Redwood City Medicaid providers billed $4,943,012 for Medicine Services and Procedures in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amounted to a 62.1% growth compared with 2023, when claims for this service totaled $3,049,529.
Medicaid, a public insurance program operated by states and funded by both federal and state governments, serves low-income families and individuals, children, seniors and people with disabilities, and is a key component of the U.S. health care system.
Because taxpayer funds support Medicaid payments, shifts in local claim figures display how public health care resources are used within the community.
The “Medicine Services and Procedures” designation represents a set of Medicaid-billed services grouped by the type of medical care delivered, aligning with standardized HCPCS and CPT code groupings. Each code was allocated to a single category based on code prefixes and number ranges in this analysis, enabling service types to be evaluated together and preventing code overlap to ensure accurate longitudinal rankings.
Medicine Services and Procedures placed fourth in total Medicaid payment category rankings in Redwood City for 2024, even as Medicaid spending expanded across several categories.
Statewide, Medicine Services and Procedures ranked third in California by Medicaid payments for 2024.
In the five years before 2024, Medicaid payments for Medicine Services and Procedures in Redwood City increased by $3,857,165, or 355.2%. Spending rose fastest at certain intervals, with distinct annual increases observed in 2023 and 2022.
Although service payments in this category extended throughout Redwood City, expenditures concentrated heavily in a small number of ZIP codes in 2024. The leading ZIP codes for Medicaid spending in this category included 94063 with $4,180,757, 94061 with $378,064, and 94062 with $216,725. The top 3 ZIP codes made up 96.6% of all Medicaid costs linked to Medicine Services and Procedures in Redwood City that year.
Medicaid billing was also focused on a small group of specific codes within the Medicine Services and Procedures classification.
Comparatively, Medicaid spending on Medicine Services and Procedures in Redwood City increased 62.1% from 2023 to 2024, while Medicaid payments for all claim categories in the city changed by 10.5% during the same period.
According to the Centers for Medicare & Medicaid Services, the combination of state and federal Medicaid spending reached about $871.7 billion nationwide during fiscal year 2023, which comprised approximately 18% of overall U.S. health expenditures, up sharply from roughly $613.5 billion in 2019 before the COVID-19 pandemic.
The increase reflects almost 40% overall growth in only a few years, driven by greater enrollment and rising utilization during and after the pandemic.
Recent federal budgets under the Trump administration have incorporated substantial efforts to reduce Medicaid funding and revise the program structure. For example, the “One Big Beautiful Bill Act,” which became law in 2025, is slated to cut more than $1 trillion in federal Medicaid expenditures over the coming decade. It introduces requirements such as work mandates and higher cost-sharing, potentially restricting coverage and financial support for selected beneficiaries. These changes could shift greater cost responsibility to states and limit the rise of federal Medicaid assistance, though the program will continue to serve millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,085,847 | -5.8% |
| 2021 | $1,021,378 | -5.9% |
| 2022 | $1,234,929 | 20.9% |
| 2023 | $3,049,529 | 146.9% |
| 2024 | $4,943,012 | 62.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Pathology and Laboratory Procedures | $14,039,043 | 32.9% |
| 2 | National Codes Established for State Medicaid Agencies | $9,696,599 | 22.7% |
| 3 | Evaluation and Management | $8,006,581 | 18.8% |
| 4 | Medicine Services and Procedures | $4,943,012 | 11.6% |
| 5 | Alcohol and Drug Abuse Treatment | $2,862,518 | 6.7% |
| 6 | Dental Services | $1,099,879 | 2.6% |
| 7 | Radiology Procedures | $1,062,954 | 2.5% |
| 8 | Procedures / Professional Services | $520,330 | 1.2% |
| 9 | Anesthesia | $164,841 | 0.4% |
| 10 | Drugs Administered Other than Oral Method | $137,910 | 0.3% |
| 11 | Surgery | $50,816 | 0.1% |
| 12 | Temporary National Codes (Non-Medicare) | $46,473 | 0.1% |
| 13 | Vision Services | $42,193 | 0.1% |
| 14 | Temporary Codes | $9,201 | <0.1% |
| 15 | Medical And Surgical Supplies | $6,128 | <0.1% |
| 16 | Administrative, Miscellaneous and Investigational | $1,018 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90837 | Psytx w pt 60 minutes | $1,178,466 | 27 |
| 90999 | Unlisted dialysis procedure | $970,572 | 10 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | $460,601 | 11 |
| 90834 | Psytx w pt 45 minutes | $406,862 | 18 |
| 95144 | Antigen therapy services | $282,764 | 22 |
| 90480 | Admn sarscov2 vac 1/only cmp | $234,846 | 12 |
| 96372 | Ther/proph/diag inj sc/im | $161,979 | 26 |
| 92508 | Tx sp lang voice comm group | $108,146 | 19 |
| 95004 | Perq tests w/alrgnc xtrcs | $92,059 | 18 |
| 90962 | Esrd serv 1 visit p mo 20+ | $76,701 | 11 |
| 95807 | Sleep study attended | $75,373 | 9 |
| 92507 | Tx sp lang voice comm indiv | $62,491 | 18 |
| 93010 | Electrocardiogram report | $61,313 | 145 |
| 97530 | Therapeutic activities | $60,360 | 13 |
| 90792 | Psych diag eval w/med srvcs | $59,539 | 5 |
| 90662 | Iiv no prsv increased ag im | $55,647 | 3 |
| 93306 | Tte w/doppler complete | $53,624 | 10 |
| 96374 | Ther/proph/diag inj iv push | $52,200 | 23 |
| 90832 | Psytx w pt 30 minutes | $40,101 | 8 |
| 93005 | Electrocardiogram tracing | $33,522 | 25 |
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.
