In 2024, Medicaid providers in San Fernando submitted bills totaling $5,871,524 for Procedures / Professional Services, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount represents a 121.8% jump from 2023, when $2,646,728 was billed for the same services.
Medicaid is the state-administered health insurance program funded jointly by federal and state governments for low-income residents, seniors, children and people with disabilities, placing it among the most significant components of the U.S. health care system.
Because Medicaid relies on taxpayer funds, local changes in billing reflect how public health resources are distributed in each community.
The “Procedures / Professional Services” category groups Medicaid-covered services by type of care, structured on standardized HCPCS and CPT code definitions. For this report, each billing code was placed into a single service category using defined prefixes and code ranges, which supports consistent analysis and prevents double counting or skewed rankings over multiple years.
While payments grew across several Medicaid service types, Procedures / Professional Services was second largest by total payments to providers in San Fernando in 2024.
Statewide, Procedures / Professional Services accounted for the sixth highest Medicaid payment total in California in 2024.
Between 2019 and 2024, San Fernando recorded an increase of $2,003,890—or 51.8%—in Medicaid payments for this category. Spending rose faster in some years, with significant annual growth noted in both 2023 and 2020.
Although these medical claims were distributed citywide, spending primarily occurred in a few ZIP codes. The majority of 2024 Medicaid payments for Procedures / Professional Services were billed in ZIP code 91340, totaling $5,871,524, meaning San Fernando’s top ZIP code contributed 100% of the payments in this category for that year.
The dollars billed for these services were also highly concentrated among a select set of procedure codes.
Comparatively, within San Fernando, Medicaid payments for Procedures / Professional Services jumped by 121.8% from 2023 to 2024, whereas all Medicaid claim categories averaged a 7.7% increase citywide in that period.
The Centers for Medicare & Medicaid Services report that combined state and federal Medicaid expenditures stood at approximately $871.7 billion during fiscal year 2023—roughly 18% of all U.S. health care spending—up from $613.5 billion in 2019 ahead of the COVID-19 pandemic.
This indicates a growth of about 40% over several years, mainly due to wider program enrollment and greater patient use linked to the pandemic.
Recent federal budget measures during the Trump administration have featured major proposals to reduce the federal Medicaid contribution and reconfigure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut federal Medicaid support by more than $1 trillion over 10 years, adding provisions like work requirements and increased cost-sharing that may limit benefits and federal dollars for some recipients. As a result, states could face bigger financial burdens and see restricted growth in federal Medicaid aid, all while the program remains critical to tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,867,634 | 30.1% |
| 2021 | $3,164,345 | -18.2% |
| 2022 | $1,769,522 | -44.1% |
| 2023 | $2,646,728 | 49.6% |
| 2024 | $5,871,524 | 121.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $12,645,451 | 48.4% |
| 2 | Procedures / Professional Services | $5,871,524 | 22.5% |
| 3 | Medicine Services and Procedures | $2,524,107 | 9.7% |
| 4 | Dental Services | $1,981,053 | 7.6% |
| 5 | Alcohol and Drug Abuse Treatment | $1,303,303 | 5% |
| 6 | Evaluation and Management | $829,581 | 3.2% |
| 7 | Temporary National Codes (Non-Medicare) | $755,382 | 2.9% |
| 8 | Anesthesia | $144,457 | 0.6% |
| 9 | Vision Services | $24,036 | 0.1% |
| 10 | Surgery | $17,270 | 0.1% |
| 11 | Temporary Codes | $12,931 | <0.1% |
| 12 | Pathology and Laboratory Procedures | $9,739 | <0.1% |
| 13 | Radiology Procedures | $1,979 | <0.1% |
| 14 | Ambulance and Other Transport Services and Supplies | $617 | <0.1% |
| 15 | Drugs Administered Other than Oral Method | $156 | <0.1% |
| 16 | Medical And Surgical Supplies | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G9012 | Other specified case mgmt | $4,733,630 | 103 |
| G9002 | Mccd,maintenance rate | $823,760 | 10 |
| G2212 | Prolong outpt/office vis | $220,984 | 6 |
| G9008 | Mccd,phys coor-care ovrsght | $63,921 | 53 |
| G9920 | Scrning perf and negative | $21,572 | 217 |
| G0467 | Fqhc visit, estab pt | $3,326 | 20 |
| G8510 | Scr dep neg, no plan reqd | $2,718 | 67 |
| G0299 | Hhs/hospice of rn ea 15 min | $1,516 | 1 |
| G0109 | Diab manage trn ind/group | $73 | 1 |
| G8431 | Pos clin depres scrn f/u doc | $20 | 10 |
| G0101 | Ca screen;pelvic/breast exam | $0 | 6 |
| G0444 | Depression screen annual | $0 | 19 |
| G2025 | Dis site tele svcs rhc/fqhc | $0 | 4 |
| G8432 | Dep scr not doc, rng | $0 | 1 |
| G9007 | Mccd, sch team conf | $0 | 4 |
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.
