors, children, and those with disabilities, making it a key component of the U.S. health care system.

Because taxpayer dollars finance Medicaid payments, local billing activity illustrates how communities distribute public health care funding.

The “Procedures / Professional Services” classification includes a set of Medicaid services identified by care type, grouped using standardized HCPCS and CPT codes. For this report, billing codes were consistently assigned to one service category based on specific code prefixes and numeric sequences, ensuring related services were grouped together for clearer analysis while avoiding overlapping and maintaining reliable ranking comparisons across years.

While Medicaid expenses grew across several categories, Procedures / Professional Services represented the fifth-largest payment group in Redlands in 2024.

Statewide, Procedures / Professional Services was the sixth-largest Medicaid payment category in California for 2024.

In Redlands, payments linked to the Procedures / Professional Services grouping grew by $6,279,217 over five years leading to 2024, an increase of 2507.4%. Certain intervals saw rapid spending escalation, especially notable in 2021 and 2023.

Payments for this service group in Redlands were concentrated in just a few ZIP codes. For 2024, ZIP code 92373 made up $6,428,683 of the spending and 92374 contributed $100,963. Combined, these two ZIP codes accounted for all Medicaid payments designated for the Procedures / Professional Services group in the city.

Within this service category, Medicaid billing activity focused on a small set of individual procedure codes.

By comparison, Redlands saw a 33.1% increase in Medicaid payments for the Procedures / Professional Services category between 2024 and 2023. All Medicaid claim categories together rose by 18% in the city over the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures totaled around $871.7 billion for fiscal year 2023, which equaled about 18% of all national health spending. This was up from roughly $613.5 billion in 2019, just prior to the COVID-19 pandemic.

This reflects about 40% growth in a short period, fueled mainly by increases in program enrollment and service use during and after the pandemic.

Recent federal budget actions from the Trump administration have included major proposals to roll back federal Medicaid funding and retool the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid expenditures by over $1 trillion in the coming decade, with measures like work requirements and higher cost-sharing that could curtail benefits and support for certain enrollees. These reforms are projected to shift more cost responsibility to the states and restrain future federal Medicaid growth, even as the program continues to cover tens of millions of Americans.

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.