Baldwin Park Medicaid providers charged $4,089,419 for services under the Medicine Services and Procedures category in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents an 18.7% rise compared with 2023, when claims in this category totaled $3,445,226.
Medicaid, a public health insurance initiative managed by state governments and funded jointly by state and federal funds, serves low-income individuals and families, seniors, children, and people with disabilities. It is among the largest components of the U.S. health care landscape.
Shifts in billing levels for Medicaid reflect how taxpayer-funded health care resources are distributed within individual communities.
The “Medicine Services and Procedures” category includes a defined set of Medicaid-billed services identified by standardized HCPCS and CPT code groupings. For this analysis, each billing code was assigned to a single service group using specific code prefixes and numerical ranges, enabling aggregation of related services while preventing double counting and allowing for consistent tracking over multiple years.
Although several Medicaid service categories saw increases, Medicine Services and Procedures ranked as the fourth largest in Baldwin Park by total payments in 2024.
Statewide, Medicine Services and Procedures ranked third in California by total Medicaid payments in 2024.
Between 2019 and 2024, Medicaid payments for Medicine Services and Procedures in Baldwin Park climbed by $2,408,413, or 143.3%. Certain years, such as 2020 and 2022, experienced significant year-over-year increases.
Spending was distributed citywide, but a few ZIP codes accounted for the majority of Medicine Services and Procedures payments. In 2024, ZIP code 91706 recorded $4,089,419, representing all Medicaid payments for this category in Baldwin Park for the year.
Within Medicine Services and Procedures, a small set of billing codes accounted for most Medicaid payments.
Medicaid payments for Medicine Services and Procedures in Baldwin Park grew by 18.7% year over year from 2023 to 2024, whereas all Medicaid claim categories combined rose by 6.2% during the same time frame.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion in fiscal 2023, making up approximately 18% of all national health expenditures. This was a sharp increase from around $613.5 billion in 2019 before the COVID-19 pandemic.
This increase represents about 40% growth over several years, largely fueled by expanded enrollment and higher health care utilization during and following the pandemic.
Recent federal budget measures introduced under the Trump administration included major proposals reducing federal Medicaid expenditures and changing the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to cut more than $1 trillion in federal Medicaid spending over the next decade. It also brings policies like work requirements and greater cost-sharing, which could reduce coverage and funding for some beneficiaries. As a result, additional financial obligations may shift to states, limiting federal growth even as Medicaid continues serving millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,681,006 | 54.2% |
| 2021 | $1,854,779 | 10.3% |
| 2022 | $2,580,013 | 39.1% |
| 2023 | $3,445,226 | 33.5% |
| 2024 | $4,089,419 | 18.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $24,011,919 | 44.9% |
| 2 | Evaluation and Management | $13,339,345 | 24.9% |
| 3 | Radiology Procedures | $5,086,209 | 9.5% |
| 4 | Medicine Services and Procedures | $4,089,419 | 7.6% |
| 5 | Pathology and Laboratory Procedures | $2,738,328 | 5.1% |
| 6 | Temporary National Codes (Non-Medicare) | $2,196,809 | 4.1% |
| 7 | Dental Services | $1,148,546 | 2.1% |
| 8 | Surgery | $308,974 | 0.6% |
| 9 | Anesthesia | $209,720 | 0.4% |
| 10 | Procedures / Professional Services | $151,889 | 0.3% |
| 11 | Drugs Administered Other than Oral Method | $137,521 | 0.3% |
| 12 | Administrative, Miscellaneous and Investigational | $46,402 | 0.1% |
| 13 | Temporary Codes | $22,590 | <0.1% |
| 14 | Vision Services | $20,810 | <0.1% |
| 15 | Medical And Surgical Supplies | $4,874 | <0.1% |
| 16 | Pathology and Laboratory Services | $2,781 | <0.1% |
| 17 | Outpatient PPS | $40 | <0.1% |
| 18 | Alcohol and Drug Abuse Treatment | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90999 | Unlisted dialysis procedure | $721,054 | 19 |
| 92227 | Img rta detcj/mntr ds staff | $393,023 | 37 |
| 93306 | Tte w/doppler complete | $287,731 | 55 |
| 92012 | Intrm oph exam est patient | $273,635 | 155 |
| 90662 | Iiv no prsv increased ag im | $254,411 | 18 |
| 90471 | Immunization admin | $210,081 | 508 |
| 92508 | Tx sp lang voice comm group | $143,069 | 11 |
| 93010 | Electrocardiogram report | $114,934 | 56 |
| 92015 | Determine refractive state | $101,180 | 276 |
| 92014 | Compre oph exam est pt 1/> | $96,596 | 66 |
| 97597 | Dbrdmt opn wnd 1st 20 cm/< | $95,246 | 28 |
| 97110 | Therapeutic exercises | $91,721 | 98 |
| 92002 | Intrm oph exam new patient | $90,368 | 101 |
| 90834 | Psytx w pt 45 minutes | $88,199 | 94 |
| 93971 | Extremity study | $79,474 | 11 |
| 94060 | Evaluation of wheezing | $69,937 | 14 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | $66,038 | 3 |
| 93970 | Extremity study | $65,434 | 14 |
| 96365 | Ther/proph/diag iv inf init | $62,180 | 41 |
| 93880 | Extracranial bilat study | $54,482 | 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.
