Ripon Medicaid billing for medicine services and procedures climbs to $45,348 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Ripon filed $45,348 in claims for services in the Medicine Services and Procedures category, based on the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 47.4% rise over 2023, when providers billed $30,760 for these services.

Medicaid, a public health insurance program administered by the states and funded through both federal and state support, serves low-income individuals, families, seniors, children and people with disabilities, making it among the largest components of the nation’s healthcare system.

Shifts in Medicaid billing levels demonstrate changes in how taxpayer-funded healthcare dollars are distributed in specific communities.

The “Medicine Services and Procedures” grouping covers a set of Medicaid-billed services identified by standardized HCPCS and CPT code groupings. In this report, each billing code is categorized under a single service area using clear code prefixes and numeric ranges. This process allows for the examination of associated services together and supports accurate year-to-year comparisons by preventing double-counting.

Although other categories also posted gains, Medicine Services and Procedures accounted for the highest Medicaid payment total among service categories in Ripon in 2024.

Statewide, this category ranked third across California by overall Medicaid payments for the year.

From 2019 through 2024, total Medicaid spending in Ripon related to Medicine Services and Procedures increased by $32,909, or 264.6%. Periods such as 2023 and 2021 saw especially strong year-over-year growth.

Spending was distributed across Ripon but mostly concentrated in a few ZIP codes. For 2024, ZIP code 95366 contributed $45,347—the entire amount billed for Medicine Services and Procedures in Ripon that year.

Within the category, a select group of individual billing codes yielded the majority of Medicaid payments.

Medicine Services and Procedures Medicaid payments in Ripon grew by 47.4% from 2023 to 2024, while spending across all Medicaid service categories in the city increased 48.1% over the same stretch.

According to the Centers for Medicare & Medicaid Services, national Medicaid spending by federal and state governments exceeded $871.7 billion in fiscal year 2023, making up around 18% of overall national health expenditures—a significant jump from the $613.5 billion spent in 2019 prior to the COVID-19 pandemic.

This jump represents an approximate 40% increase in several years, mainly attributed to boosted enrollment and usage during and after the pandemic.

Federal budget legislation signed during the Trump administration included large-scale strategies for cutting federal Medicaid funding and changing program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over 10 years and enacts work requirements and higher cost-sharing that may limit access and funding for some recipients. These measures could shift financial responsibility to state governments and may restrict the future federal Medicaid growth, even as millions remain served by the program.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $12,439 -51.1%
2021 $20,549 65.2%
2022 $9,408 -54.2%
2023 $30,759 226.9%
2024 $45,347 47.4%
Top Categories by Medicaid Payments in Ripon, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $45,347 93.8%
2 Evaluation and Management $2,366 4.9%
3 Ambulance and Other Transport Services and Supplies $637 1.3%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Ripon, California, 2024

HCPCS Code Description Medicaid Payments Claims
92508 Tx sp lang voice comm group $24,411 9
90837 Psytx w pt 60 minutes $20,936 6

Note: HCPCS codes are included to provide context within the grouping. Calculations of category totals and ranks in this story are determined by standardized service groupings rather than code-specific reporting.

This article draws data from the U.S. Department of Health and Human Services Medicaid Provider Spending resource, which can be accessed here.



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