Arcadia Medicaid spending for medicine services and procedures reaches $3.6 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Arcadia submitted $3,623,398 in claims for services within the Medicine Services and Procedures category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 1.6% rise from 2023, when claims for the category totaled $3,565,871.

Medicaid, administered by the states and financed through joint federal and state funding, supports low-income residents, seniors, children, and people with disabilities, making it one of the leading components of the U.S. health care system.

Since Medicaid funding comes from taxpayers, fluctuations in local billing reflect how public healthcare money is distributed within communities.

The “Medicine Services and Procedures” group encompasses a series of Medicaid-billed services defined by the care provided and categorized by standardized HCPCS and CPT codes. Each code for this analysis was sorted into a service category using uniform prefixes and number ranges, making it possible to group related services without double counting and to track reliable year-over-year comparisons.

The Medicine Services and Procedures category maintained its place as the third-largest by total Medicaid payments in Arcadia in 2024, among several growing service categories.

Statewide in California, this category also ranked third in Medicaid payment amounts for 2024.

From 2019 to 2024, Medicaid spending for Medicine Services and Procedures in Arcadia increased by $770,351, or 27%. The city experienced especially notable annual spending jumps in 2021 and 2023.

While payments covered the entire city, they were heavily focused in a small number of ZIP codes. In 2024, a total of $2,405,857 was paid in ZIP code 91006 and $1,217,540 in 91007, with these areas making up 100% of all Medicaid spending for the category in Arcadia that year.

Within Medicine Services and Procedures, a small set of individual billing codes generated the bulk of total Medicaid spending.

Comparing the increase for Medicine Services and Procedures—up 1.6% from 2023 to 2024—with an overall 10.1% increase across all Medicaid categories in Arcadia during the same period shows relative growth within this service group.

The Centers for Medicare & Medicaid Services reports that joint federal and state Medicaid expenditures reached roughly $871.7 billion for fiscal year 2023, making up around 18% of U.S. national health spending. This figure is up significantly from $613.5 billion in 2019, before the COVID-19 pandemic.

This growth—almost 40% in several years—is largely linked to expanded Medicaid eligibility and increased healthcare usage during and after the pandemic.

Recent federal budget measures passed under the Trump administration included reforms designed to reduce federal Medicaid allocations and restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut federal Medicaid spending by more than $1 trillion over the next decade. It introduces work requirements and higher cost-sharing, potentially reducing Medicaid coverage and funding for certain groups, shifting more of the financial responsibility to individual states even as the program continues to provide insurance for millions.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $2,853,047 6.3%
2021 $3,417,553 19.8%
2022 $3,073,006 -10.1%
2023 $3,565,870 16%
2024 $3,623,398 1.6%
Top Categories by Medicaid Payments in Arcadia, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $14,726,098 43.4%
2 Anesthesia $5,490,550 16.2%
3 Medicine Services and Procedures $3,623,398 10.7%
4 Temporary National Codes (Non-Medicare) $3,140,161 9.3%
5 Evaluation and Management $2,028,247 6%
6 Ambulance and Other Transport Services and Supplies $1,201,156 3.5%
7 Surgery $1,007,360 3%
8 Radiology Procedures $826,907 2.4%
9 Procedures / Professional Services $705,604 2.1%
10 Alcohol and Drug Abuse Treatment $363,097 1.1%
11 Dental Services $283,533 0.8%
12 Pathology and Laboratory Procedures $283,202 0.8%
13 Drugs Administered Other than Oral Method $97,198 0.3%
14 Hearing Services $55,938 0.2%
15 Medical And Surgical Supplies $40,921 0.1%
16 Chemotherapy Drugs $37,236 0.1%
17 Temporary Codes $13,006 <0.1%
18 Durable Medical Equipment $5,523 <0.1%
19 Vision Services $3,007 <0.1%
20 Administrative, Miscellaneous and Investigational $2,089 <0.1%
21 Other Services $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Arcadia, California, 2024

HCPCS Code Description Medicaid Payments Claims
90837 Psytx w pt 60 minutes $927,613 93
90999 Unlisted dialysis procedure $841,706 10
92507 Tx sp lang voice comm indiv $364,877 96
97535 Self care mngment training $149,215 53
96374 Ther/proph/diag inj iv push $139,968 15
90834 Psytx w pt 45 minutes $133,262 6
99606 Mtms by pharm est 15 min $90,055 6
93306 Tte w/doppler complete $87,891 30
99607 Mtms by pharm addl 15 min $70,116 6
93005 Electrocardiogram tracing $66,786 16
97110 Therapeutic exercises $58,271 51
90791 Psych diagnostic evaluation $52,980 7
96375 Tx/pro/dx inj new drug addon $52,587 13
93970 Extremity study $51,930 35
96372 Ther/proph/diag inj sc/im $49,966 17
97112 Neuromuscular reeducation $41,661 21
92134 Cptrz oph dx img pst sgm rta $39,923 81
92012 Intrm oph exam est patient $37,887 53
97530 Therapeutic activities $37,129 52
92014 Compre oph exam est pt 1/> $33,731 110

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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