Brawley Medicaid spending for Medicine Services and Procedures rises to $3.6 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Brawley Medicaid providers billed $3,604,840 for Medicine Services and Procedures in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 21.5% increase from 2023, when billing for these services reached $2,966,736.

Medicaid, overseen by the states and jointly financed by federal and state governments, offers health coverage for low-income residents, seniors, children, and those with disabilities, making it a major component of the U.S. health care system. More information can be found here.

With Medicaid funded by taxpayers, fluctuations in local billing indicate how public health care funding is allocated throughout the community.

The “Medicine Services and Procedures” category encompasses a range of Medicaid-billed services identified according to the care provided, using standardized HCPCS and CPT code groups. Each billing code for this analysis was mapped to a specific service category based on code prefixes and numeric ranges, organizing related services and avoiding duplication to maintain accurate year-over-year rankings.

Across various service types, Medicaid spending increased, with Medicine Services and Procedures standing as the fourth-largest category by Medicaid payments in Brawley for 2024.

On a broader scale, Medicine Services and Procedures represented the third-largest category in California for Medicaid payments during the same year.

From 2019 through 2024, Brawley Medicaid spending for Medicine Services and Procedures climbed by $1,773,708—an increase of 96.9%. Spending growth accelerated in particular years, with significant annual increases seen in both 2023 and 2022.

While Medicaid payments for Medicine Services and Procedures were spread citywide, the majority were associated with certain ZIP codes. In 2024, ZIP code 92227 alone accounted for $3,604,839, meaning the top ZIP code represented 100% of Brawley’s Medicaid payments for this service category that year.

Within the Medicine Services and Procedures category, most Medicaid payments were attributed to a select few billing codes.

Between 2024 and 2023, Medicaid payments for Medicine Services and Procedures in Brawley grew by 21.5%, just above the 21.2% growth rate seen across all Medicaid claim categories in the city during the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, making up around 18% of all national health care spending. This marked a substantial rise from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase equates to nearly 40% growth in a few years, mainly attributed to expanded program enrollment and higher service use during and after the pandemic.

Federal budget laws approved under the Trump administration have proposed notable changes to curtail Medicaid funding and redesign the program. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid funding by over $1 trillion over the next ten years. The law sets forth measures like work requirements and greater cost-sharing, which may limit coverage and reduce funding for some recipients. These reforms are expected to transfer increased Medicaid costs to states and restrain federal budget growth for the program even as it continues to serve millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $1,831,132 -20.5%
2021 $1,893,614 3.4%
2022 $2,037,042 7.6%
2023 $2,966,736 45.6%
2024 $3,604,839 21.5%
Top Categories by Medicaid Payments in Brawley, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $10,050,978 28.8%
2 Ambulance and Other Transport Services and Supplies $8,505,385 24.3%
3 Evaluation and Management $6,368,848 18.2%
4 Medicine Services and Procedures $3,604,839 10.3%
5 Radiology Procedures $1,991,878 5.7%
6 Alcohol and Drug Abuse Treatment $1,968,118 5.6%
7 Pathology and Laboratory Procedures $969,465 2.8%
8 Temporary National Codes (Non-Medicare) $652,845 1.9%
9 Procedures / Professional Services $467,487 1.3%
10 Drugs Administered Other than Oral Method $169,868 0.5%
11 Surgery $142,146 0.4%
12 Temporary Codes $15,141 <0.1%
13 Anesthesia $13,693 <0.1%
14 Vision Services $11,710 <0.1%
15 Pathology and Laboratory Services $7,655 <0.1%
16 Durable Medical Equipment $1,842 <0.1%
17 Medical And Surgical Supplies $1,833 <0.1%
18 Administrative, Miscellaneous and Investigational $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Brawley, California, 2024

HCPCS Code Description Medicaid Payments Claims
90999 Unlisted dialysis procedure $788,427 9
90837 Psytx w pt 60 minutes $600,843 36
93975 Vascular study $290,347 11
95713 Veeg 2-12 hr cont mntr $228,723 11
90834 Psytx w pt 45 minutes $186,555 40
96374 Ther/proph/diag inj iv push $150,816 12
90792 Psych diag eval w/med srvcs $120,350 11
96372 Ther/proph/diag inj sc/im $99,239 63
93005 Electrocardiogram tracing $96,138 18
96375 Tx/pro/dx inj new drug addon $94,279 10
96365 Ther/proph/diag iv inf init $83,926 10
95700 Eeg cont rec w/vid eeg tech $64,508 11
96361 Hydrate iv infusion add-on $59,677 11
93000 Electrocardiogram complete $53,630 20
93976 Vascular study $50,429 21
92508 Tx sp lang voice comm group $46,200 12
90791 Psych diagnostic evaluation $44,923 30
95004 Perq tests w/alrgnc xtrcs $39,867 8
93010 Electrocardiogram report $37,571 119
96360 Hydration iv infusion init $36,948 10

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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