Benicia Medicaid payments for Medicine Services and Procedures reach $436,011 in 2024

In 2024, Benicia Medicaid providers submitted $436,011 in claims under the Medicine Services and Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 494.1% jump from 2023, when $73,396 in claims were recorded for this service type.

Medicaid is a public health insurance program operated at the state level and funded jointly by federal and state governments. The program provides coverage for low-income individuals and families, seniors, children, and people with disabilities, making it one of the country’s largest health care programs.

Since Medicaid relies on taxpayer funding, fluctuations in local spending patterns indicate how public health care resources are distributed within a community.

The “Medicine Services and Procedures” category includes a set of Medicaid-billed services defined by care type, based on standardized HCPCS and CPT code groupings. Each billing code for this analysis was placed in a single service category using consistent code prefixes and numerical ranges, enabling analysts to group related services accurately and prevent double counting or misranking over time.

While several service categories saw increases in Medicaid spending, Medicine Services and Procedures recorded the highest total payments in Benicia for 2024.

Statewide in California, the Medicine Services and Procedures category ranked third by overall Medicaid payments for 2024.

Looking at the five years leading up to 2024, Medicaid payments in Benicia for Medicine Services and Procedures grew by $406,661, an increase of 1385.5%. Growth accelerated at various points, with significant year-over-year increases in both 2023 and 2021.

Spending for care in this category occurred throughout Benicia, but most payments were concentrated in a small group of ZIP codes. In 2024, ZIP code 94510 accounted for $436,011—amounting to 100% of all Medicaid payments for Medicine Services and Procedures in the city for that year.

Most Medicaid payments for Medicine Services and Procedures were attributed to a few key individual billing codes.

Between 2024 and 2023, Medicaid payments in Benicia for Medicine Services and Procedures rose by 494.1%, contrasted with a 21.8% change across all Medicaid claim categories in the city during the period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending was close to $871.7 billion in fiscal 2023, making up about 18% of overall U.S. health expenditures. This compares with approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

The total reflects a roughly 40% increase over several years, primarily due to expanded enrollment and greater service utilization during and after the pandemic.

Recent federal budget measures under the Trump administration have featured notable proposals to scale back federal Medicaid contributions and change the structure of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid outlays by more than $1 trillion over the next ten years and adds policies like work requirements and higher cost-sharing, potentially lowering coverage and federal aid for certain beneficiaries. These changes are expected to increase state financial responsibility and could limit federal Medicaid growth, even as the program continues to serve tens of millions of people.

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.