Lake Elsinore Medicaid providers billed $871,538 in 2024 for services categorized under Medicine Services and Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. The total represented a 38.6% jump compared to 2023, when local providers filed $628,732 in claims for this service type.
Medicaid is a public health insurance initiative operated by states with joint federal and state funding, as outlined by the Commonwealth Fund. It provides coverage to low-income people and families, seniors, children, and those with disabilities, making it a significant component of health care in the U.S.
Because Medicaid spending is funded by taxpayers, shifts in the amount billed locally can show how public health resources are allocated in a given area.
The “Medicine Services and Procedures” label covers a group of services billed to Medicaid and defined according to standard HCPCS and CPT code groupings. For this review, service codes were assigned to one category using standardized prefixes and number ranges, ensuring similar services could be analyzed collectively, avoiding duplicate counts and maintaining correct historical ranking.
While spending increased for several service types, Medicine Services and Procedures ranked as the third-largest Medicaid payment category in Lake Elsinore in 2024.
Statewide, the Medicine Services and Procedures category also ranked third in California by total Medicaid payments for 2024.
Over the five-year period ending in 2024, Medicaid payments linked to Medicine Services and Procedures in Lake Elsinore rose by $467,124, or 115.5%. Notable annual increases were seen in 2023 and 2021, reflecting periods of accelerated growth.
From 2024 data, Medicaid expenditures for Medicine Services and Procedures were distributed across Lake Elsinore, but primarily concentrated in specific ZIP codes. The two ZIP codes with the highest payments were 92530 with $699,779 and 92532 with $171,758, collectively accounting for all Medicine Services and Procedures Medicaid billings reported in the city during the year.
Payments within the Medicine Services and Procedures group were also concentrated around a small set of high-utilization billing codes.
Between 2024 and 2023, Medicaid payments for Medicine Services and Procedures in Lake Elsinore increased by 38.6%, whereas all Medicaid categories combined rose by 11% citywide in the same timeframe.
According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenditures totaled an estimated $871.7 billion for fiscal year 2023, making up about 18% of national health spending—an increase from nearly $613.5 billion in 2019 before the onset of the COVID-19 pandemic.
This change amounts to nearly 40% growth in just a few years, largely due to expanded Medicaid rolls and higher service use during and following the pandemic.
Federal budget measures advanced under the Trump administration have featured major proposals to curb federal Medicaid contributions and modify the structure of the program. The “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over the coming decade and institutes policy shifts like work requirements and higher cost-sharing, which could impact funding and eligibility for some recipients. These provisions are anticipated to place more fiscal responsibility on states while limiting federal Medicaid growth, even as program enrollment remains high.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $404,414 | -20.9% |
| 2021 | $521,911 | 29.1% |
| 2022 | $386,327 | -26% |
| 2023 | $628,732 | 62.7% |
| 2024 | $871,538 | 38.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $4,778,270 | 62.4% |
| 2 | Dental Services | $1,039,565 | 13.6% |
| 3 | Medicine Services and Procedures | $871,538 | 11.4% |
| 4 | Alcohol and Drug Abuse Treatment | $554,165 | 7.2% |
| 5 | Evaluation and Management | $363,157 | 4.7% |
| 6 | Vision Services | $26,879 | 0.4% |
| 7 | Procedures / Professional Services | $15,757 | 0.2% |
| 8 | Durable Medical Equipment | $8,986 | 0.1% |
| 9 | Pathology and Laboratory Procedures | $1,681 | <0.1% |
| 10 | Medical And Surgical Supplies | $548 | <0.1% |
| 11 | Drugs Administered Other than Oral Method | $99 | <0.1% |
| 12 | Surgery | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90837 | Psytx w pt 60 minutes | $240,894 | 25 |
| 92508 | Tx sp lang voice comm group | $141,820 | 10 |
| 92507 | Tx sp lang voice comm indiv | $118,950 | 22 |
| 96130 | Psycl tst eval phys/qhp 1st | $75,497 | 8 |
| 90999 | Unlisted dialysis procedure | $70,211 | 5 |
| 92551 | Pure tone hearing test air | $33,609 | 52 |
| 92014 | Compre oph exam est pt 1/> | $31,058 | 22 |
| 92340 | Fit spectacles monofocal | $25,123 | 22 |
| 92004 | Compre oph exam new pt 1/> | $22,192 | 19 |
| 96110 | Developmental screen w/score | $16,132 | 29 |
| 90791 | Psych diagnostic evaluation | $15,688 | 11 |
| 97110 | Therapeutic exercises | $12,621 | 7 |
| 90671 | Pcv15 vaccine im | $12,224 | 22 |
| 92015 | Determine refractive state | $10,542 | 22 |
| 92523 | Speech sound lang comprehen | $8,144 | 7 |
| 90697 | Dtap-ipv-hib-hepb vaccine im | $7,986 | 10 |
| 90651 | 9vhpv vaccine 2/3 dose im | $3,573 | 12 |
| 92521 | Evaluation of speech fluency | $3,547 | 5 |
| 94760 | N-invas ear/pls oximetry 1 | $2,806 | 13 |
| 92522 | Evaluate speech production | $2,557 | 5 |
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.