Providers serving Medicaid patients in French Camp billed a total of $1,047,997 for Surgery-designated services during 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects an 11.3% rise compared to 2023, when providers submitted $941,914 in Surgery claims.
Medicaid, managed by the states and jointly financed by federal and state governments, is a public health insurance program. The program covers eligible low-income individuals and families, seniors, children, and those with disabilities, making it a major part of the nation’s health care system.
As Medicaid funding is taxpayer-supported, local billing trends reveal how public resources for health care are distributed in each community.
The “Surgery” category includes a set of Medicaid-billed services that are defined by the kind of care provided, using standardized HCPCS and CPT code groupings. For analysis, each billing code is placed in a single category through consistent code prefixes and numeric spans, ensuring accurate service grouping and historical comparisons without double counting.
Although Medicaid payments grew across multiple categories, Surgery was ranked eighth by total Medicaid payments in French Camp in 2024.
Statewide across California, Surgery placed 12th among all Medicaid service categories by total payments for 2024.
During the five-year span leading up to 2024, Medicaid spending on Surgery services in French Camp rose by $377,801, or 56.4%. Spending growth was especially pronounced in certain years, with significant increases in both 2023 and 2022.
Spending for Surgery-related care was dispersed citywide but was heavily concentrated in a small number of ZIP codes. In 2024, ZIP code 95231 accounted for the full $1,047,997 in Medicaid payments for the Surgery category in French Camp, making up 100% of the total for the area that year.
Within the Surgery services group, a small subset of billing codes represented most Medicaid payments.
To compare, Medicaid payments for Surgery services in French Camp climbed 11.3% from 2023 to 2024, while all Medicaid claim categories combined in the city had a 16.2% increase in the same interval.
According to the Centers for Medicare & Medicaid Services, the total of federal and state Medicaid outlays reached around $871.7 billion in fiscal year 2023, which was close to 18% of the nation’s health expenditures and a substantial increase from about $613.5 billion in 2019, before the COVID-19 pandemic.
The rise marks nearly 40% growth over several years, fueled mainly by expanded Medicaid enrollment and higher service usage during and following the pandemic.
Recent federal legislation enacted under the Trump administration has put forth substantial proposals to reduce federal Medicaid contributions and to change the program’s design. The “One Big Beautiful Bill Act,” signed into law in 2025, is projected to cut federal Medicaid spending by more than $1 trillion over the next decade, while imposing new requirements like work obligations and increased cost-sharing. These measures could decrease coverage and spending for some recipients and may shift more of the Medicaid funding burden to states, limiting the growth of federal support as the program continues to cover millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $670,195 | -7.2% |
| 2021 | $691,777 | 3.2% |
| 2022 | $787,787 | 13.9% |
| 2023 | $941,914 | 19.6% |
| 2024 | $1,047,997 | 11.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $7,239,717 | 28.6% |
| 2 | Evaluation and Management | $4,590,454 | 18.2% |
| 3 | Anesthesia | $2,858,177 | 11.3% |
| 4 | Alcohol and Drug Abuse Treatment | $2,803,089 | 11.1% |
| 5 | Medicine Services and Procedures | $2,580,792 | 10.2% |
| 6 | Drugs Administered Other than Oral Method | $1,436,696 | 5.7% |
| 7 | Radiology Procedures | $1,383,397 | 5.5% |
| 8 | Surgery | $1,047,997 | 4.1% |
| 9 | Pathology and Laboratory Procedures | $956,900 | 3.8% |
| 10 | Procedures / Professional Services | $377,270 | 1.5% |
| 11 | Coronavirus Diagnostic Panel | $5,507 | <0.1% |
| 12 | Administrative, Miscellaneous and Investigational | $1,615 | <0.1% |
| 13 | Temporary Codes | $1,431 | <0.1% |
| 14 | Medical And Surgical Supplies | $678 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 59409 | Obstetrical care | $699,208 | 12 |
| 45385 | Colonoscopy w/lesion removal | $133,308 | 22 |
| 45378 | Diagnostic colonoscopy | $49,972 | 11 |
| 59514 | Cesarean delivery only | $45,328 | 6 |
| 43239 | Egd biopsy single/multiple | $43,972 | 14 |
| 45380 | Colonoscopy and biopsy | $42,946 | 12 |
| 59025 | Fetal non-stress test | $22,216 | 30 |
| 43235 | Egd diagnostic brush wash | $6,096 | 2 |
| 69210 | Remove impacted ear wax uni | $2,212 | 5 |
| 20610 | Drain/inj joint/bursa w/o us | $1,968 | 4 |
| 29700 | Rmvl/bivlv gauntlet boot/cst | $660 | 2 |
| 29125 | Appl short arm splint static | $79 | 1 |
| 36415 | Coll venous bld venipuncture | $26 | 6 |
Note: HCPCS codes are provided to illustrate the composition of the Surgery category. The data for category totals and rankings in this report are based on broader service groupings, not on single billing codes.
Details for this article come from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.
