Medicaid bills for Concord’s Medicine Services and Procedures total $7,309,372 in 2024, a 27% rise

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Concord Medicaid providers submitted $7,309,372 in claims classified under Medicine Services and Procedures in 2024, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That amount is up 27% from 2023, when claims for identical services totaled $5,754,002.

Medicaid, a joint federal and state public health insurance program, is funded by both levels of government. It serves low-income people, families, seniors, children and those with disabilities, making it a key part of the U.S. health care landscape.

Because taxpayer funding supports Medicaid, local changes in provider billing directly reflect how community health care dollars are spent.

The “Medicine Services and Procedures” designation refers to a set of Medicaid-billed treatments, categorized by care type and referencing standardized HCPCS and CPT codes. Each billing code is assigned to one service group using consistent code prefixes and numeric bands, enabling analysis of related care and supporting accurate annual rankings while avoiding double counting.

While Medicaid spending increased in several areas, Medicine Services and Procedures placed fourth by total Medicaid payments in Concord for 2024.

At the state level in California, Medicine Services and Procedures ranked as the third highest category for total Medicaid spending in 2024.

Between 2019 and 2024, Concord’s Medicaid payments associated with Medicine Services and Procedures rose $4,707,833, an increase of 181%. Periods such as 2021 and 2023 saw especially strong annual growth within this category.

Although services were delivered citywide, most Medicaid dollars for Medicine Services and Procedures were concentrated in a few ZIP codes. In 2024, top ZIPs included 94520 with $5,641,555, 94518 with $1,134,959, and 94519 with $532,857—all together making up 100% of Concord’s Medicaid spending for this category during the year.

Medicaid payments in the Medicine Services and Procedures group were also focused among a small set of billing codes.

Comparatively, from 2023 to 2024, Concord’s Medicaid Medicine Services and Procedures claim payments increased by 27%. Meanwhile, across all categories in the city, spending went up 7.7% over the same timeframe.

According to the Centers for Medicare & Medicaid Services, total state and federal Medicaid spending reached approximately $871.7 billion for fiscal 2023, or about 18% of all national health expenditures. This figure is a significant jump from roughly $613.5 billion in 2019, ahead of the COVID-19 pandemic.

The change marks about 40% growth over several years, largely driven by expanded enrollment and rising usage during and after the pandemic.

Recent federal budget laws enacted during the Trump administration proposed sizable federal Medicaid cuts and program restructuring. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the coming decade and introduces policies such as work requirements and more cost sharing, potentially reducing coverage or payments for certain enrollees. Such reforms will likely increase state financial responsibility and slow the rate of federal Medicaid funding growth, even as the program continues to cover tens of millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $2,601,539 -8.6%
2021 $3,901,928 50%
2022 $3,904,015 0.1%
2023 $5,754,002 47.4%
2024 $7,309,372 27%
Top Categories by Medicaid Payments in Concord, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $13,290,409 2<0.1%
2 Evaluation and Management $10,825,135 16.3%
3 Ambulance and Other Transport Services and Supplies $9,802,255 14.8%
4 Medicine Services and Procedures $7,309,372 11%
5 Procedures / Professional Services $6,532,253 9.8%
6 Alcohol and Drug Abuse Treatment $3,883,613 5.8%
7 Anesthesia $3,146,390 4.7%
8 Durable Medical Equipment $2,381,961 3.6%
9 Chemotherapy Drugs $2,351,184 3.5%
10 Dental Services $1,375,348 2.1%
11 Radiology Procedures $1,331,822 2%
12 Surgery $1,328,154 2%
13 Pathology and Laboratory Procedures $1,088,735 1.6%
14 Drugs Administered Other than Oral Method $741,381 1.1%
15 Medical And Surgical Supplies $578,100 0.9%
16 Temporary National Codes (Non-Medicare) $187,344 0.3%
17 Temporary Codes $164,297 0.2%
18 Durable medical equipment (DME) Medicare administrative contractors (MACs) $101,181 0.2%
19 Vision Services $18,816 <0.1%
20 Administrative, Miscellaneous and Investigational $4,318 <0.1%
21 Enteral and Parenteral Therapy $3,046 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Concord, California, 2024

HCPCS Code Description Medicaid Payments Claims
90999 Unlisted dialysis procedure $1,777,588 23
90960 Esrd srv 4 visits p mo 20+ $1,062,449 245
95810 Polysom 6/> yrs 4/> param $409,179 14
95144 Antigen therapy services $404,923 11
95811 Polysom 6/>yrs cpap 4/> parm $316,372 16
92508 Tx sp lang voice comm group $276,460 12
95806 Sleep study unatt&resp efft $272,476 10
96374 Ther/proph/diag inj iv push $215,174 12
93005 Electrocardiogram tracing $126,364 12
93976 Vascular study $121,292 12
92507 Tx sp lang voice comm indiv $100,740 21
96130 Psycl tst eval phys/qhp 1st $96,974 9
97140 Manual therapy 1/> regions $91,183 30
96375 Tx/pro/dx inj new drug addon $88,892 12
95004 Perq tests w/alrgnc xtrcs $87,214 16
92552 Pure tone audiometry air $83,059 50
90834 Psytx w pt 45 minutes $81,796 16
97110 Therapeutic exercises $80,701 30
95800 Slp stdy unattended $79,830 10
90471 Immunization admin $77,566 247

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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