Ramona Medicaid spending for Medicine Services and Procedures sees 26.3% rise in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Ramona billed $500,212 for Medicine Services and Procedures, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represented a 26.3% increase over 2023, when providers submitted $396,188 for the same service category.

Medicaid, the public health insurance program administered by individual states and funded by both federal and state governments, serves low-income families and individuals, seniors, children and people with disabilities, making it a major component of the U.S. health system.

Because taxpayer dollars finance Medicaid payments, fluctuations in local billing offer insight into how communities distribute public health care funding.

The “Medicine Services and Procedures” category captures Medicaid-billed services identified by the type of care given, aligned to standard HCPCS and CPT code sets. In this analysis, billing codes were consistently grouped into service categories using code prefixes and numeric ranges, letting related items be tracked collectively while ensuring clear rankings and avoiding double counting over time.

While multiple categories saw heightened Medicaid expenditures, Medicine Services and Procedures held the No. 2 position in Ramona for overall Medicaid payments during 2024.

At the state level in California, Medicine Services and Procedures stood as the No. 3 Medicaid payment category in 2024.

In the five years preceding 2024, Medicaid payments for Medicine Services and Procedures in Ramona rose by $366,762, marking a 274.8% increase. Growth in expenditures was particularly sharp during some periods, with significant annual gains noted in both 2023 and 2021.

Although spending for Medicine Services and Procedures touched different areas of Ramona, payments primarily concentrated within a small number of ZIP codes. In 2024, ZIP code 92065 accounted for all $500,212 tied to this category, representing 100% of such Medicaid payments in the city that year.

Healthcare reimbursements within the Medicine Services and Procedures category were focused on a handful of billing codes.

Comparatively, Medicaid payments for Medicine Services and Procedures in Ramona were up 26.3% between 2024 and 2023, while overall Medicaid claim categories in the area rose by 24.2% over the same time frame.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together approached $871.7 billion in fiscal 2023, accounting for roughly 18% of overall U.S. health expenditures. This total was a significant increase from $613.5 billion in 2019, prior to COVID-19.

This jump signifies a near 40% increase in only a few years, propelled mainly by more enrollment and broader utilization following the pandemic years.

In recent years, federal budget measures enacted under the Trump administration have featured major proposals to decrease federal Medicaid funds and overhaul program structure. One example, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut federal Medicaid spending by more than $1 trillion over 10 years while adding requirements such as work mandates and higher cost-sharing. These policies could limit access and funding for some individuals, shifting greater funding responsibility to states while curbing federal Medicaid expansion, even as American enrollment remains high.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $133,450 -10.6%
2021 $147,773 10.7%
2022 $118,280 -20%
2023 $396,187 235%
2024 $500,212 26.3%
Top Categories by Medicaid Payments in Ramona, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $2,139,063 78.4%
2 Medicine Services and Procedures $500,212 18.3%
3 Alcohol and Drug Abuse Treatment $31,478 1.2%
4 Procedures / Professional Services $29,712 1.1%
5 Evaluation and Management $23,716 0.9%
6 Ambulance and Other Transport Services and Supplies $4,570 0.2%
7 Pathology and Laboratory Procedures $12 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Ramona, California, 2024

HCPCS Code Description Medicaid Payments Claims
90837 Psytx w pt 60 minutes $147,651 6
92508 Tx sp lang voice comm group $113,993 11
90834 Psytx w pt 45 minutes $83,807 6
90832 Psytx w pt 30 minutes $61,032 8
96130 Psycl tst eval phys/qhp 1st $34,119 5
90847 Family psytx w/pt 50 min $17,708 3
92507 Tx sp lang voice comm indiv $16,591 8
97110 Therapeutic exercises $7,423 8
97112 Neuromuscular reeducation $6,036 8
90791 Psych diagnostic evaluation $4,895 5
92551 Pure tone hearing test air $3,970 26
97010 Hot or cold packs therapy $1,516 2
92523 Speech sound lang comprehen $630 1
91320 Sarscv2 vac 30mcg trs-suc im $466 2
90480 Admn sarscov2 vac 1/only cmp $160 2
96110 Developmental screen w/score $119 2
90686 Iiv4 vacc no prsv 0.5 ml im $53 3
90471 Immunization admin $34 23
90472 Immunization admin each add $0 10
90651 9vhpv vaccine 2/3 dose im $0 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.



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