Providers in Auburn submitted $3,442,106 in Medicaid claims under the Medicine Services and Procedures category for 2024, figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This represents a 50.8% uptick over the prior year’s $2,282,640 in billings for the same category.
Medicaid is a government health insurance program operated by each state and funded jointly by federal and state governments. Its coverage encompasses low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the U.S. health system.
Given that Medicaid payments rely on public funds, changes in local billing reflect the allocation of taxpayer-supported health dollars in each community.
The “Medicine Services and Procedures” label encompasses Medicaid services defined by standardized HCPCS and CPT code groupings according to the type of care provided. In this analysis, service categories were matched to billing codes using set code prefixes and ranges, ensuring that similar services are combined for analysis while avoiding duplicates and retaining accurate yearly comparisons.
While Medicaid spending rose in multiple categories, Medicine Services and Procedures ranked as the third-largest Medicaid payment category in Auburn in 2024.
Statewide in California, the Medicine Services and Procedures group was also third in Medicaid payments for 2024.
In the five years before 2024, Medicaid spending in Auburn for Medicine Services and Procedures surged by $2,730,771, or 383.9%. The pace of growth accelerated at certain points, especially in 2023 and 2022, with notable increases compared to previous years.
Though this category’s spending was distributed citywide, payments were heavily concentrated in a few ZIP codes. In 2024, ZIP code 95603 saw $3,011,024 in payments, 95602 recorded $388,411, and 95604 reported $42,669. These top 3 ZIP codes together made up 100% of Auburn’s Medicaid payments for this category during the year.
Within the Medicine Services and Procedures category, a small set of billing codes accounted for the bulk of Medicaid spending.
When compared to a 9% rise across all Medicaid claim categories in Auburn for the same period, payments linked to Medicine Services and Procedures grew by 50.8% between 2024 and 2023.
According to the Centers for Medicare & Medicaid Services, overall state and federal Medicaid spending hit about $871.7 billion in fiscal year 2023, making up roughly 18% of all national health outlays, up sharply from about $613.5 billion in 2019 prior to the COVID-19 pandemic.
This jump marks an increase of about 40% in just a few years, largely driven by expanded program enrollment and higher utilization both during and following the pandemic.
Recent federal budget actions under the Trump administration have featured major proposals to shrink federal Medicaid spending and alter the structure of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to lead to over $1 trillion in federal Medicaid cuts over the next decade, adding work requirements and raising cost-sharing that could reduce coverage for some recipients. These adjustments are anticipated to shift more cost responsibility to the states and curb federal Medicaid growth, even as millions of Americans continue to rely on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $711,335 | -23.6% |
| 2021 | $727,832 | 2.3% |
| 2022 | $1,128,669 | 55.1% |
| 2023 | $2,282,640 | 102.2% |
| 2024 | $3,442,106 | 50.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $19,888,653 | 48.5% |
| 2 | Alcohol and Drug Abuse Treatment | $10,141,244 | 24.7% |
| 3 | Medicine Services and Procedures | $3,442,106 | 8.4% |
| 4 | Evaluation and Management | $3,215,156 | 7.8% |
| 5 | Procedures / Professional Services | $2,301,155 | 5.6% |
| 6 | Medical And Surgical Supplies | $673,495 | 1.6% |
| 7 | Radiology Procedures | $411,470 | 1% |
| 8 | Pathology and Laboratory Procedures | $351,210 | 0.9% |
| 9 | Anesthesia | $254,404 | 0.6% |
| 10 | Drugs Administered Other than Oral Method | $86,316 | 0.2% |
| 11 | Dental Services | $79,621 | 0.2% |
| 12 | Durable Medical Equipment | $70,092 | 0.2% |
| 13 | Temporary National Codes (Non-Medicare) | $53,888 | 0.1% |
| 14 | Temporary Codes | $20,272 | <0.1% |
| 15 | Surgery | $10,450 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90837 | Psytx w pt 60 minutes | $1,474,387 | 76 |
| 92014 | Compre oph exam est pt 1/> | $296,213 | 12 |
| 90834 | Psytx w pt 45 minutes | $275,011 | 39 |
| 97750 | Physical performance test | $163,079 | 17 |
| 97140 | Manual therapy 1/> regions | $148,392 | 21 |
| 96372 | Ther/proph/diag inj sc/im | $139,943 | 36 |
| 97110 | Therapeutic exercises | $129,312 | 24 |
| 96374 | Ther/proph/diag inj iv push | $122,524 | 11 |
| 90791 | Psych diagnostic evaluation | $107,051 | 28 |
| 96375 | Tx/pro/dx inj new drug addon | $68,993 | 10 |
| 93005 | Electrocardiogram tracing | $59,183 | 11 |
| 97014 | Electric stimulation therapy | $45,471 | 20 |
| 97010 | Hot or cold packs therapy | $43,370 | 16 |
| 96361 | Hydrate iv infusion add-on | $36,613 | 10 |
| 90847 | Family psytx w/pt 50 min | $36,518 | 5 |
| 97112 | Neuromuscular reeducation | $36,418 | 18 |
| 90832 | Psytx w pt 30 minutes | $33,976 | 21 |
| 96365 | Ther/proph/diag iv inf init | $30,250 | 9 |
| 92507 | Tx sp lang voice comm indiv | $27,191 | 11 |
| 92508 | Tx sp lang voice comm group | $22,039 | 14 |
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.
