In 2024, providers in San Bruno submitted Medicaid claims totaling $116,818 for services grouped under Procedures / Professional Services, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The amount represented a 26% increase over the $92,736 billed for such services in 2023.
Medicaid functions as a state-administered public health insurance program, funded by both federal and state governments. Its coverage extends to low-income groups, seniors, children, and those with disabilities, making it a key component of the American health care system.
Since Medicaid payments are covered by taxpayers, changes in how much is billed locally show how community health care funds are distributed.
The Procedures / Professional Services classification includes a range of Medicaid-billed services grouped by care type, based on standardized HCPCS and CPT coding. For the analysis, each billing code fell within one major service type using consistent code patterns and ranges, letting related care be studied together and supporting true year-over-year rankings by avoiding overlaps.
Although multiple categories saw greater Medicaid spending, Procedures / Professional Services ranked fourth in San Bruno by total Medicaid payments for 2024.
Across California, this service category ranked sixth in the state by total Medicaid funding in 2024.
During the five years preceding 2024, San Bruno saw Medicaid payments in this category climb by $74,753, or 177.7%. Growth was particularly strong in some years, including 2021 and 2022, when notable annual increases occurred.
Although care in the Procedures / Professional Services category was provided citywide, most payments were concentrated in a small set of ZIP codes. In 2024, the 94066 ZIP code accounted for $116,818, making up 100% of all Medicaid spending in this category for San Bruno.
Within the category, Medicaid funding was focused on a limited number of billing codes.
In comparison, Medicaid payments tied to Procedures / Professional Services in San Bruno rose 26% from 2023 to 2024, versus a 41.8% growth across all Medicaid categories in the city during that period.
Figures from the Centers for Medicare & Medicaid Services show that combined Medicaid spending by federal and state governments reached approximately $871.7 billion in fiscal year 2023, which is about 18% of all U.S. health expenditure—up sharply from around $613.5 billion in 2019, the year before the COVID-19 pandemic.
This roughly 40% increase is largely due to expanded enrollment and higher use of services during and following the pandemic.
Recent federal budget changes signed under the Trump administration include major reductions to Medicaid funding and program structure changes. The “One Big Beautiful Bill Act,” enacted in 2025, is set to cut federal Medicaid spending by more than $1 trillion over the next ten years while introducing measures such as work requirements and greater cost-sharing, which may reduce benefits and funding for certain recipients. Those changes are expected to shift greater financial responsibility to states and could restrict growth in federal Medicaid aid, though the program continues to serve tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $42,064 | – |
| 2021 | $76,972 | 83% |
| 2022 | $85,883 | 11.6% |
| 2023 | $92,736 | 8% |
| 2024 | $116,818 | 26% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $1,035,519 | 54% |
| 2 | National Codes Established for State Medicaid Agencies | $279,840 | 14.6% |
| 3 | Alcohol and Drug Abuse Treatment | $272,384 | 14.2% |
| 4 | Procedures / Professional Services | $116,818 | 6.1% |
| 5 | Evaluation and Management | $116,161 | 6.1% |
| 6 | Dental Services | $84,912 | 4.4% |
| 7 | Pathology and Laboratory Procedures | $9,877 | 0.5% |
| 8 | Surgery | $1,820 | 0.1% |
| 9 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G9920 | Scrning perf and negative | $38,525 | 9 |
| G0447 | Behavior counsel obesity 15m | $29,122 | 11 |
| G0299 | Hhs/hospice of rn ea 15 min | $21,271 | 8 |
| G0151 | Hhcp-serv of pt,ea 15 min | $14,723 | 7 |
| G8510 | Scr dep neg, no plan reqd | $12,466 | 20 |
| G8431 | Pos clin depres scrn f/u doc | $558 | 1 |
| G0300 | Hhs/hospice of lpn ea 15 min | $150 | 1 |
| G0008 | Admin influenza virus vac | $0 | 1 |
Note: HCPCS codes are included to provide category context. Overall category totals and rankings in this report are based on standardized groupings instead of individual billing codes.
All data cited is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. For further details, see the source here.
