Orangevale Medicaid spending on Procedures / Professional Services climbs to $2,928,462 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Orangevale Medicaid providers billed $2,928,462 for Procedures / Professional Services, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 105.7% increase from 2023, when claims for the same service type reached $1,423,709.

Medicaid, a public health insurance initiative operated at the state level and funded through a federal-state partnership, provides coverage for low-income residents, seniors, children and individuals with disabilities, forming a core part of the national health care landscape.

Since Medicaid is funded by taxpayers, any fluctuations in local billing help illustrate how public health care resources are distributed within a community.

The “Procedures / Professional Services” classification includes services grouped by the nature of care, using standardized HCPCS and CPT coding. For this report, each code was tied to only one service group following code prefix and numeric guidelines, supporting consistent category analysis and ensuring data isn’t counted multiple times.

While several service categories saw increased Medicaid spending, Procedures / Professional Services ranked as the second-largest category in Orangevale by total payment for 2024.

Statewide in California, Procedures / Professional Services was the sixth-ranked category by total Medicaid payments for the same year.

Between 2020 and 2024, Medicaid distributions for Procedures / Professional Services in Orangevale rose by $2,889,928, equating to a 7499.6% increase. Some years, such as 2021 and 2023, saw sharp year-over-year spending jumps.

Spending in the Procedures / Professional Services category was distributed throughout Orangevale, but a few ZIP codes saw the overwhelming majority of the payments. In 2024, ZIP code 95662 alone totaled $2,928,461, accounting for 100% of Medicaid funds tied to the category citywide.

Additionally, Medicaid payments in this category were highly concentrated among only a small set of billing codes.

Comparatively, from 2023 to 2024, Medicaid payments for Procedures / Professional Services in Orangevale went up by 105.7%, outpacing the citywide average change of 77.2% across all Medicaid categories over the same period.

Data from the Centers for Medicare & Medicaid Services indicate federal and state Medicaid spending hit about $871.7 billion in fiscal 2023, or roughly 18% of total U.S. health care expenditures, a substantial increase from $613.5 billion in 2019 before COVID-19.

This uptick reflects about 40% growth in only a few years, mainly due to expanded program enrollment and higher demand for services related to the pandemic.

Recent Trump-era federal budget measures included notable efforts to scale back federal Medicaid expenditures and change program rules. The “One Big Beautiful Bill Act,” enacted in 2025, is on track to reduce federal Medicaid funding by over $1 trillion during the next 10 years and introduces work requirements and more cost-sharing, which could limit access or funding for certain enrollees. These changes are likely to transfer more responsibility to states and cap federal Medicaid support, even while the program remains critical for tens of millions nationwide.

Medicaid Payments Tied to Procedures / Professional Services in Orangevale, California Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $38,534
2021 $352,174 813.9%
2022 $248,261 -29.5%
2023 $1,423,708 473.5%
2024 $2,928,461 105.7%
Top Categories by Medicaid Payments in Orangevale, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $3,370,065 50.3%
2 Procedures / Professional Services $2,928,461 43.7%
3 Medicine Services and Procedures $255,408 3.8%
4 Ambulance and Other Transport Services and Supplies $101,896 1.5%
5 Evaluation and Management $25,436 0.4%
6 Dental Services $24,339 0.4%
7 Pathology and Laboratory Procedures $456 <0.1%
Top 20 HCPCS Codes Within the Procedures / Professional Services Category in Orangevale, California, 2024

HCPCS Code Description Medicaid Payments Claims
G0299 Hhs/hospice of rn ea 15 min $1,312,518 11
G9002 Mccd,maintenance rate $1,040,520 17
G0151 Hhcp-serv of pt,ea 15 min $352,328 11
G0152 Hhcp-serv of ot,ea 15 min $204,241 11
G0155 Hhcp-svs of csw,ea 15 min $16,468 6
G0156 Hhcp-svs of aide,ea 15 min $2,385 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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