Menifee’s Medicaid providers billed $2,903,517 in 2024 for services in the Medicine Services and Procedures category, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount reflects a 3.7% increase from 2023, when providers submitted $2,800,809 in claims for the same category.
Medicaid, a public health insurance initiative operated by states and backed by both federal and state governments, provides coverage for low-income individuals, seniors, children, and people with disabilities. This makes it a major component of the U.S. health care infrastructure.
Shifts in Medicaid billing volumes have a direct impact on how taxpayer dollars are distributed for community health care.
The “Medicine Services and Procedures” classification includes a variety of Medicaid-billed services categorized according to standardized HCPCS and CPT code groupings. During analysis, each billing code was matched to a single service type using uniform code prefixes and numerical ranges, helping analyze related services collectively and avoid double counting for accurate year-over-year comparisons.
While spending on several Medicaid service categories rose, Medicine Services and Procedures brought in the most total Medicaid payments of any category in Menifee for 2024.
At the state level, California ranked the Medicine Services and Procedures category third by total Medicaid disbursement in 2024.
Between 2019 and 2024, Menifee’s Medicaid payments for Medicine Services and Procedures grew by $1,371,377, or 89.5%. The pace of growth picked up during certain periods, notably in 2023 and 2022, which saw substantial year-over-year increases.
Despite citywide distribution, the majority of spending in this category was concentrated in specific ZIP codes: 92586 saw $2,415,282 and 92584 had $488,234 in Medicaid payments, together representing 100% of payments for Medicine Services and Procedures in Menifee during 2024.
A small number of individual billing codes accounted for the bulk of Medicaid spending in the Medicine Services and Procedures category.
For context, Menifee’s Medicaid payments for Medicine Services and Procedures grew by 3.7% between 2023 and 2024, compared to an 8.1% change across all Medicaid claim types in the city over the same span.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures totaled roughly $871.7 billion in fiscal year 2023, making up about 18% of all national health expenses—a steep increase from $613.5 billion in 2019, the year before the COVID-19 pandemic.
This rise marks growth of about 40% over several years, primarily due to increased enrollment and usage during and after the pandemic.
Recent federal budget measures under the Trump administration have introduced large-scale proposals to lower federal Medicaid funding and adjust its structure. The “One Big Beautiful Bill Act,” enacted in 2025, is forecasted to reduce federal Medicaid funding by over $1 trillion in the coming decade, imposing policies like work requirements and greater cost-sharing that could curtail funding and limit coverage for some recipients. These changes are likely to increase state financial responsibility and constrain the expansion of federal Medicaid support, even as the program continues to cover tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,532,140 | -5.7% |
| 2021 | $1,705,462 | 11.3% |
| 2022 | $1,961,452 | 15% |
| 2023 | $2,800,809 | 42.8% |
| 2024 | $2,903,516 | 3.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $2,903,516 | 37.5% |
| 2 | Dental Services | $1,995,295 | 25.8% |
| 3 | Evaluation and Management | $1,618,752 | 20.9% |
| 4 | National Codes Established for State Medicaid Agencies | $932,622 | 12.1% |
| 5 | Procedures / Professional Services | $159,647 | 2.1% |
| 6 | Surgery | $72,261 | 0.9% |
| 7 | Vision Services | $31,404 | 0.4% |
| 8 | Ambulance and Other Transport Services and Supplies | $11,102 | 0.1% |
| 9 | Drugs Administered Other than Oral Method | $10,793 | 0.1% |
| 10 | Pathology and Laboratory Procedures | $74 | <0.1% |
| 11 | Anesthesia | $0 | <0.1% |
| 11 | Medical And Surgical Supplies | $0 | <0.1% |
| 11 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90945 | Dialysis one evaluation | $1,500,553 | 11 |
| 90837 | Psytx w pt 60 minutes | $592,521 | 74 |
| 90999 | Unlisted dialysis procedure | $261,502 | 9 |
| 92508 | Tx sp lang voice comm group | $171,120 | 12 |
| 96130 | Psycl tst eval phys/qhp 1st | $84,470 | 9 |
| 92507 | Tx sp lang voice comm indiv | $39,632 | 10 |
| 92004 | Compre oph exam new pt 1/> | $39,164 | 22 |
| 96365 | Ther/proph/diag iv inf init | $38,531 | 29 |
| 96158 | Hlth bhv ivntj indiv 1st 30 | $33,035 | 8 |
| 97167 | Ot eval high complex 60 min | $29,396 | 8 |
| 92340 | Fit spectacles monofocal | $29,064 | 22 |
| 92014 | Compre oph exam est pt 1/> | $25,101 | 22 |
| 90993 | Dialysis training incompl | $14,093 | 2 |
| 92523 | Speech sound lang comprehen | $12,660 | 6 |
| 92015 | Determine refractive state | $11,535 | 22 |
| 92521 | Evaluation of speech fluency | $6,774 | 6 |
| 92524 | Behavral qualit analys voice | $5,704 | 6 |
| 96413 | Chemo iv infusion 1 hr | $4,934 | 2 |
| 96415 | Chemo iv infusion addl hr | $1,824 | 2 |
| 96372 | Ther/proph/diag inj sc/im | $921 | 8 |
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.
