In 2024, Medicaid providers in San Juan Bautista submitted $9,036 in claims for services categorized as Medicine Services and Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a significant rise from 2023, when claims for the same category totaled $1,649 — a 448% increase year over year.
Medicaid, a government program funded jointly by federal and state governments and administered by states, provides health insurance for low-income individuals and families, seniors, children, and people with disabilities. It remains one of the nation’s largest health care programs.
Since Medicaid is funded by taxpayers, changes in billing at the community level demonstrate how public health care funds are allocated locally.
The “Medicine Services and Procedures” category groups services based on the type of care delivered, using standardized HCPCS and CPT code frameworks. Each billing code in this analysis was matched to a single service group through consistent prefixes and numeric ranges, making it possible to group and compare related services, avoid double counting, and ensure accurate rankings over time.
While many service categories saw increases in Medicaid spending, Medicine Services and Procedures was the second largest by payment total in San Juan Bautista in 2024.
On a statewide scale, Medicine Services and Procedures was the third-largest Medicaid payment category in California for 2024.
From 2019 through 2024, San Juan Bautista’s Medicaid payments for Medicine Services and Procedures climbed by $8,928, translating to an 8,266.7% increase. Spending growth was especially rapid during certain years, including notable jumps in 2022 and 2021.
Spending within Medicine Services and Procedures was not evenly distributed, with Medicaid payments in 2024 concentrated in a few ZIP codes. The 95045 ZIP code alone recorded $9,035 in such claims, representing 100% of Medicaid payments for this category in San Juan Bautista during the year.
Additionally, a small selection of billing codes made up the majority of Medicaid payments in the Medicine Services and Procedures group.
Between 2024 and 2023, Medicaid spending for Medicine Services and Procedures in San Juan Bautista rose 448%, while all Medicaid claim categories in the city combined saw an 8.2% increase during the same period.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, or roughly 18% of total U.S. health care spending. That’s an increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This represents nearly 40% growth in just a few years, attributed mainly to broader program enrollment and higher use during and since the pandemic.
Recent federal budget laws enacted during the Trump administration have featured proposals to reduce federal Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid funding by over $1 trillion through the next decade and introduces policy changes—such as work requirements and higher cost-sharing—that could result in reduced coverage and funding for some enrollees. These changes may shift more financial responsibility to the states and limit the growth of federal Medicaid support while the program continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $108 | – |
| 2021 | $289 | 168.2% |
| 2022 | $1,575 | 443.7% |
| 2023 | $1,648 | 4.7% |
| 2024 | $9,035 | 448% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $389,927 | 97.2% |
| 2 | Medicine Services and Procedures | $9,035 | 2.3% |
| 3 | Evaluation and Management | $2,357 | 0.6% |
| 4 | Pathology and Laboratory Procedures | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 92508 | Tx sp lang voice comm group | $8,253 | 10 |
| 92551 | Pure tone hearing test air | $781 | 2 |
| 90471 | Immunization admin | $0 | 1 |
| 90686 | Iiv4 vacc no prsv 0.5 ml im | $0 | 1 |
| 92552 | Pure tone audiometry air | $0 | 4 |
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.
