Claremont Medicaid bills for medicine services and procedures total $997,033 in 2024, up 13.3%

Medicaid providers billed $997,033 for Medicine Services and Procedures in Claremont in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented a 13.3% increase from 2023, when the same category of services generated $879,696 in Medicaid claims.

Medicaid serves as a public health insurance option administered by states and financed by both federal and state governments. It covers low-income individuals, seniors, children, and people living with disabilities, making it one of the main pillars of the U.S. health care landscape.

Changes in Medicaid billing levels locally signal shifts in how public health care funding is distributed within a community because these dollars originate from taxpayers.

The “Medicine Services and Procedures” group includes Medicaid-billed services matched to the type of care provided, relying on standardized HCPCS and CPT code groupings. In this review, billing codes are assigned to one service category each using set code prefixes and numeric ranges, keeping related services grouped together while avoiding overlap and ensuring accuracy in year-over-year comparisons.

Even though Medicaid spending rose across several categories, Medicine Services and Procedures held the third-highest spot by total Medicaid payments in Claremont for 2024.

At the state level, Medicine Services and Procedures also ranked third in California by total Medicaid payments in 2024.

Between 2020 and 2024, Medicaid payments for the Medicine Services and Procedures category in Claremont went up by $521,538, or 109.7%. Growth rates accelerated at certain points, with noticeable year-over-year jumps reported in 2023 and 2020.

Spending for Medicine Services and Procedures was distributed citywide, but the majority of payments were centered in a small number of ZIP codes. The 91711 ZIP code accounted for $997,033 in Medicaid payments tied to this category in 2024, making up 100% of the city’s Medicaid spending for Medicine Services and Procedures that year.

Payments in the Medicine Services and Procedures category focused on a small set of individual billing codes.

For perspective, Medicaid payments for Medicine Services and Procedures in Claremont rose 13.3% from 2023 to 2024, while all Medicaid claim categories in the city saw a 1% change during the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up approximately 18% of all national health spending and rising sharply from around $613.5 billion in 2019, before COVID-19.

This increase amounts to about 40% growth over a few years, largely due to more people enrolling in Medicaid and increased use of services during and after the pandemic.

Recent federal budget laws under the Trump administration proposed notable cuts to federal Medicaid funding and changes to its structure. The “One Big Beautiful Bill Act,” passed in 2025, is forecast to reduce federal Medicaid spending by over $1 trillion during the next decade and brings new policies such as work requirements and higher cost-sharing. These adjustments could limit coverage and funding for certain groups, with states expected to shoulder more of Medicaid’s costs while federal support growth slows, though the program continues to serve many Americans.

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.