Lodi Medicaid spending on Medicine Services and Procedures reaches $5.3 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Lodi Medicaid providers reported $5,283,755 in billings for services within the Medicine Services and Procedures category in 2024, based on records from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The total reflects a 0.7% uptick from 2023, when local providers submitted $5,245,171 in claims for this service group.

Medicaid, a public health insurance initiative overseen by each state and financed with both federal and state funding, supports low-income families and individuals, seniors, children, and people living with disabilities. The program is one of the primary components of the U.S. health care system.

Because Medicaid is funded by taxpayers, local shifts in billing amounts demonstrate how public dollars are allocated to health care within a given area.

The “Medicine Services and Procedures” grouping includes a range of Medicaid-covered services as categorized by standardized HCPCS and CPT code clusters. For this review, each code was placed into a single service category based on assigned prefixes and number sets, which allows related services to be tracked together and provides accurate rankings while preventing duplicate counts over time.

Even though Medicaid expenditures increased across many service categories, Medicine Services and Procedures held the second-largest share of Medicaid payments in Lodi for 2024.

On a statewide level, Medicine Services and Procedures was the third-ranking category by total Medicaid payments in California during 2024.

Between 2019 and 2024, Medicaid payments tied to Medicine Services and Procedures in Lodi rose by $1,929,669, equaling a 57.5% increase. Periods of accelerated growth occurred within these years, especially notable rises year over year in 2023 and 2021.

While these Medicaid payments for Medicine Services and Procedures were distributed throughout the city, most funding was concentrated within a select group of ZIP codes. The 95240 ZIP code accounted for $3,845,027 in 2024, while 95242 contributed $1,438,727—together, these two ZIP codes comprised 100% of Medicaid payments for this service group in Lodi that year.

Within Medicine Services and Procedures, a small subset of billing codes drew the majority of Medicaid payments.

Comparatively, Medicaid payments for Medicine Services and Procedures in Lodi increased by 0.7% between 2023 and 2024, whereas total Medicaid claim categories in the city experienced a 1.7% change over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state spending on Medicaid reached about $871.7 billion in fiscal year 2023. This was about 18% of total national health expenditures, a sizable increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This change marks roughly 40% growth over a few years, mostly due to broader enrollment and increased use through and after the pandemic period.

Recent federal budget measures from the Trump administration have included proposals to trim federal Medicaid funding and revise program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and requires policies such as work mandates and increased cost-sharing, potentially limiting both coverage and funding for certain beneficiaries. These policy shifts are projected to move greater costs to states and further limit federal Medicaid growth, even as the program continues to serve tens of millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $3,354,085 -10.7%
2021 $3,859,753 15.1%
2022 $3,811,253 -1.3%
2023 $5,245,171 37.6%
2024 $5,283,754 0.7%
Top Categories by Medicaid Payments in Lodi, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $6,152,548 24.5%
2 Medicine Services and Procedures $5,283,754 21.1%
3 Dental Services $4,017,915 16%
4 Evaluation and Management $2,408,414 9.6%
5 Pathology and Laboratory Procedures $2,078,282 8.3%
6 Radiology Procedures $1,751,025 7%
7 Anesthesia $1,489,514 5.9%
8 Drugs Administered Other than Oral Method $866,126 3.5%
9 Procedures / Professional Services $496,691 2%
10 Surgery $371,681 1.5%
11 Alcohol and Drug Abuse Treatment $140,632 0.6%
12 Temporary Codes $23,771 0.1%
13 Administrative, Miscellaneous and Investigational $12,732 0.1%
14 Temporary National Codes (Non-Medicare) $4,778 <0.1%
15 Medical And Surgical Supplies $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Lodi, California, 2024

HCPCS Code Description Medicaid Payments Claims
90999 Unlisted dialysis procedure $1,808,136 22
90837 Psytx w pt 60 minutes $747,859 37
92508 Tx sp lang voice comm group $573,603 36
96130 Psycl tst eval phys/qhp 1st $237,180 9
96374 Ther/proph/diag inj iv push $156,223 12
97110 Therapeutic exercises $143,540 22
96156 Hlth bhv assmt/reassessment $107,973 29
93005 Electrocardiogram tracing $104,965 21
97530 Therapeutic activities $101,763 19
97112 Neuromuscular reeducation $96,731 22
96372 Ther/proph/diag inj sc/im $94,866 26
96375 Tx/pro/dx inj new drug addon $90,779 12
97597 Dbrdmt opn wnd 1st 20 cm/< $83,079 35
97140 Manual therapy 1/> regions $78,094 21
93010 Electrocardiogram report $76,649 55
92507 Tx sp lang voice comm indiv $70,521 10
90651 9vhpv vaccine 2/3 dose im $56,581 30
90471 Immunization admin $47,713 78
97802 Medical nutrition indiv in $45,858 26
93306 Tte w/doppler complete $45,622 30

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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