Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Medicaid providers in Vacaville billed $2,896,960 for Medicine Services and Procedures in 2024. This total represents a 16.2% rise from 2023, when such claims amounted to $2,492,524 for the same service category.
Medicaid, a government health program administered by the states with joint federal and state funding from both levels of government, provides insurance to low-income families and individuals, seniors, children, and people with disabilities. The program is among the largest sectors in U.S. health care.
These expenditures, funded by taxpayers, indicate how public resources for health care are distributed locally.
The “Medicine Services and Procedures” group covers Medicaid services grouped by care type based on standardized HCPCS and CPT code classifications. For reporting, billing codes are assigned to a single service group according to code prefixes and numbers, which makes it possible to follow related services collectively and ensure accurate time-based comparisons without duplication.
Growth was evident among various Medicaid service groups, with Medicine Services and Procedures ranking as Vacaville’s third-largest category by payment volume in 2024.
Statewide, Medicine Services and Procedures also ranked third by Medicaid payment volume in California in 2024.
From 2020 through 2024, payments tied to this category increased by $1,581,013, marking 120.1% growth in Vacaville. More rapid year-over-year gains took place during certain periods, particularly in 2022 and 2023.
Medicaid spending in the Medicine Services and Procedures category occurred throughout the city but was concentrated in fewer ZIP codes. In 2024, ZIP code 95687 represented $1,860,740, and 95688 reported $1,036,220 in claims. These two ZIP codes accounted for all Medicaid payments linked to the category in Vacaville for the year.
Within the broader category, Medicaid payments were also focused on a handful of individual billing codes.
For context, Medicaid claims tied to this service group in Vacaville grew 16.2% from 2023 to 2024, compared to a citywide increase of 37.7% across all Medicaid claim types for the same timeframe.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid outlays reached roughly $871.7 billion in fiscal year 2023, making up about 18% of the country’s total health expenditures. This was a considerable increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This difference marks approximately 40% growth in just a few years, fueled in large part by expanded enrollment and increased usage since the pandemic.
Recently enacted federal budget laws passed under the Trump administration introduced notable Medicaid funding changes. The “One Big Beautiful Bill Act,” which took effect in 2025, is expected to reduce federal Medicaid outlays by more than $1 trillion over 10 years, adding policies such as work requirements and more cost sharing that could limit coverage and redirect more costs to states and Medicaid recipients.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,315,946 | -24.1% |
| 2021 | $1,458,483 | 10.8% |
| 2022 | $2,079,846 | 42.6% |
| 2023 | $2,492,523 | 19.8% |
| 2024 | $2,896,960 | 16.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $7,646,858 | 31% |
| 2 | Vision Services | $5,436,861 | 22.1% |
| 3 | Medicine Services and Procedures | $2,896,960 | 11.8% |
| 4 | National Codes Established for State Medicaid Agencies | $2,711,930 | 11% |
| 5 | Radiology Procedures | $2,389,989 | 9.7% |
| 6 | Dental Services | $1,983,583 | 8% |
| 7 | Surgery | $404,308 | 1.6% |
| 8 | Ambulance and Other Transport Services and Supplies | $399,437 | 1.6% |
| 9 | Pathology and Laboratory Procedures | $328,546 | 1.3% |
| 10 | Alcohol and Drug Abuse Treatment | $241,557 | 1% |
| 11 | Procedures / Professional Services | $139,368 | 0.6% |
| 12 | Temporary National Codes (Non-Medicare) | $19,793 | 0.1% |
| 13 | Anesthesia | $18,507 | 0.1% |
| 14 | Orthotic Procedures and services | $12,328 | 0.1% |
| 15 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $8,178 | <0.1% |
| 16 | Temporary Codes | $5,233 | <0.1% |
| 17 | Drugs Administered Other than Oral Method | $4,920 | <0.1% |
| 18 | Administrative, Miscellaneous and Investigational | $3,912 | <0.1% |
| 19 | Medical And Surgical Supplies | $1,470 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90999 | Unlisted dialysis procedure | $889,594 | 10 |
| 90837 | Psytx w pt 60 minutes | $352,943 | 36 |
| 97110 | Therapeutic exercises | $183,380 | 76 |
| 92508 | Tx sp lang voice comm group | $183,104 | 11 |
| 97140 | Manual therapy 1/> regions | $147,433 | 58 |
| 97112 | Neuromuscular reeducation | $96,928 | 72 |
| 92507 | Tx sp lang voice comm indiv | $90,077 | 16 |
| 97530 | Therapeutic activities | $85,666 | 71 |
| 96158 | Hlth bhv ivntj indiv 1st 30 | $71,918 | 9 |
| 90791 | Psych diagnostic evaluation | $59,751 | 22 |
| 92012 | Intrm oph exam est patient | $57,692 | 22 |
| 97750 | Physical performance test | $55,568 | 52 |
| 90832 | Psytx w pt 30 minutes | $48,697 | 25 |
| 92014 | Compre oph exam est pt 1/> | $45,921 | 20 |
| 96130 | Psycl tst eval phys/qhp 1st | $45,493 | 7 |
| 96110 | Developmental screen w/score | $39,170 | 10 |
| 92004 | Compre oph exam new pt 1/> | $38,239 | 19 |
| 90651 | 9vhpv vaccine 2/3 dose im | $36,511 | 20 |
| 97010 | Hot or cold packs therapy | $34,635 | 46 |
| 90746 | Hepb vaccine 3 dose adult im | $31,881 | 12 |
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.
