Menifee Medicaid spending for medicine services and procedures reaches $2.9 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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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.

Medicaid Payments Tied to Medicine Services and Procedures in Menifee, California Over Five Years

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%
Top Categories by Medicaid Payments in Menifee, California, 2024

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%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Menifee, California, 2024

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.



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