In 2024, Medicaid providers in Carmichael billed a total of $2,568,428 for services categorized as Administrative, Miscellaneous and Investigational, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 3.3% increase from 2023, when providers submitted $2,486,113 for the same services.
Medicaid, a public health insurance program operated by states and jointly funded by federal and state governments, serves low-income individuals and families, seniors, children, and people with disabilities, making it one of the largest components of the U.S. health care system. More information can be found at this link.
Since Medicaid payments are funded by taxpayers, shifts in local billing reflect how public health care resources are used across a community.
The “Administrative, Miscellaneous and Investigational” category groups Medicaid-billed services based on the care provided, using standard HCPCS and CPT code ranges. This analysis assigned each billing code to a single service category through a consistent code system, ensuring related services were analyzed together without double counting, and maintaining accurate rankings over time.
While costs rose in several service categories, Administrative, Miscellaneous and Investigational was the fifth largest Medicaid payment category in Carmichael for 2024.
Statewide, this category ranked 19th by total Medicaid payments in California in 2024.
Throughout the five years leading up to 2024, Medicaid payments connected to Administrative, Miscellaneous and Investigational services in Carmichael rose by $256,602, or 11.1%. Certain years, including 2020 and 2023, saw significant year-over-year increases.
Spending throughout Carmichael for services in the Administrative, Miscellaneous and Investigational category was mainly concentrated in a small number of ZIP codes. In 2024, ZIP code 95608 accounted for $2,568,427, contributing 100% of all Medicaid payments connected to this service category in Carmichael for the year.
Within the category, most Medicaid payments came from just a few specific billing codes.
For context, Administrative, Miscellaneous and Investigational category Medicaid payments in Carmichael rose 3.3% between 2024 and 2023, while all Medicaid claim categories in the city saw a 6.6% change during the same period.
Centers for Medicare & Medicaid Services data shows combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up nearly 18% of all national health care expenditures—an increase from approximately $613.5 billion in 2019, before the COVID-19 pandemic.
This represents a roughly 40% increase over just a few years, largely driven by expanded enrollment and greater use of services during and after the pandemic.
Recent federal legislation passed during the Trump administration included substantial proposals to decrease federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to reduce federal Medicaid spending by more than $1 trillion over the next decade, introducing measures such as work requirements and higher cost-sharing. These policies may reduce coverage and funding for some recipients, shift additional costs to states, and limit federal Medicaid growth, even as the program continues to cover tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,311,825 | 312.2% |
| 2021 | $2,346,487 | 1.5% |
| 2022 | $2,399,660 | 2.3% |
| 2023 | $2,486,112 | 3.6% |
| 2024 | $2,568,427 | 3.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $5,666,463 | 24.5% |
| 2 | Evaluation and Management | $3,436,441 | 14.8% |
| 3 | Anesthesia | $3,151,863 | 13.6% |
| 4 | Medicine Services and Procedures | $2,647,059 | 11.4% |
| 5 | Administrative, Miscellaneous and Investigational | $2,568,427 | 11.1% |
| 6 | Surgery | $1,964,709 | 8.5% |
| 7 | Dental Services | $1,288,029 | 5.6% |
| 8 | Radiology Procedures | $936,669 | 4% |
| 9 | Pathology and Laboratory Procedures | $685,530 | 3% |
| 10 | Chemotherapy Drugs | $231,075 | 1% |
| 11 | Procedures / Professional Services | $215,150 | 0.9% |
| 12 | Alcohol and Drug Abuse Treatment | $132,960 | 0.6% |
| 13 | Temporary National Codes (Non-Medicare) | $114,842 | 0.5% |
| 14 | Drugs Administered Other than Oral Method | $56,946 | 0.2% |
| 15 | Temporary Codes | $21,621 | 0.1% |
| 16 | Ambulance and Other Transport Services and Supplies | $18,009 | 0.1% |
| 17 | Medical And Surgical Supplies | $7,104 | <0.1% |
| 18 | Vision Services | $249 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A9150 | Misc/exper non-prescript dru | $2,556,311 | 117 |
| A9270 | Non-covered item or service | $12,116 | 11 |
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.