In Murrieta, Medicaid providers billed a total of $24,511,888 in 2024 for services within the Medicine Services and Procedures category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 5.9% rise from 2023, when providers billed $23,141,492 for the same category of services.
Medicaid is a state-administered health insurance program, jointly funded by federal and state governments, as outlined by the Commonwealth Fund. The program serves low-income individuals and families, seniors, children, and people with disabilities, making it a key component of the U.S. health care system.
Since Medicaid funds rely on taxpayer contributions, fluctuations in local billing spotlight the distribution of public health care spending within a community.
The “Medicine Services and Procedures” category comprises a range of Medicaid-billed services identified by the type of care, using standardized HCPCS and CPT code groupings. For this report, each billing code was assigned to a specific service category via set code prefixes and numeric groupings, ensuring related services are compared together while preventing double counting and maintaining precise rankings across years.
Despite increases in spending across more than one service category, Medicine Services and Procedures ranked as the second largest category in Murrieta by total Medicaid payments in 2024.
Statewide in California, the Medicine Services and Procedures category ranked third for total Medicaid payments in 2024.
From 2019 to 2024, Medicaid payments connected to Medicine Services and Procedures in Murrieta rose by $14,606,019, or 147.4%. The rate of growth accelerated during specific years, with significant increases reported in both 2023 and 2021.
Spending for services in the Medicine Services and Procedures category was distributed throughout Murrieta but was concentrated in a small number of ZIP codes. In 2024, ZIP code 92562 received $21,803,487 in Medicaid payments tied to this category, while 92563 accounted for $2,708,400—combining for 100% of payments related to Medicine Services and Procedures in the city during the year.
Within the Medicine Services and Procedures category, a limited selection of billing codes accounted for most Medicaid payments.
When compared to other categories, payments linked to Medicine Services and Procedures in Murrieta climbed 5.9% from 2023 to 2024, while overall Medicaid claims in the city experienced a change of 11.3% over the same span.
The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, making up roughly 18% of national health expenditures—a sharp increase from approximately $613.5 billion in 2019, prior to the onset of the COVID-19 pandemic.
This represents an estimated 40% growth over several years, primarily driven by higher enrollment and increased service use during and after the pandemic period.
Recent federal budget measures introduced under the Trump administration have included major proposals to scale back federal Medicaid support and revamp the program. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over a decade and adds policies like work requirements and greater cost-sharing—policies that could narrow coverage and funding for some enrollees. These shifts are expected to pass more financial responsibility to states and slow the rate of federal Medicaid spending growth, while the program continues to support tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $9,905,869 | 10.6% |
| 2021 | $13,085,847 | 32.1% |
| 2022 | $16,637,075 | 27.1% |
| 2023 | $23,141,492 | 39.1% |
| 2024 | $24,511,887 | 5.9% |
| 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 |
|---|---|---|---|
| 90837 | Psytx w pt 60 minutes | $5,927,243 | 313 |
| 92507 | Tx sp lang voice comm indiv | $2,982,202 | 66 |
| 97530 | Therapeutic activities | $2,239,476 | 778 |
| 97110 | Therapeutic exercises | $2,185,148 | 849 |
| 97140 | Manual therapy 1/> regions | $1,744,243 | 714 |
| 97533 | Sensory integration | $1,008,109 | 59 |
| 97112 | Neuromuscular reeducation | $921,224 | 654 |
| 96374 | Ther/proph/diag inj iv push | $701,871 | 22 |
| 97010 | Hot or cold packs therapy | $410,365 | 385 |
| 97803 | Med nutrition indiv subseq | $379,124 | 67 |
| 90791 | Psych diagnostic evaluation | $368,038 | 116 |
| 93306 | Tte w/doppler complete | $352,648 | 102 |
| 90999 | Unlisted dialysis procedure | $343,862 | 10 |
| 93975 | Vascular study | $312,697 | 12 |
| 96375 | Tx/pro/dx inj new drug addon | $308,165 | 22 |
| 93005 | Electrocardiogram tracing | $286,942 | 22 |
| 97750 | Physical performance test | $250,685 | 251 |
| 97535 | Self care mngment training | $231,643 | 139 |
| 96372 | Ther/proph/diag inj sc/im | $214,890 | 33 |
| 92508 | Tx sp lang voice comm group | $213,939 | 18 |
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.