Temecula Medicaid spending on medicine services reaches $6,455,729 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

In 2024, Medicaid providers in Temecula billed $6,455,729 for services falling under the Medicine Services and Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 4.3% increase compared to 2023, when the same group saw $6,187,689 in claims.

Medicaid is a publicly funded health insurance program administered by states and financed jointly by federal and state governments. The program covers low-income individuals, families, seniors, children and people with disabilities, making it one of the largest segments of the national health care system.

Because taxpayer dollars fund Medicaid payments, fluctuations in local billing amounts show how a community distributes health care resources.

The Medicine Services and Procedures category encompasses a set of Medicaid-billed services defined by specific care types, using standardized HCPCS and CPT code families. For this analysis, billing codes were classified under a single service category by applying consistent code prefixes and number ranges, ensuring services were grouped accurately, reducing duplicate counts, and maintaining proper service rankings over time.

While overall Medicaid spending rose in several service categories, Medicine Services and Procedures stood as the second-largest service category by Medicaid payment total in Temecula during 2024.

Statewide in California, the Medicine Services and Procedures group ranked third for total Medicaid payments in 2024.

Between 2019 and 2024, Medicaid spending on Medicine Services and Procedures in Temecula climbed by $3,623,952, or 128%. Growth in spending accelerated at times, with significant year-over-year increases noted in 2021 and 2020.

Although services in the Medicine Services and Procedures category were provided citywide, payments were concentrated in certain ZIP codes: 92592 logged $2,750,439 in payments, 92590 received $2,612,497, and 92591 recorded $1,092,791. These three ZIP codes combined accounted for all Medicaid payments reported under Medicine Services and Procedures in 2024.

Within this category, Medicaid payments focused largely on a relatively small number of individual billing codes.

To compare, Medicaid spending for Medicine Services and Procedures in Temecula increased 4.3% from 2023 to 2024. All claim categories together in the city changed by 1% during the same timeframe.

Centers for Medicare & Medicaid Services data show federal and state Medicaid expenditures reaching approximately $871.7 billion in fiscal year 2023, about 18% of national health spending—up from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase marks a jump of about 40% in just a few years, propelled mainly by program expansion and greater use during and following the pandemic.

Recent federal budget laws enacted under the Trump administration have included major proposals to trim federal Medicaid spending and alter the program’s funding structure. For instance, the “One Big Beautiful Bill Act,” signed in 2025, aims to cut more than $1 trillion in federal Medicaid expenses over 10 years. The law implements policies such as work requirements and higher cost-sharing, potentially reducing coverage and federal funding for some, and increasing the burden on states while placing limits on future federal Medicaid increases—even as millions of Americans remain covered by the program.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $2,831,777 29.5%
2021 $4,514,590 59.4%
2022 $4,937,811 9.4%
2023 $6,187,689 25.3%
2024 $6,455,728 4.3%
Top Categories by Medicaid Payments in Temecula, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $9,037,297 24.9%
2 Medicine Services and Procedures $6,455,728 17.8%
3 Procedures / Professional Services $5,501,784 15.2%
4 Temporary National Codes (Non-Medicare) $3,857,798 10.7%
5 Radiology Procedures $2,431,959 6.7%
6 Surgery $2,385,695 6.6%
7 Dental Services $2,068,178 5.7%
8 Alcohol and Drug Abuse Treatment $1,202,393 3.3%
9 Drugs Administered Other than Oral Method $1,057,613 2.9%
10 National Codes Established for State Medicaid Agencies $610,515 1.7%
11 Pathology and Laboratory Procedures $527,457 1.5%
12 Prosthetic Procedures $411,667 1.1%
13 Ambulance and Other Transport Services and Supplies $340,929 0.9%
14 Anesthesia $254,419 0.7%
15 Chemotherapy Drugs $35,728 0.1%
16 Temporary Codes $19,999 0.1%
17 Medical And Surgical Supplies $10,987 <0.1%
18 Coronavirus Diagnostic Panel $10,067 <0.1%
19 Administrative, Miscellaneous and Investigational $1,540 <0.1%
20 Vision Services $748 <0.1%
21 Durable Medical Equipment $486 <0.1%
22 Durable medical equipment (DME) Medicare administrative contractors (MACs) $47 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Temecula, California, 2024

HCPCS Code Description Medicaid Payments Claims
90837 Psytx w pt 60 minutes $2,143,679 365
92507 Tx sp lang voice comm indiv $972,441 30
90999 Unlisted dialysis procedure $469,720 17
92508 Tx sp lang voice comm group $356,861 18
95819 Eeg awake and asleep $281,502 21
96130 Psycl tst eval phys/qhp 1st $214,295 15
96374 Ther/proph/diag inj iv push $165,730 11
95816 Eeg awake and drowsy $155,104 20
93306 Tte w/doppler complete $141,576 36
93975 Vascular study $117,965 37
95886 Musc test done w/n test comp $111,732 24
93005 Electrocardiogram tracing $96,512 11
96127 Brief emotional/behav assmt $79,526 110
96375 Tx/pro/dx inj new drug addon $78,254 11
92134 Cptrz oph dx img pst sgm rta $72,909 33
96372 Ther/proph/diag inj sc/im $70,014 84
96158 Hlth bhv ivntj indiv 1st 30 $66,736 18
90833 Psytx w pt w e/m 30 min $64,768 26
97110 Therapeutic exercises $60,627 19
90651 9vhpv vaccine 2/3 dose im $59,415 13

Note: HCPCS codes appear for category context. Category totals and order in this article are based on consolidated service groupings rather than solo billing codes.

Article data was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending dataset. Access baseline data here.



Related

Dr. Mehmet Oz CMS Administrator

Dental Services Medicaid payments in Perris up 6.5% in 2024

In 2024, Perris Medicaid providers billed $1,595,500 for Dental Services, a 6.5% rise from the prior year.

Dr. Mehmet Oz CMS Administrator

Lake Elsinore Medicaid claims for medicine services reach $871,538 in 2024

In 2024, Medicaid providers in Lake Elsinore billed $871,538 for the Medicine Services and Procedures category, reflecting a 38.6% rise over the prior year.

Dr. Mehmet Oz CMS Administrator

Riverside Medicaid Evaluation and Management spending climbs to $82.1 million in 2024

Medicaid funding for Evaluation and Management services in Riverside grew by 19.7% in 2024, illustrating shifts in local health care usage and payments.

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from SW Riverside News.