In 2024, Medicaid providers in Bonsall submitted $31,090 in claims for Medicine Services and Procedures, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 96% jump over 2023, when claims for the same category totaled $15,864.
Medicaid, a public health insurance program co-funded by states and the federal government, provides coverage to low-income families and individuals, seniors, children and people with disabilities. This makes it a core component of the U.S. health care system. For details on Medicaid funding, see this explainer.
Since taxpayer dollars support Medicaid payments, changes in billing within local communities reflect how public health care resources are allocated.
The “Medicine Services and Procedures” category represents services billed to Medicaid and identified by particular care types, relying on standardized groupings of HCPCS and CPT codes. For this analysis, billing codes were assigned to a single service group through consistent use of code prefixes and numeric ranges. This approach allowed for comparison over time, prevented duplication, and maintained accurate rankings for related services.
With overall increases registered across several service categories, Medicine Services and Procedures led all categories in Bonsall for total Medicaid payments in 2024.
Statewide in California, Medicine Services and Procedures held the third spot for Medicaid payment totals in 2024.
From 2019 to 2024, Bonsall’s Medicaid payments related to Medicine Services and Procedures rose $23,526, or 311.1%. Increases accelerated at certain intervals, especially in 2021 and 2023, according to the data.
Most spending in the Medicine Services and Procedures category was concentrated within a small number of ZIP codes, though it extended citywide. In 2024, payments in ZIP code 92003 alone reached $31,089, accounting for all of Bonsall’s Medicaid outlays for this service group that year.
Payments for Medicine Services and Procedures were also clustered among relatively few billing codes.
To compare, Medicaid payments for Medicine Services and Procedures in Bonsall increased 96% from 2023 to 2024, whereas the city’s total Medicaid billings across all categories grew 83.5% over the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures were roughly $871.7 billion in fiscal 2023, making up about 18% of national health spending. This was a marked rise from $613.5 billion in 2019 before the onset of COVID-19.
This change represents an approximate 40% increase in just a few years, largely due to expanded enrollment and greater usage during and after the pandemic.
Major federal budget bills signed during the Trump administration included significant changes to Medicaid funding and structure. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to cut more than $1 trillion in federal Medicaid funding over the next decade and implements new policies like work requirements and higher cost-sharing for some beneficiaries. These changes are projected to place more financial responsibility on states and restrict the growth of federal Medicaid support, despite the program still covering tens of millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $7,563 | -68.5% |
| 2021 | $27,275 | 260.6% |
| 2022 | $2,883 | -89.4% |
| 2023 | $15,863 | 450.1% |
| 2024 | $31,089 | 96% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $31,089 | 10<0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 92508 | Tx sp lang voice comm group | $21,284 | 10 |
| 96130 | Psycl tst eval phys/qhp 1st | $8,868 | 2 |
| 92523 | Speech sound lang comprehen | $661 | 1 |
| 92551 | Pure tone hearing test air | $274 | 1 |
Note: HCPCS codes appear for context in this category listing. Totals and rankings cited in this article rely on standardized service groupings, not on individual billing codes.
Information cited was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Find the source data here.
