In 2024, providers in Monterey Park charged $2,945,271 to Medicaid for services grouped under the Procedures / Professional Services category, as reported by data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 42.8% rise over 2023, when claims for these services totaled $2,062,643.
Medicaid is a public insurance plan administered by states and financed together by federal and state governments. The program serves low-income residents, families, senior citizens, children, and individuals with disabilities, making it a core component of the U.S. health care landscape.
Since Medicaid uses public tax dollars, fluctuations in local billing reveal patterns in how health care funding is distributed in communities.
The “Procedures / Professional Services” category compiles several Medicaid-billed services, determined by the care type, using specific HCPCS and CPT coding standards. This review grouped billing codes into one service category through assigned prefixes and number ranges, offering accuracy in service comparisons and rankings over time while avoiding duplication.
Procedures / Professional Services was the fourth highest Medicaid payment category in Monterey Park for 2024, despite broad increases across other services.
For the whole state, Procedures / Professional Services placed sixth in total Medicaid spending for 2024.
Between the five years preceding 2024, Medicaid payments for the Procedures / Professional Services group in Monterey Park rose by $3,258,651, up 52.5%. Several years, notably 2020 and 2023, witnessed marked year-to-year jumps.
Though Procedures / Professional Services care dollars were spent throughout Monterey Park, the majority of Medicaid payments were concentrated within specific ZIP codes. In 2024, ZIP code 91754 received $2,943,269 and 91755 accounted for $2,001, together claiming 100% of the city’s Medicaid payments tied to Procedures / Professional Services that year.
Spending within this category also tended to cluster around selected billing codes.
When comparing the change in Procedures / Professional Services spending in Monterey Park with overall Medicaid claims for 2024, this segment’s 42.8% increase exceeded the overall 19.5% rise recorded for all Medicaid categories.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid disbursements approached $871.7 billion in fiscal year 2023, representing about 18% of the country’s total health spending and a sharp increase from around $613.5 billion in 2019, before the COVID-19 pandemic.
This growth amounts to nearly 40% in just a few years, with most gains attributed to increased enrollment and greater service usage during and after the pandemic period.
Recent federal budget measures during the Trump administration put forward plans to significantly reduce federal Medicaid funding and reshape the program. The “One Big Beautiful Bill Act,” enacted in 2025, is set to eliminate more than $1 trillion from federal Medicaid expenditures over the following decade and introduces policy shifts such as work requirements and larger participant cost-sharing that may decrease health coverage and funding for certain Medicaid recipients. Such changes will likely assign increased financial responsibility to the states and moderate the rate of federal support, though Medicaid continues to provide services to tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $6,203,922 | 223.9% |
| 2021 | $5,245,233 | -15.5% |
| 2022 | $1,950,725 | -62.8% |
| 2023 | $2,062,642 | 5.7% |
| 2024 | $2,945,270 | 42.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $5,342,622 | 19.9% |
| 2 | National Codes Established for State Medicaid Agencies | $4,859,450 | 18.1% |
| 3 | Radiology Procedures | $4,734,674 | 17.6% |
| 4 | Procedures / Professional Services | $2,945,270 | 11% |
| 5 | Medicine Services and Procedures | $2,941,205 | 11% |
| 6 | Surgery | $2,822,057 | 10.5% |
| 7 | Anesthesia | $1,885,323 | 7% |
| 8 | Pathology and Laboratory Procedures | $398,074 | 1.5% |
| 9 | Drugs Administered Other than Oral Method | $378,773 | 1.4% |
| 10 | Dental Services | $332,537 | 1.2% |
| 11 | Ambulance and Other Transport Services and Supplies | $82,015 | 0.3% |
| 12 | Temporary Codes | $24,527 | 0.1% |
| 13 | Durable Medical Equipment | $22,098 | 0.1% |
| 14 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $21,030 | 0.1% |
| 15 | Vision Services | $20,696 | 0.1% |
| 16 | Medical And Surgical Supplies | $10,288 | <0.1% |
| 17 | Orthotic Procedures and services | $9,863 | <0.1% |
| 18 | Chemotherapy Drugs | $4,248 | <0.1% |
| 19 | Administrative, Miscellaneous and Investigational | $2,359 | <0.1% |
| 20 | Alcohol and Drug Abuse Treatment | $504 | <0.1% |
| 21 | Temporary National Codes (Non-Medicare) | $136 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G9012 | Other specified case mgmt | $2,499,869 | 22 |
| G9008 | Mccd,phys coor-care ovrsght | $304,723 | 22 |
| G0378 | Hospital observation per hr | $43,553 | 6 |
| G9006 | Mccd, home monitoring | $41,200 | 10 |
| G0467 | Fqhc visit, estab pt | $29,025 | 30 |
| G0480 | Drug test def 1-7 classes | $11,362 | 17 |
| G9920 | Scrning perf and negative | $10,410 | 96 |
| G6002 | Stereoscopic x-ray guidance | $1,029 | 1 |
| G0279 | Tomosynthesis, mammo | $1,010 | 3 |
| G2211 | Complex e/m visit add on | $864 | 17 |
| G0108 | Diab manage trn per indiv | $704 | 1 |
| G0283 | Elec stim other than wound | $549 | 9 |
| G3002 | Chronic pain mgmt 30 mins | $294 | 1 |
| G0439 | Ppps, subseq visit | $200 | 4 |
| G2025 | Dis site tele svcs rhc/fqhc | $135 | 1 |
| G0446 | Intens behave ther cardio dx | $106 | 10 |
| G0442 | Annual alcohol screen 15 min | $75 | 17 |
| G0444 | Depression screen annual | $70 | 14 |
| G0127 | Trim nail(s) | $62 | 1 |
| G8510 | Scr dep neg, no plan reqd | $23 | 104 |
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.

