Avenal Medicaid Medicine Services, Procedures spending climbed to $12,936 in 2024

In 2024, Avenal Medicaid providers billed a total of $12,936 for Medicine Services and Procedures, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount showed a 3.6% increase relative to 2023, when claims in this category totaled $12,482.

Medicaid is a government health insurance program managed by individual states and funded through a partnership of state and federal dollars. The program serves a broad group, including people with low incomes, seniors, children, and individuals with disabilities, making it one of the major pieces of the U.S. health care system.

Public funding supports Medicaid, so shifts in local claims reflect how a community allocates its health care resources.

The “Medicine Services and Procedures” category includes a set of services identifiable by the care provided, organized into standardized HCPCS and CPT code groupings. For this report, every billing code was assigned to a specific service type based on uniform code prefixes and range, so related services could be grouped for analysis without overlap, maintaining reliable rankings across different time frames.

Spending growth for Medicaid was observed across several service types, with Medicine Services and Procedures placing third among all Medicaid spending categories in Avenal during 2024.

At the state level, this category also held the third position by overall Medicaid payments in California for 2024.

From 2019 to 2024, Avenal’s Medicaid payments for Medicine Services and Procedures grew by $9,443, or 270.3%. The rate of increase was especially strong during some years, with notable gains in 2022 and 2023.

Though payments were made citywide, most Medicaid spending for Medicine Services and Procedures in 2024 was linked to a few ZIP codes. For instance, ZIP code 93204 accounted for $12,935. The leading ZIP code contributed 100% of all Medicine Services and Procedures Medicaid billing in Avenal for the year.

Within Medicine Services and Procedures, payment amounts were focused on a select group of billing codes.

Between 2024 and 2023, Medicaid spending in Avenal for Medicine Services and Procedures rose by 3.6%. This change compares with an overall shift of 3.2% seen in all Medicaid categories across the city for the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid outlays totaled approximately $871.7 billion in fiscal year 2023, representing about 18% of total national health expenses. This is up sharply from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This rise amounts to growth of around 40% within a few years, largely due to increased enrollment and use of services during and following the pandemic.

Recent federal legislation during the Trump administration put forward several proposals to decrease federal Medicaid support and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion in federal Medicaid spending over 10 years and brings policies like work requirements and greater cost-sharing, which may reduce funding and coverage for certain groups. The result is likely a greater financial share falling to states, with limited growth in federal contributions, even as millions continue to rely on Medicaid coverage.

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.