Dos Palos sees $2,527 in Medicaid payments for Procedures / Professional Services in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Dos Palos billed $2,527 for services under the Procedures / Professional Services category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That figure represents a 131.6% increase over 2023, when claims for the same category totaled $1,091.

Medicaid is a public health insurance program operated at the state level and is jointly financed by federal and state governments. It provides health coverage for low-income individuals and families, seniors, children, and people with disabilities, making it a key part of the nation’s health care system.

Since Medicaid payments are taxpayer-funded, shifts in local billing reflect community allocation of public health care resources.

The Procedures / Professional Services classification covers a collection of Medicaid-billed services defined by the nature of the care delivered, organized using standardized HCPCS and CPT code groupings. To conduct this analysis, billing codes were allocated to specific service categories by code prefixes and number ranges, ensuring related services are grouped and comparisons remain accurate over time without double counting.

While overall Medicaid spending went up across multiple service areas, Procedures / Professional Services was the fourth-largest category by total Medicaid payments in Dos Palos for 2024.

Across California, Procedures / Professional Services was the sixth-leading category in total Medicaid payments in 2024.

Between 2019 and 2024, Dos Palos saw Medicaid payments for the Procedures / Professional Services category rise by $1,946, or 335.2%. Growth in spending accelerated at points, including notable annual increases in 2021 and 2020.

Spending for Procedures / Professional Services was citywide, but a small group of ZIP codes saw the highest concentration of payments. In 2024, ZIP code 93620 accounted for all $2,527 in Medicaid payments in this category—representing 100% of Procedures / Professional Services Medicaid spending in Dos Palos that year.

Within the Procedures / Professional Services group, the majority of Medicaid payments were focused on a limited number of billing codes.

For context, the 131.6% increase in Procedures / Professional Services Medicaid payments in Dos Palos from 2023 to 2024 outpaced the 14.9% rise across all Medicaid claim categories in the city for the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid payments reached about $871.7 billion in fiscal year 2023, making up roughly 18% of U.S. health spending—a sharp increase from about $613.5 billion in 2019, before the COVID-19 pandemic.

This overall rise marks about 40% growth in a few years, mainly due to greater enrollment and service use during and following the pandemic.

Recent federal budget actions under the Trump administration have involved major proposals to decrease federal Medicaid funding and change the program’s structure. For instance, the “One Big Beautiful Bill Act,” which became law in 2025, is set to reduce federal Medicaid spending by over $1 trillion over the next 10 years and introduce work requirements along with higher cost-sharing that could cut coverage and funding for some. As a result, states are expected to bear a larger share of costs and experience more limited federal Medicaid growth, while the program continues to serve tens of millions nationwide.

Medicaid Payments Tied to Procedures / Professional Services in Dos Palos, California Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $580 130.3%
2021 $4,009 590.4%
2022 $2,219 -44.7%
2023 $1,091 -50.8%
2024 $2,527 131.6%
Top Categories by Medicaid Payments in Dos Palos, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $861,964 93.8%
2 Medicine Services and Procedures $34,444 3.7%
3 Evaluation and Management $19,401 2.1%
4 Procedures / Professional Services $2,527 0.3%
5 Medical And Surgical Supplies $487 0.1%
6 Pathology and Laboratory Procedures $74 <0.1%
Top 20 HCPCS Codes Within the Procedures / Professional Services Category in Dos Palos, California, 2024

HCPCS Code Description Medicaid Payments Claims
G0511 Ccm/bhi by rhc/fqhc 20min mo $1,391 10
G0447 Behavior counsel obesity 15m $1,135 3

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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