In 2024, Medicaid providers in Redway billed $285,649 for Medicine Services and Procedures, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 6.7% rise compared to 2023, when similar claims totaled $267,837.
Medicaid is a state-administered health coverage plan, funded in partnership by federal and state governments. The program covers low-income individuals and families, children, seniors, and people with disabilities, making it one of the main contributors to the U.S. health care system.
Since Medicaid uses taxpayer funding, shifts in local payments reflect how public medical resources are used throughout the community.
The “Medicine Services and Procedures” category comprises designated Medicaid-billed services grouped by type of care, identified through consistent HCPCS and CPT coding methods. Each billing code used for this analysis was assigned a specific service category by code prefix and sequence, ensuring relevant services could be analyzed together, preventing duplicates, and maintaining reliability in trend rankings over time.
While multiple categories posted rising Medicaid expenditures, Medicine Services and Procedures placed second among service categories in Redway by total Medicaid payments in 2024.
Statewide in California, the Medicine Services and Procedures classification ranked third in 2024 by total Medicaid payments.
Over the five years preceding 2024, Medicaid spending on Medicine Services and Procedures in Redway went up by $262,205, or 1118.4%. There were surges in growth during certain intervals, with significant year-over-year gains reported in both 2022 and 2021.
Spending on Medicine Services and Procedures was distributed around the city, but payment volumes concentrated in only a few ZIP codes. In 2024, the highest aggregate Medicaid payments in this category were seen in ZIP code 95560, totaling $285,648. This single ZIP code accounted for 100% of all Medicaid payments in the category for Redway that year.
Among Medicine Services and Procedures claims, a small group of billing codes accounted for most Medicaid payments.
Between 2024 and 2023, Medicaid payments in Redway’s Medicine Services and Procedures segment rose 6.7%, compared to an overall change of 10.4% across all Medicaid claim categories locally during the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state spending on Medicaid totaled about $871.7 billion in fiscal 2023. This represented around 18% of total national health care expenditures, significantly higher than the approximately $613.5 billion recorded in 2019, before the COVID-19 pandemic.
This shift indicates roughly 40% growth in a relatively short span, largely driven by broader enrollment and increased utilization occurring during and after the pandemic.
Federal budget legislation enacted under the Trump administration included major proposals to cut federal Medicaid support and modify the program. The “One Big Beautiful Bill Act,” signed in 2025, is expected to trim more than $1 trillion in federal Medicaid funding over 10 years while also initiating policy changes such as implementing work requirements and requiring higher cost-sharing. These adjustments may limit coverage and direct more expenses to states but are expected to result in limited federal Medicaid growth even if millions still depend on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $23,443 | -33% |
| 2021 | $34,002 | 45% |
| 2022 | $237,295 | 597.9% |
| 2023 | $267,837 | 12.9% |
| 2024 | $285,648 | 6.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $1,608,657 | 74.5% |
| 2 | Medicine Services and Procedures | $285,648 | 13.2% |
| 3 | Alcohol and Drug Abuse Treatment | $107,793 | 5% |
| 4 | Procedures / Professional Services | $88,042 | 4.1% |
| 5 | Ambulance and Other Transport Services and Supplies | $53,891 | 2.5% |
| 6 | Evaluation and Management | $12,206 | 0.6% |
| 7 | Pathology and Laboratory Procedures | $2,174 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90837 | Psytx w pt 60 minutes | $182,160 | 53 |
| 97810 | Acup 1/> wo estim 1st 15 min | $33,743 | 14 |
| 90834 | Psytx w pt 45 minutes | $33,417 | 20 |
| 97811 | Acup 1/> w/o estim ea add 15 | $32,232 | 14 |
| 90832 | Psytx w pt 30 minutes | $2,558 | 6 |
| 90715 | Tdap vaccine 7 yrs/> im | $588 | 2 |
| 90471 | Immunization admin | $530 | 11 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | $291 | 1 |
| 90480 | Admn sarscov2 vac 1/only cmp | $80 | 1 |
| 92551 | Pure tone hearing test air | $22 | 1 |
| 90472 | Immunization admin each add | $22 | 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.
