Medicaid Procedures / Professional Services payments in Monterey Park reach $2,945,271 for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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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.

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

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%
Top Categories by Medicaid Payments in Monterey Park, California, 2024

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%
Top 20 HCPCS Codes Within the Procedures / Professional Services Category in Monterey Park, California, 2024

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.



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