Holtville Medicaid payments for Procedures / Professional Services reach $22,512 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Holtville Medicaid providers billed $22,512 in 2024 for services under the Procedures / Professional Services category. This amount represented a 2533% rise compared to $855 in claims for the same service category in 2023.

Medicaid is a state-administered public health insurance program financed by both federal and state governments. It provides coverage for low-income individuals and families, seniors, children, and people with disabilities, making it a major segment of the U.S. health care system.

Since taxpayer dollars fund Medicaid payments, shifts in local billing levels indicate how public health spending is distributed at the community level.

The Procedures / Professional Services category encompasses multiple Medicaid-billed services classified according to care type, using standardized HCPCS and CPT coding groupings. For this report, each billing code was affiliated with one service category through consistent code prefixes and numeric ranges, which enabled the analysis to group related services accurately over time, prevent duplicate counting, and keep true rankings.

Even though spending increased in several Medicaid categories, Procedures / Professional Services placed second by total claim amounts in Holtville in 2024.

Statewide in California, Procedures / Professional Services ranked sixth in payment totals for 2024.

Looking at the five years prior to 2024, Holtville’s Medicaid payments for this care category rose by $21,422, an increase of 1964.7%. During some periods, spending climbed more rapidly, with significant increases in 2022 and 2020 from the previous years.

Although spending within this category spanned the city, most payments originated from a small set of ZIP codes. For 2024, ZIP code 92250 accounted for $22,512, representing the entirety of Medicaid payments for this service type in Holtville during the period.

A small group of individual billing codes represented much of the Medicaid spending in the Procedures / Professional Services category.

To put the changes in context, Procedures / Professional Services Medicaid payments in Holtville grew by 2533% between 2024 and 2023, in comparison to a 193.2% overall rise across all Medicaid claim categories locally for the same timeframe.

The Centers for Medicare & Medicaid Services report that total state and federal Medicaid spending reached approximately $871.7 billion in fiscal year 2023, about 18% of all U.S. health expenditures. This is a significant rise from around $613.5 billion in 2019, before the COVID-19 pandemic.

That jump marks growth of about 40% within a short timeframe, fueled mainly by increased enrollment and higher use throughout and following the pandemic.

Recent legislation affecting the federal budget during the Trump administration has brought major proposals to reduce the federal role and spending level in Medicaid. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to lower federal Medicaid funding by more than $1 trillion over 10 years, while introducing measures like work requirements and greater cost-sharing that could limit coverage and assistance for some recipients. With these changes, a larger share of Medicaid financing is expected to shift to states and may moderate future growth in the program, which still covers tens of millions nationwide.

Medicaid Payments Tied to Procedures / Professional Services in Holtville, California Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $1,090 144.3%
2021 $479 -56%
2022 $2,581 438.2%
2023 $855 -66.9%
2024 $22,512 2531.8%
Top Categories by Medicaid Payments in Holtville, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $97,371 69.9%
2 Procedures / Professional Services $22,512 16.2%
3 Medicine Services and Procedures $18,082 13%
4 Pathology and Laboratory Procedures $1,192 0.9%
5 Drugs Administered Other than Oral Method $89 0.1%
6 Alcohol and Drug Abuse Treatment $0 <0.1%
6 Surgery $0 <0.1%
Top 20 HCPCS Codes Within the Procedures / Professional Services Category in Holtville, California, 2024

HCPCS Code Description Medicaid Payments Claims
G8431 Pos clin depres scrn f/u doc $15,262 10
G0447 Behavior counsel obesity 15m $3,207 9
G9920 Scrning perf and negative $3,045 5
G0179 Md recertification hha pt $830 6
G0439 Ppps, subseq visit $150 1
G8510 Scr dep neg, no plan reqd $17 1
G0008 Admin influenza virus vac $0 2
G0009 Admin pneumococcal vaccine $0 2
G0444 Depression screen annual $0 5
G8417 Calc bmi abv up param f/u $0 2
G8420 Calc bmi norm parameters $0 3
G8427 Docrev cur meds by elig clin $0 7

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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