Procedures / Professional Services Medicaid payments reach $27,949 in Delhi for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Delhi Medicaid providers billed $27,949 in 2024 for services cataloged under Procedures / Professional Services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount is a 61.4% increase over 2023, when claims for the same category totaled $17,320.

Medicaid is a government health insurance program operated by states and funded through a partnership between federal and state governments. This program provides coverage primarily for low-income individuals and families, children, seniors, and people living with disabilities, making it a substantial component of the national health care system.

As Medicaid is taxpayer funded, shifts in local payment amounts illustrate how public health care spending is distributed within a community.

The Procedures / Professional Services designation includes a range of services billed through Medicaid, categorized by type of care provided and organized via specific HCPCS and CPT codes. For this analysis, billing codes were matched to service categories by prefixes and number spans, facilitating aggregate tracking and accurate service rankings without double counting.

Medicaid outlays increased in several categories, with Procedures / Professional Services ranking fourth in total payments for Delhi in 2024.

Statewide in California, Procedures / Professional Services stood as the sixth-highest category by payment amount for Medicaid in 2024.

From 2020 through 2024, Medicaid payments for Procedures / Professional Services in Delhi totaled $27,949, reflecting no net percentage growth during that period. However, spending rose more sharply in specific years, notably with substantial yearly increases in 2023 and 2022.

While procedures and professional services payments were made throughout the city, most were concentrated in a small number of ZIP codes. In 2024, ZIP code 95315 registered $27,949 in Medicaid payments for the category, accounting for the entirety of such spending in Delhi that year.

A significant share of the category’s overall Medicaid payments came from just a few distinct billing codes.

Comparing categories, Procedures / Professional Services Medicaid payments in Delhi grew by 61.4% from 2023 to 2024, versus a 47.2% rise across all Medicaid claims in the city during that span.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenses reached about $871.7 billion in the 2023 fiscal year, representing nearly 18% of U.S. health expenditures, up significantly from $613.5 billion in 2019 before the COVID-19 pandemic.

This growth equals an increase of about 40% in several years, driven mainly by expanded enrollment and higher use of services during and following the pandemic.

Federal budgets enacted under the Trump administration have featured notable proposals to reduce Medicaid funding and change its structure. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to cut federal Medicaid funding by more than $1 trillion over the next decade and establishes new requirements like work conditions and higher beneficiary cost-sharing. These adjustments are likely to increase states’ financial responsibility and curb the growth of federal Medicaid contributions, although the program continues to assist tens of millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $0
2021 $3,459
2022 $1,452 -58%
2023 $17,320 1092.6%
2024 $27,949 61.4%
Top Categories by Medicaid Payments in Delhi, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $146,311 44.3%
2 Evaluation and Management $100,336 30.4%
3 Medicine Services and Procedures $49,708 15%
4 Procedures / Professional Services $27,949 8.5%
5 Pathology and Laboratory Procedures $6,081 1.8%
6 Dental Services $0 <0.1%
Top 20 HCPCS Codes Within the Procedures / Professional Services Category in Delhi, California, 2024

HCPCS Code Description Medicaid Payments Claims
G9920 Scrning perf and negative $27,949 20
G8752 Sys bp less 140 $0 4
G8754 Dias bp less 90 $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.



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