Concord sees $6,532,254 in Medicaid spending for procedures and professional services in 2024

In Concord, providers billed $6,532,254 to Medicaid for services under the Procedures / Professional Services category in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents an 89.4% increase over 2023, when reported claims for the same service group reached $3,449,788.

Medicaid, a public health insurance program, is administered by states and funded jointly by both federal and state governments. It serves low-income individuals and families, children, seniors, and people with disabilities, making it one of the major components of the U.S. health care system.

Because Medicaid is taxpayer funded, differences in local billing amounts provide a window into how public health care resources are distributed in individual communities.

The “Procedures / Professional Services” designation covers an assortment of Medicaid services categorized by care type, as determined using standardized HCPCS and CPT coding frameworks. Codes were consistently assigned to a single service category for this analysis, relying on uniform code prefixes and numeric intervals to group related care and eliminate duplicate counting, helping to preserve accurate service category rankings over multiple years.

While Medicaid expenditures grew across numerous service categories, Procedures / Professional Services ranked fifth in Concord by total Medicaid payments for 2024.

Statewide, Procedures / Professional Services ranked sixth for total Medicaid payments in California in 2024.

From five years prior to 2024, Medicaid expenditures for Procedures / Professional Services in Concord increased by $1,649,179, or 33.8%. Growth in this sector accelerated during select years, including notable annual increases in 2021 and 2022.

Although these services were billed across Concord, the bulk of Medicaid payments was focused in a small subset of ZIP codes. In 2024, the highest totals came from ZIP code 94520 at $6,458,692, followed by 94518 with $49,693 and 94519 at $23,868. Collectively, these top 3 ZIP codes made up 100% of Procedures / Professional Services-related Medicaid claims in Concord for the year.

Within this category, the majority of Medicaid spending was attributable to just a few individual billing codes.

To compare, Medicaid payments for Procedures / Professional Services in Concord rose 89.4% from 2023 to 2024, versus a 7.7% overall increase for all Medicaid claim types citywide during the same timeframe.

According to the Centers for Medicare & Medicaid Services, Medicaid spending from both federal and state sources reached approximately $871.7 billion during fiscal year 2023, which amounted to about 18% of all U.S. health outlays, up significantly from $613.5 billion in 2019 before the onset of the COVID-19 pandemic.

The rise reflects growth of nearly 40% in only a few years, largely from expanded enrollment and increased service use amid and following the pandemic.

Recent federal legislation under the Trump administration introduced major proposals to curtail federal Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid outlays by more than $1 trillion over 10 years and implements requirements like work participation and greater cost-sharing. These provisions may limit benefits and funding for certain beneficiaries, shifting additional financial responsibilities to states even as Medicaid continues to cover tens of millions nationwide.

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.