In 2024, Medicaid providers in Truckee submitted $1,658,616 in claims for services grouped within the Medicine Services and Procedures category, based on figures provided by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represented a 110% rise from the $789,999 reported in 2023 for the same category.
Medicaid, a state-administered program jointly funded by federal and state governments, provides health coverage for low-income people, children, seniors and those with disabilities, making it a major component of the U.S. health care landscape. For further details on Medicaid funding, see the Commonwealth Fund.
Because the funding for Medicaid is derived from taxpayers, fluctuations in how much is billed at the local level show changes in how public health care resources are distributed within a community.
The “Medicine Services and Procedures” category is composed of services defined by the care provided and is organized based on specific HCPCS and CPT code groupings. For this report, each code was matched to just one service category, using consistent code prefixes and numeric ranges. This allows for consistent tracking of similar services and ensures rankings and counts remain accurate over time.
Among Truckee’s categories, Medicine Services and Procedures received the highest amount of Medicaid payments in 2024, outpacing other service groupings.
At the state level in California, Medicine Services and Procedures was the third-largest Medicaid payment category during 2024.
Between 2019 and 2024, Medicaid payments linked to Medicine Services and Procedures in Truckee rose by $1,345,191, or 429.2%. The rate of spending growth accelerated in some years, with especially strong annual increases in both 2023 and 2022.
While these payments were recorded throughout the city, the majority were concentrated within a few ZIP codes. In 2024, ZIP code 96161 accounted for almost all Medicaid payments in this category, making up $1,658,615—the entire total reported for Truckee. As a result, just 1 ZIP code accounted for 100% of the city’s Medicaid spending in the Medicine Services and Procedures category for the year.
Payments within the Medicine Services and Procedures category were largely focused on a small set of individual billing codes.
To provide context, the 110% year-over-year increase in Medicine Services and Procedures from 2023 to 2024 in Truckee exceeded the overall 41% growth rate seen across all Medicaid claim categories within the city for the same comparison period.
Figures from the Centers for Medicare & Medicaid Services show that federal and state Medicaid spending totaled approximately $871.7 billion in the 2023 fiscal year, making up about 18% of national health expenditures. This is a significant increase from the $613.5 billion observed in 2019, prior to the onset of the COVID-19 pandemic.
This overall growth, nearly 40% over several years, can mainly be attributed to greater enrollment and increased utilization both during and after the pandemic.
New federal budget measures passed during the Trump administration have outlined major reductions in future federal Medicaid funding and program restructuring. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over a decade and introduces new policies, such as work requirements and higher cost-sharing, potentially impacting the coverage levels and funding for certain recipients. These changes are anticipated to increase the financial responsibilities for states and may restrict federal Medicaid outlays, though the program remains crucial for tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $313,424 | -31% |
| 2021 | $303,265 | -3.2% |
| 2022 | $422,715 | 39.4% |
| 2023 | $789,999 | 86.9% |
| 2024 | $1,658,615 | 110% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $1,658,615 | 31.4% |
| 2 | National Codes Established for State Medicaid Agencies | $1,333,293 | 25.2% |
| 3 | Evaluation and Management | $1,134,324 | 21.5% |
| 4 | Ambulance and Other Transport Services and Supplies | $920,575 | 17.4% |
| 5 | Pathology and Laboratory Procedures | $162,625 | 3.1% |
| 6 | Radiology Procedures | $58,499 | 1.1% |
| 7 | Drugs Administered Other than Oral Method | $8,745 | 0.2% |
| 8 | Anesthesia | $4,249 | 0.1% |
| 9 | Temporary Codes | $1,620 | <0.1% |
| 10 | Surgery | $1,274 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90837 | Psytx w pt 60 minutes | $503,354 | 126 |
| 97110 | Therapeutic exercises | $439,983 | 10 |
| 90791 | Psych diagnostic evaluation | $153,495 | 72 |
| 97750 | Physical performance test | $112,916 | 9 |
| 97010 | Hot or cold packs therapy | $105,311 | 10 |
| 92507 | Tx sp lang voice comm indiv | $92,458 | 16 |
| 90834 | Psytx w pt 45 minutes | $65,496 | 30 |
| 96374 | Ther/proph/diag inj iv push | $38,146 | 9 |
| 96375 | Tx/pro/dx inj new drug addon | $24,651 | 9 |
| 90832 | Psytx w pt 30 minutes | $23,950 | 17 |
| 96365 | Ther/proph/diag iv inf init | $16,794 | 2 |
| 97165 | Ot eval low complex 30 min | $16,306 | 4 |
| 96361 | Hydrate iv infusion add-on | $13,523 | 8 |
| 92508 | Tx sp lang voice comm group | $12,825 | 6 |
| 93005 | Electrocardiogram tracing | $12,709 | 8 |
| 93306 | Tte w/doppler complete | $11,212 | 6 |
| 90460 | Im admin 1st/only component | $4,562 | 52 |
| 97113 | Aquatic therapy/exercises | $3,428 | 1 |
| 96413 | Chemo iv infusion 1 hr | $2,922 | 3 |
| 96372 | Ther/proph/diag inj sc/im | $1,415 | 1 |
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.