Medicaid medicine services spending in Newman totals $70,226 for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Providers in Newman billed Medicaid $70,226 for Medicine Services and Procedures in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That figure represents a 17.6% rise from 2023, when claims for the category totaled $59,694.

Medicaid, a state-run program funded jointly by federal and state governments, provides health insurance for low-income individuals and families, seniors, children, and people with disabilities. It is one of the largest segments of the U.S. health care landscape.

Because taxpayer funds support Medicaid, fluctuations in local billing show how public health care resources are distributed within a community.

The “Medicine Services and Procedures” category encompasses services defined by standardized HCPCS and CPT code groups. For this analysis, each billing code is placed in a specific service category using consistent prefixes and number ranges, enabling analysis of related services together while preventing duplicate counts and maintaining accurate year-over-year rankings.

Medicaid spending increased across several service groups, with Medicine Services and Procedures standing as Newman’s third highest Medicaid payment category in 2024.

Statewide, Medicine Services and Procedures also placed third for total Medicaid payments in California during 2024.

From 2019 to 2024, Medicaid payments for Medicine Services and Procedures in Newman rose by $34,616, or 97.2%. Certain years, such as 2023 and 2022, saw significant increases in spending.

Spending for Medicine Services and Procedures was spread throughout Newman, though most payments were concentrated within a few ZIP codes. In 2024, ZIP code 95360 recorded $70,226 in Medicaid payments for this category, accounting for 100% of the total in Newman for the year.

Within Medicine Services and Procedures, a small group of billing codes represented the majority of Medicaid payments.

Looking at trends, Medicaid payments for Medicine Services and Procedures in Newman climbed 17.6% from 2023 to 2024, compared with a 48.1% increase across all Medicaid claim categories in the city during that period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached $871.7 billion in fiscal 2023, or about 18% of total national health expenditures. That number is up from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This represents an increase of approximately 40% in just a few years, largely due to higher enrollment and increased service use during and after the pandemic period.

Federal budget measures under the Trump administration have included major proposals to scale back federal Medicaid funding and change program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade and adds requirements including work mandates and higher cost-sharing, which could impact coverage and funding for some enrollees. These changes are anticipated to shift more costs to states and curb federal Medicaid spending growth, as the program continues serving millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $35,610 -67.6%
2021 $32,443 -8.9%
2022 $33,655 3.7%
2023 $59,694 77.4%
2024 $70,226 17.6%
Top Categories by Medicaid Payments in Newman, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $641,751 78.3%
2 Evaluation and Management $75,418 9.2%
3 Medicine Services and Procedures $70,226 8.6%
4 Ambulance and Other Transport Services and Supplies $32,628 4%
5 Pathology and Laboratory Procedures $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Newman, California, 2024

HCPCS Code Description Medicaid Payments Claims
92508 Tx sp lang voice comm group $33,730 9
92507 Tx sp lang voice comm indiv $14,379 9
96130 Psycl tst eval phys/qhp 1st $8,764 2
96158 Hlth bhv ivntj indiv 1st 30 $8,180 6
90471 Immunization admin $2,246 7
92552 Pure tone audiometry air $2,193 9
96372 Ther/proph/diag inj sc/im $281 1
90688 Iiv4 vaccine splt 0.5 ml im $278 1
96156 Hlth bhv assmt/reassessment $170 1
90791 Psych diagnostic evaluation $0 3
90832 Psytx w pt 30 minutes $0 12

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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