Plumas Lake Medicaid billing for medicine services climbs to $21,527 in 2024

In 2024, Medicaid providers in Plumas Lake submitted $21,527 in claims for Medicine Services and Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents an 11.6% rise from 2023, when claims for the same category totaled $19,285.

Medicaid is a state-operated health insurance program funded by both the federal and state governments. It provides coverage for low-income people, seniors, children, and those with disabilities, making it one of the key components of U.S. health care.

Because taxpayer funds support Medicaid payments, fluctuations in local billing indicate how public health care resources are distributed within a community.

The “Medicine Services and Procedures” group encompasses a range of Medicaid-billed services defined by type of care, with standardized HCPCS and CPT code groupings. To conduct this analysis, each code was categorized by using consistent code prefixes and number ranges, ensuring related services were grouped together while preventing duplicate counts and maintaining precise rankings across years.

Though Medicaid spending rose in several service areas, Medicine Services and Procedures represented the highest total Medicaid payments in Plumas Lake for 2024.

Statewide in California, Medicine Services and Procedures was the third-largest category for Medicaid payments during 2024.

Over the five years before 2024, Medicaid payments linked to the Medicine Services and Procedures category in Plumas Lake increased by $21,527, or 0%. Periods of accelerated spending growth occurred, particularly in 2023 and 2022, when notable year-over-year increases were observed.

Spending for Medicine Services and Procedures was spread across the city, but most payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 95961 accounted for $21,526 in Medicaid payments for the category. This single ZIP code represented 100% of the category’s Medicaid payments in Plumas Lake for the year.

Within this category, Medicaid expenditures centered around a limited set of individual billing codes.

For context, Medicaid payments for Medicine Services and Procedures in Plumas Lake increased by 11.6% from 2023 to 2024. Across all Medicaid claim categories in the city, the increase during this same period was 8.2%.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, making up approximately 18% of total national health spend, up significantly from $613.5 billion in 2019, before the COVID-19 pandemic.

This reflects an increase of about 40% over several years, mainly due to expanded enrollment and greater use of services during and after the pandemic period.

Major federal budget legislation under the Trump administration has included proposals to cut federal Medicaid funding and change the program’s structure. The “One Big Beautiful Bill Act,” signed in 2025, is projected to reduce federal Medicaid outlays by more than $1 trillion over 10 years. It introduces work requirements and higher cost-sharing, changes expected to limit coverage and shift more program costs to states, even as Medicaid continues covering tens of millions of Americans.

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.