In 2024, Medicaid providers in Castro Valley billed a total of $2,719,735 for Medicine Services and Procedures, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 31.3% increase from 2023, when claims for the same category came to $2,071,147.
Medicaid, run by each state and financed through federal and state governments working together, provides coverage for seniors, children, people with disabilities, and low-income families, making it a central element of the U.S. health care landscape.
Because Medicaid is funded by taxpayers, changing local payment levels reveal how a community’s public health dollars are distributed.
The Medicine Services and Procedures category represents a selection of Medicaid-billed care types defined by standardized HCPCS and CPT coding ranges. For this report, each billing code was matched to one service group based on range and prefix rules, ensuring related services were grouped for analysis while preventing overlap and ensuring consistency in rankings over time.
While Medicaid expenses rose across several service categories, Medicine Services and Procedures stood as the second-largest by payment amount in Castro Valley during 2024.
On a statewide basis, California ranked the Medicine Services and Procedures category third by total Medicaid payments in 2024.
Examining the five-year trend leading up to 2024, Castro Valley’s Medicaid payments for Medicine Services and Procedures grew by $1,900,654, or 232%. The rate of increase accelerated in certain years, with sharp year-over-year gains seen in both 2023 and 2021.
Though patients in all parts of the city received services in this category, most Medicaid payments were concentrated within specific ZIP codes. In 2024, ZIP code 94546 accounted for $2,719,734, representing 100% of these Medicaid payments in Castro Valley for that year.
Medicaid payments within the Medicine Services and Procedures group were also focused on a limited set of billing codes.
Comparatively, Medicaid payments for Medicine Services and Procedures grew by 31.3% between 2024 and 2023, while total Medicaid claims across all categories in Castro Valley changed by 5.9% in the same time frame.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined reached about $871.7 billion in fiscal year 2023, making up roughly 18% of all national health spending—a significant jump from approximately $613.5 billion in 2019 before the COVID-19 pandemic.
This rise is an increase of around 40% in just several years, mainly resulting from higher enrollment numbers and increased usage during and after the pandemic.
Recent federal budget bills enacted during the Trump administration included substantial measures to cut federal support for Medicaid and restructure the program. The “One Big Beautiful Bill Act,” passed into law in 2025, is expected to reduce federal Medicaid spending by over $1 trillion through the next decade, adding work requirements and more cost-sharing, which could impact both enrollment and state-level costs as federal growth becomes more limited, while tens of millions still depend on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $819,080 | -25.7% |
| 2021 | $1,047,013 | 27.8% |
| 2022 | $1,125,632 | 7.5% |
| 2023 | $2,071,147 | 84% |
| 2024 | $2,719,734 | 31.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $4,579,377 | 34.5% |
| 2 | Medicine Services and Procedures | $2,719,734 | 20.5% |
| 3 | Radiology Procedures | $2,087,526 | 15.7% |
| 4 | Pathology and Laboratory Procedures | $2,016,652 | 15.2% |
| 5 | Temporary Codes | $871,995 | 6.6% |
| 6 | Drugs Administered Other than Oral Method | $303,901 | 2.3% |
| 7 | Procedures / Professional Services | $242,731 | 1.8% |
| 8 | Anesthesia | $191,680 | 1.4% |
| 9 | National Codes Established for State Medicaid Agencies | $132,015 | 1% |
| 10 | Surgery | $75,995 | 0.6% |
| 11 | Dental Services | $42,427 | 0.3% |
| 12 | Administrative, Miscellaneous and Investigational | $10,111 | 0.1% |
| 13 | Medical And Surgical Supplies | $4,239 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90999 | Unlisted dialysis procedure | $968,255 | 11 |
| 96374 | Ther/proph/diag inj iv push | $338,692 | 12 |
| 96375 | Tx/pro/dx inj new drug addon | $209,253 | 12 |
| 93005 | Electrocardiogram tracing | $172,398 | 12 |
| 96361 | Hydrate iv infusion add-on | $135,148 | 12 |
| 96365 | Ther/proph/diag iv inf init | $117,440 | 12 |
| 95004 | Perq tests w/alrgnc xtrcs | $107,015 | 12 |
| 96372 | Ther/proph/diag inj sc/im | $97,116 | 12 |
| 92508 | Tx sp lang voice comm group | $82,403 | 10 |
| 93306 | Tte w/doppler complete | $71,918 | 24 |
| 96360 | Hydration iv infusion init | $64,547 | 10 |
| 93971 | Extremity study | $43,725 | 11 |
| 95144 | Antigen therapy services | $37,832 | 11 |
| 97110 | Therapeutic exercises | $26,825 | 18 |
| 96158 | Hlth bhv ivntj indiv 1st 30 | $23,157 | 9 |
| 93010 | Electrocardiogram report | $19,606 | 124 |
| 97530 | Therapeutic activities | $19,390 | 11 |
| 96130 | Psycl tst eval phys/qhp 1st | $18,406 | 4 |
| 94010 | Breathing capacity test | $15,553 | 12 |
| 97140 | Manual therapy 1/> regions | $14,388 | 15 |
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.
