In 2024, Nevada City Medicaid providers billed $854,388 for services in the Medicine Services and Procedures category, U.S. Department of Health and Human Services Medicaid Provider Spending data shows. This figure reflects a 12.7% uptick from 2023, when providers filed $758,051 in claims for similar services.
Medicaid is a jointly funded state and federal public health insurance program covering children, seniors, low-income people and families, and individuals with disabilities, making it one of the country’s largest health care payers.
Shifts in local Medicaid billing highlight how tax-funded health care dollars are being spent within communities.
The Medicine Services and Procedures category includes a range of Medicaid-billed services defined by standardized HCPCS and CPT code groupings. This analysis assigned each billing code to a single service category by consistent prefix and number ranges to group related services while avoiding duplicate counting and maintaining ranking accuracy across years.
Among various Medicaid service categories, Medicine Services and Procedures led all categories in Nevada City by total Medicaid payments in 2024.
Statewide in California, the Medicine Services and Procedures category ranked third for Medicaid payment totals in 2024.
Over the five years before 2024, Nevada City’s Medicaid payments tied to Medicine Services and Procedures rose $594,030, a 228.2% gain. Periods during 2021 and 2020 saw especially large year-to-year spending jumps.
Though the Medicine Services and Procedures Medicaid payments were spread throughout Nevada City, the highest billing volume was concentrated in a relatively small number of ZIP codes. In 2024, ZIP code 95959 led with $854,388, making up 100% of the city’s Medicaid payments for this service category that year.
Payments within the Medicine Services and Procedures group were focused among relatively few billing codes.
Looking at year-over-year changes, payments for Medicine Services and Procedures in Nevada City climbed 12.7% between 2024 and 2023, whereas all Medicaid claim categories in the city rose 7.2% in that same timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion for the 2023 fiscal year, accounting for roughly 18% of the nation’s total health spending, a steep rise from $613.5 billion in 2019, pre-pandemic.
This jump totals approximately 40% in several years, mostly propelled by greater enrollment and increased usage patterns during and after the pandemic.
Recent federal budget legislation under the Trump administration included proposals to reduce federal Medicaid contributions and revise program rules. The “One Big Beautiful Bill Act,” adopted in 2025, is projected to slash federal Medicaid spending by more than $1 trillion over the following ten years and shifts policies toward more stringent work requirements and higher cost-sharing. These changes are expected to transfer costs to state governments and slow the growth of federal Medicaid funding while the program continues covering tens of millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $260,358 | 43.9% |
| 2021 | $530,810 | 103.9% |
| 2022 | $735,462 | 38.6% |
| 2023 | $758,050 | 3.1% |
| 2024 | $854,388 | 12.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $854,388 | 49.7% |
| 2 | National Codes Established for State Medicaid Agencies | $683,437 | 39.7% |
| 3 | Alcohol and Drug Abuse Treatment | $120,354 | 7% |
| 4 | Evaluation and Management | $50,612 | 2.9% |
| 5 | Dental Services | $10,477 | 0.6% |
| 6 | Drugs Administered Other than Oral Method | $76 | <0.1% |
| 7 | Pathology and Laboratory Procedures | $23 | <0.1% |
| 8 | Procedures / Professional Services | $0 | <0.1% |
| 8 | Surgery | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90837 | Psytx w pt 60 minutes | $507,118 | 61 |
| 92508 | Tx sp lang voice comm group | $108,035 | 10 |
| 96158 | Hlth bhv ivntj indiv 1st 30 | $56,284 | 10 |
| 92507 | Tx sp lang voice comm indiv | $54,700 | 9 |
| 90834 | Psytx w pt 45 minutes | $50,747 | 26 |
| 96130 | Psycl tst eval phys/qhp 1st | $31,005 | 6 |
| 97110 | Therapeutic exercises | $14,394 | 8 |
| 92523 | Speech sound lang comprehen | $9,912 | 8 |
| 97150 | Group therapeutic procedures | $8,348 | 9 |
| 90791 | Psych diagnostic evaluation | $7,338 | 3 |
| 96164 | Hlth bhv ivntj grp 1st 30 | $3,854 | 5 |
| 96372 | Ther/proph/diag inj sc/im | $1,275 | 5 |
| 92551 | Pure tone hearing test air | $531 | 3 |
| 92521 | Evaluation of speech fluency | $485 | 1 |
| 92522 | Evaluate speech production | $354 | 1 |
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.
