Santa Ana Medicaid billing for Medicine Services and Procedures climbs to $40.9 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Santa Ana saw Medicaid providers bill $40,889,612 under the Medicine Services and Procedures category in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 14.5% rise from 2023, when claims for the same category totaled $35,708,984.

Medicaid is a public healthcare insurance system run by states and jointly funded by federal and state governments. It offers coverage to low-income adults and families, seniors, children, and individuals with disabilities, making it one of the largest components of the U.S. healthcare sector.

Because taxpayer funding supports Medicaid, shifts in local billing reflect how health care dollars are distributed within a community.

The “Medicine Services and Procedures” category includes a range of Medicaid-billed services based on the type of care, organized by standardized HCPCS and CPT code ranges. In this analysis, each billing code was placed into a single service group using clear code prefixes and numerical boundaries. This method groups related services together and avoids duplicate counting, supporting precise rankings over time.

Although multiple Medicaid service categories experienced spending increases, Medicine Services and Procedures ranked second for total Medicaid payments in Santa Ana for 2024.

Across California, Medicine Services and Procedures was the third largest category by Medicaid payments in 2024.

From 2019 to 2024, Medicaid spending for the Medicine Services and Procedures category in Santa Ana grew by $28,935,761, which is a 242.1% increase. Significant year-over-year growth occurred during certain years, notably in 2023 and 2021.

Although spending in Medicine Services and Procedures was distributed citywide, most payments were concentrated in a few ZIP codes. In 2024, ZIP codes 92701 ($28,333,081), 92705 ($7,259,399), and 92704 ($4,112,438) accounted for 97.1% of Medicaid payments in this category for Santa Ana.

Within this category, most Medicaid payments were tied to a limited selection of billing codes.

To compare, while Medicine Services and Procedures payments increased by 14.5% from 2023 to 2024 in Santa Ana, all Medicaid category payments citywide increased by 11.9% in the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023. That comprised about 18% of all national health expenditures, a sharp increase from $613.5 billion in 2019 before the COVID-19 pandemic.

This growth reflects an increase of around 40% over the span of a few years, mainly due to higher enrollment and greater utilization during and following the pandemic.

Recent federal budget policy crafted under the Trump administration has featured significant plans to cut the federal Medicaid budget and reshape the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion across the next decade. The law adds measures such as work requirements and higher cost-sharing, which could limit funding and coverage for certain groups while shifting additional costs to states, even as Medicaid covers tens of millions throughout the country.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $11,953,851 12.7%
2021 $15,453,145 29.3%
2022 $15,584,782 0.9%
2023 $35,708,983 129.1%
2024 $40,889,611 14.5%
Top Categories by Medicaid Payments in Santa Ana, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $64,966,537 27.9%
2 Medicine Services and Procedures $40,889,611 17.6%
3 National Codes Established for State Medicaid Agencies $39,865,980 17.1%
4 Evaluation and Management $30,313,856 13%
5 Temporary National Codes (Non-Medicare) $29,131,093 12.5%
6 Dental Services $10,336,295 4.4%
7 Surgery $4,669,025 2%
8 Procedures / Professional Services $3,474,781 1.5%
9 Ambulance and Other Transport Services and Supplies $3,034,650 1.3%
10 Pathology and Laboratory Procedures $2,396,835 1%
11 Anesthesia $1,220,877 0.5%
12 Drugs Administered Other than Oral Method $1,078,902 0.5%
13 Radiology Procedures $949,812 0.4%
14 Temporary Codes $100,280 <0.1%
15 Chemotherapy Drugs $39,802 <0.1%
16 Vision Services $28,339 <0.1%
17 Medical And Surgical Supplies $26,568 <0.1%
18 Administrative, Miscellaneous and Investigational $5,899 <0.1%
19 Diagnostic Radiology Services $4,760 <0.1%
20 Orthotic Procedures and services $3,489 <0.1%
21 Hearing Services $542 <0.1%
22 Coronavirus Diagnostic Panel $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Santa Ana, California, 2024

HCPCS Code Description Medicaid Payments Claims
90837 Psytx w pt 60 minutes $14,423,268 449
90834 Psytx w pt 45 minutes $6,836,693 391
90999 Unlisted dialysis procedure $4,491,212 40
90847 Family psytx w/pt 50 min $2,728,834 155
97153 Adaptive behavior tx by tech $1,986,619 24
90832 Psytx w pt 30 minutes $1,410,066 230
96156 Hlth bhv assmt/reassessment $1,010,894 499
92508 Tx sp lang voice comm group $714,347 14
97110 Therapeutic exercises $616,693 132
97155 Adapt behavior tx phys/qhp $487,355 24
93306 Tte w/doppler complete $468,620 97
90792 Psych diag eval w/med srvcs $408,069 26
92507 Tx sp lang voice comm indiv $394,635 20
96130 Psycl tst eval phys/qhp 1st $369,186 8
96372 Ther/proph/diag inj sc/im $311,379 145
90833 Psytx w pt w e/m 30 min $257,732 51
96158 Hlth bhv ivntj indiv 1st 30 $244,492 38
96374 Ther/proph/diag inj iv push $244,389 34
96127 Brief emotional/behav assmt $207,938 274
97140 Manual therapy 1/> regions $186,891 90

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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