In 2024, Campbell’s Medicaid providers billed $495,500 for services in the Medicine Services and Procedures category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount was a 6.9% increase over the $463,442 billed for the same service category in 2023.
Medicaid, one of the largest parts of the U.S. health care system, is a state-run public health insurance program funded jointly by federal and state governments. It primarily provides coverage for low-income people and families, seniors, children, and those with disabilities.
Since Medicaid dollars come from public funds, shifts in local billing reflect how taxpayer resources are spent in the community on health care.
The “Medicine Services and Procedures” grouping includes multiple Medicaid services approved by standardized HCPCS and CPT code sets. For the analysis, all billing codes were categorized into a single service group using uniform code prefixes and numbers to compare related services, avoiding service inflation or duplication and supporting stable trend rankings.
While several categories saw increased Medicaid spending, Medicine Services and Procedures ranked fourth by Medicaid payments in Campbell during 2024.
Statewide in California, this service category held the third spot for total Medicaid disbursements in 2024.
Analyzed over the five years through 2024, Campbell experienced an $229,528 rise—or 86.3% growth—in Medicaid payments within the Medicine Services and Procedures category. Certain periods, including 2021 and 2023, stood out with pronounced annual growth.
Health care service payments were distributed throughout Campbell, but spending for Medicine Services and Procedures was clustered in a small selection of ZIP codes. In particular, ZIP code 95008 posted $495,500 in 2024, which represented the entire city’s Medicaid payments for this service group that year.
Payments within this category were largely driven by a handful of individual billing codes.
For perspective, while Medicine Services and Procedures billings in Campbell increased 6.9% from 2023 to 2024, payments across all Medicaid service categories in the city rose by 2.9% in the same interval.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached nearly $871.7 billion in fiscal 2023, making up about 18% of all national health spending. This is up substantially from $613.5 billion in 2019, preceding the COVID-19 pandemic.
The rise amounts to approximately 40% over just a few years, influenced mainly by increased enrollment and heightened use during and after the pandemic era.
Budget measures enacted under the Trump administration have called for major reductions in federal Medicaid contributions and structural reforms. The “One Big Beautiful Bill Act,”, signed into law in 2025, is anticipated to reduce federal spending on Medicaid by more than $1 trillion over the next 10 years, including new requirements such as work conditions and higher cost-sharing, which may limit funding and benefits for certain eligible participants. The result is projected to increase financial responsibilities for states even while the program continues to serve millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $265,971 | -8.5% |
| 2021 | $312,143 | 17.4% |
| 2022 | $359,783 | 15.3% |
| 2023 | $463,441 | 28.8% |
| 2024 | $495,500 | 6.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Procedures / Professional Services | $1,743,834 | 29.5% |
| 2 | Alcohol and Drug Abuse Treatment | $1,386,528 | 23.5% |
| 3 | Drugs Administered Other than Oral Method | $1,014,217 | 17.2% |
| 4 | Medicine Services and Procedures | $495,500 | 8.4% |
| 5 | Durable Medical Equipment | $441,704 | 7.5% |
| 6 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $242,486 | 4.1% |
| 7 | Surgery | $216,234 | 3.7% |
| 8 | Evaluation and Management | $101,838 | 1.7% |
| 9 | Dental Services | $75,668 | 1.3% |
| 10 | Pathology and Laboratory Procedures | $66,360 | 1.1% |
| 11 | Radiology Procedures | $51,846 | 0.9% |
| 12 | Chemotherapy Drugs | $41,922 | 0.7% |
| 13 | National Codes Established for State Medicaid Agencies | $34,053 | 0.6% |
| 14 | Temporary Codes | $0 | <0.1% |
| 14 | Temporary National Codes (Non-Medicare) | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90834 | Psytx w pt 45 minutes | $155,030 | 22 |
| 92508 | Tx sp lang voice comm group | $107,262 | 11 |
| 92134 | Cptrz oph dx img pst sgm rta | $78,026 | 58 |
| 92014 | Compre oph exam est pt 1/> | $53,865 | 52 |
| 92012 | Intrm oph exam est patient | $39,330 | 45 |
| 96158 | Hlth bhv ivntj indiv 1st 30 | $13,875 | 5 |
| 97139 | Unlisted therapeutic px | $11,491 | 6 |
| 92250 | Fundus photography w/i&r | $10,935 | 36 |
| 96130 | Psycl tst eval phys/qhp 1st | $8,555 | 9 |
| 92235 | Fluorescein angrph mltiframe | $7,948 | 6 |
| 97150 | Group therapeutic procedures | $4,725 | 5 |
| 93990 | Doppler flow testing | $1,691 | 8 |
| 92523 | Speech sound lang comprehen | $1,514 | 2 |
| 93985 | Dup-scan hemo compl bi std | $596 | 1 |
| 92522 | Evaluate speech production | $330 | 1 |
| 97140 | Manual therapy 1/> regions | $175 | 7 |
| 97112 | Neuromuscular reeducation | $134 | 5 |
| 97110 | Therapeutic exercises | $10 | 4 |
| 96131 | Psycl tst eval phys/qhp ea | $0 | 9 |
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.
