Orland Medicaid costs for Medicine Services and Procedures total $1,518,105 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Orland charged $1,518,105 for Medicine Services and Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 76.2% rise from 2023, when claims in this category totaled $861,617.

Medicaid, a public insurance initiative operated by states with shared state and federal funding, covers eligible low-income individuals, seniors, children, and people with disabilities, making it a central part of the nation’s health system. More information on how Medicaid is financed is available from the Commonwealth Fund.

Because Medicaid spending is supported by taxpayer dollars, fluctuations in how much is billed locally show how community health care resources are distributed.

The “Medicine Services and Procedures” category includes a range of Medicaid services defined by their care type, based on grouped HCPCS and CPT medical codes. For this review, codes were matched to one category each, using consistent numbering and prefixes to group similar services for analysis, which prevents double counting and maintains ranking accuracy.

While Medicaid expenditures increased across several service types, Medicine Services and Procedures was the second-largest Medicaid spending category in Orland for 2024.

On a statewide level, Medicine Services and Procedures ranked third among categories by total Medicaid payments in California during 2024.

During the five years leading up to 2024, Medicaid payments in Orland for Medicine Services and Procedures went up by $1,452,684 (a 2220.5% rise). Growth in spending accelerated at various times, with major jumps occurring in both 2023 and 2022.

Spending across this category was seen citywide, but most Medicaid payments were focused in specific ZIP codes. In 2024, ZIP code 95963 recorded $1,518,104 for this category, accounting for the entirety of Orland’s Medicaid outlay on Medicine Services and Procedures for the year.

Additionally, Medicaid reimbursements for this category in Orland were largely restricted to a few specific billing codes.

Comparatively, the 76.2% increase in Medicine Services and Procedures Medicaid payments between 2024 and 2023 outpaced the 4% overall rise in Medicaid claims across all categories in Orland for the same time frame.

Centers for Medicare & Medicaid Services reports that joint federal and state Medicaid expenditures reached roughly $871.7 billion in fiscal 2023, making up about 18% of U.S. health spending. This marked a steep climb from nearly $613.5 billion in 2019 before the pandemic.

This change constitutes an approximately 40% increase in a few years, mainly due to higher enrollment and greater service use during and following the COVID-19 pandemic period.

Federal budget measures passed under the Trump administration have introduced major plans to trim federal Medicaid contributions and overhaul aspects of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid funding by over $1 trillion for the next decade and adds requirements such as work verification and increased cost-sharing, changes that may decrease both eligibility and funding for certain groups. These reforms are anticipated to move more costs toward states and restrain federal Medicaid funding growth, though the program remains vital for millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $65,421 -9.3%
2021 $55,891 -14.6%
2022 $111,526 99.5%
2023 $861,616 672.6%
2024 $1,518,104 76.2%
Top Categories by Medicaid Payments in Orland, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $2,459,878 44.7%
2 Medicine Services and Procedures $1,518,104 27.6%
3 Alcohol and Drug Abuse Treatment $801,629 14.6%
4 Evaluation and Management $507,823 9.2%
5 Procedures / Professional Services $107,833 2%
6 Ambulance and Other Transport Services and Supplies $102,672 1.9%
7 Pathology and Laboratory Procedures $1,880 <0.1%
8 Surgery $987 <0.1%
9 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Orland, California, 2024

HCPCS Code Description Medicaid Payments Claims
90837 Psytx w pt 60 minutes $1,138,743 22
90834 Psytx w pt 45 minutes $151,769 12
90832 Psytx w pt 30 minutes $90,417 8
90847 Family psytx w/pt 50 min $47,230 5
92508 Tx sp lang voice comm group $20,771 9
92507 Tx sp lang voice comm indiv $19,078 8
92551 Pure tone hearing test air $13,699 17
90791 Psych diagnostic evaluation $9,148 6
90785 Psytx complex interactive $5,126 6
90677 Pcv20 vaccine im $2,385 11
90648 Hib prp-t vaccine 4 dose im $2,340 11
90656 Iiv3 vacc no prsv 0.5 ml im $1,731 4
90750 Hzv vacc recombinant im $1,680 1
90471 Immunization admin $1,503 14
90723 Dtap-hep b-ipv vaccine im $1,440 9
90686 Iiv4 vacc no prsv 0.5 ml im $1,355 4
90715 Tdap vaccine 7 yrs/> im $1,242 8
90680 Rv5 vacc 3 dose live oral $1,197 9
90651 9vhpv vaccine 2/3 dose im $1,188 8
96372 Ther/proph/diag inj sc/im $1,031 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.



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