Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Murrieta billed $24,666,588 in 2024 for services classified under the Evaluation and Management category, representing a 17.9% increase from 2023, when $20,919,274 was billed for these services.
Medicaid is administered at the state level and funded jointly by federal and state governments. It offers health coverage to low-income groups, seniors, children, and people with disabilities, making it one of the country’s most significant health care programs.
Because taxes fund Medicaid expenditures, shifts in local provider charges highlight how public health funding is distributed within communities.
The Evaluation and Management category includes a collection of Medicaid-billed services characterized by type of care, and is based on defined HCPCS and CPT code groups. For this analysis, billing codes were assigned to specific service categories by using designated code prefixes and ranges, which prevents overlap and helps track changes over time.
Among all Medicaid service categories, Evaluation and Management received the most total payments in Murrieta in 2024.
Statewide in California, Evaluation and Management was the second-ranked Medicaid service category by overall payments for 2024.
From 2019 to 2024, payments linked to Evaluation and Management services in Murrieta increased by $22,114,969, or 866.7%. Certain years such as 2022 and 2023 saw particularly significant growth in spending.
Although Medicaid dollars were distributed throughout Murrieta for Evaluation and Management services, most payments were concentrated within a small number of ZIP codes. In 2024, ZIP code 92563 received $15,989,187 and 92562 saw $8,677,400 in Medicaid payments for these services, accounting for 100% of the city’s total for this category.
Additionally, Medicaid payments for Evaluation and Management services in Murrieta were focused among a select group of billing codes.
The 17.9% year-over-year increase for Evaluation and Management payments in Murrieta between 2023 and 2024 outpaced the 11.3% rise seen across all claim categories in the city during the same time frame.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached about $871.7 billion during the 2023 fiscal year—making up around 18% of nationwide health expenditures. That figure represents a significant increase from 2019’s roughly $613.5 billion, before the COVID-19 pandemic.
This overall growth of approximately 40% was fueled by higher enrollment numbers and increased use of services during and after the pandemic.
Recent federal budget acts under the Trump administration proposed sharp reductions to federal Medicaid support and key changes to the program. The “One Big Beautiful Bill Act,” which became law in 2025, is projected to reduce federal Medicaid spending by over $1 trillion over the next decade and impose measures such as work requirements and greater cost-sharing, potentially shrinking both coverage and funding options for specific groups. This legislation is expected to require states to absorb larger costs and slow future federal Medicaid spending, while the program continues to serve millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,551,618 | -16.8% |
| 2021 | $3,342,485 | 31% |
| 2022 | $13,574,702 | 306.1% |
| 2023 | $20,919,273 | 54.1% |
| 2024 | $24,666,587 | 17.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $24,666,587 | 39.1% |
| 2 | Medicine Services and Procedures | $24,511,887 | 38.8% |
| 3 | Radiology Procedures | $3,859,036 | 6.1% |
| 4 | Alcohol and Drug Abuse Treatment | $2,812,925 | 4.5% |
| 5 | Pathology and Laboratory Procedures | $2,236,749 | 3.5% |
| 6 | Surgery | $2,152,507 | 3.4% |
| 7 | Dental Services | $1,587,950 | 2.5% |
| 8 | Anesthesia | $653,389 | 1% |
| 9 | Drugs Administered Other than Oral Method | $212,114 | 0.3% |
| 10 | Prosthetic Procedures | $182,817 | 0.3% |
| 11 | Procedures / Professional Services | $93,141 | 0.1% |
| 12 | Temporary Codes | $72,670 | 0.1% |
| 13 | Pathology and Laboratory Services | $30,507 | <0.1% |
| 14 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $19,118 | <0.1% |
| 15 | Administrative, Miscellaneous and Investigational | $14,132 | <0.1% |
| 16 | Vision Services | $4,913 | <0.1% |
| 17 | Durable Medical Equipment | $2,711 | <0.1% |
| 18 | National Codes Established for State Medicaid Agencies | $1,354 | <0.1% |
| 19 | Temporary National Codes (Non-Medicare) | $205 | <0.1% |
| 20 | Medical And Surgical Supplies | $2 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99283 | Emergency dept visit low mdm | $13,646,944 | 196 |
| 99284 | Emergency dept visit mod mdm | $3,452,225 | 742 |
| 99285 | Emergency dept visit hi mdm | $3,121,289 | 681 |
| 99214 | Office o/p est mod 30 min | $2,054,094 | 724 |
| 99213 | Office o/p est low 20 min | $351,208 | 372 |
| 99204 | Office o/p new mod 45 min | $326,256 | 217 |
| 99215 | Office o/p est hi 40 min | $241,135 | 132 |
| 99233 | Sbsq hosp ip/obs high 50 | $178,123 | 97 |
| 99223 | 1st hosp ip/obs high 75 | $166,892 | 117 |
| 99291 | Critical care first hour | $141,480 | 58 |
| 99232 | Sbsq hosp ip/obs moderate 35 | $127,263 | 73 |
| 99203 | Office o/p new low 30 min | $105,820 | 69 |
| 99221 | 1st hosp ip/obs sf/low 40 | $83,036 | 20 |
| 99282 | Emergency dept visit sf mdm | $78,758 | 18 |
| 98960 | Edu&trn pt self-mgmt nqhp 1 | $77,014 | 25 |
| 99490 | Chrnc care mgmt staff 1st 20 | $74,320 | 71 |
| 99395 | Prev visit est age 18-39 | $66,035 | 36 |
| 99205 | Office o/p new hi 60 min | $55,805 | 41 |
| 99070 | Special supplies phys/qhp | $48,417 | 22 |
| 99396 | Prev visit est age 40-64 | $47,559 | 38 |
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.