Apple Valley Medicaid spending on medicine services and procedures totals nearly $6 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Medicaid providers in Apple Valley submitted $5,950,174 in claims for Medicine Services and Procedures in 2024, according to information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was an 8.5% increase from 2023, which saw $5,486,417 in claims for these services.

Medicaid is a public health insurance policy managed by states and funded jointly by federal and state governments. It provides coverage for low-income people and families, older adults, children and individuals with disabilities, ranking among the nation’s largest health care programs.

Because Medicaid spending is sourced from taxpayers, local billing trends reflect how health care funds are allocated within communities.

The Medicine Services and Procedures category represents Medicaid-billed services grouped by care type, according to consistent HCPCS and CPT code groupings. Codes for the analysis were organized into single service categories using standard prefixes and number ranges to ensure related billing was analyzed together, minimizing repeat counts and preserving the integration of historical rankings.

While several Medicaid service categories saw increased spending, Medicine Services and Procedures ranked third by total Medicaid payments in Apple Valley for 2024.

Across California, Medicine Services and Procedures also placed third statewide for total Medicaid disbursements in 2024.

Over the five-year period ending in 2024, Medicaid payments for Medicine Services and Procedures in Apple Valley rose by $2,074,588, or 53.5%. The rate of spending growth picked up during specific intervals, with notable annual increases recorded in 2022 and 2023.

Payments for these services spanned across Apple Valley, though most were concentrated in a few ZIP codes. The largest Medicaid amounts associated with Medicine Services and Procedures in 2024 came from 92307, with $5,477,725, and 92308, totaling $472,448. Combined, these 2 ZIP codes represented 100% of Medicaid payments for this category during the year in Apple Valley.

Within Medicine Services and Procedures, payments were aggregated among only a small number of billing codes.

Comparatively, from 2023 to 2024, Medicaid payments linked to Medicine Services and Procedures in Apple Valley climbed 8.5%, compared to a 3.3% overall increase for all Medicaid claim categories in the city during that time.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures climbed to around $871.7 billion for fiscal year 2023. This accounted for nearly 18% of all U.S. health care spending, increasing sharply from roughly $613.5 billion in 2019, before the onset of COVID-19.

This jump translates to about 40% growth in several years, largely fueled by greater enrollment and use during and after the pandemic period.

Recent federal budget changes under the Trump administration included extensive proposals to lower federal Medicaid contributions and reshape the system. For example, the “One Big Beautiful Bill Act,” passed in 2025, is projected to reduce federal Medicaid spending by over $1 trillion in the upcoming decade. It brings in measures such as work requirements and higher out-of-pocket costs, which could scale back coverage and funding for some. These policy changes are expected to shift greater Medicaid costs onto states and limit federal spending growth, even as the program continues to cover tens of millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $3,875,585 -10.8%
2021 $4,242,256 9.5%
2022 $4,719,930 11.3%
2023 $5,486,417 16.2%
2024 $5,950,173 8.5%
Top Categories by Medicaid Payments in Apple Valley, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary Codes $10,943,346 26%
2 Evaluation and Management $9,252,883 22%
3 Medicine Services and Procedures $5,950,173 14.1%
4 Radiology Procedures $2,693,404 6.4%
5 Surgery $2,651,412 6.3%
6 Dental Services $1,980,829 4.7%
7 Durable Medical Equipment $1,867,771 4.4%
8 Drugs Administered Other than Oral Method $1,661,928 4%
9 Pathology and Laboratory Procedures $1,568,922 3.7%
10 Hearing Services $1,559,745 3.7%
11 Alcohol and Drug Abuse Treatment $995,473 2.4%
12 Medical And Surgical Supplies $319,542 0.8%
13 Procedures / Professional Services $295,295 0.7%
14 Anesthesia $159,209 0.4%
15 Administrative, Miscellaneous and Investigational $44,308 0.1%
16 Orthotic Procedures and services $37,975 0.1%
17 Pathology and Laboratory Services $36,301 0.1%
18 Temporary National Codes (Non-Medicare) $28,691 0.1%
19 Durable medical equipment (DME) Medicare administrative contractors (MACs) $11,340 <0.1%
20 Outpatient PPS $2,390 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Apple Valley, California, 2024

HCPCS Code Description Medicaid Payments Claims
90837 Psytx w pt 60 minutes $1,596,548 134
90999 Unlisted dialysis procedure $854,336 10
93306 Tte w/doppler complete $392,686 68
96374 Ther/proph/diag inj iv push $269,183 20
93005 Electrocardiogram tracing $226,280 15
96372 Ther/proph/diag inj sc/im $175,156 24
95707 Eeg w/o vid 2-12hr cont mntr $143,204 8
95713 Veeg 2-12 hr cont mntr $138,082 7
96375 Tx/pro/dx inj new drug addon $136,215 20
96365 Ther/proph/diag iv inf init $134,871 11
97110 Therapeutic exercises $119,942 47
93458 L hrt artery/ventricle angio $119,271 6
95886 Musc test done w/n test comp $105,817 24
97533 Sensory integration $102,811 19
96361 Hydrate iv infusion add-on $90,341 11
92507 Tx sp lang voice comm indiv $83,602 15
93975 Vascular study $83,198 11
96130 Psycl tst eval phys/qhp 1st $73,651 9
93454 Coronary artery angio s&i $64,234 3
96360 Hydration iv infusion init $60,949 11

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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