Tipton sees $29,040 in Medicaid payments for Medicine Services and Procedures in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Tipton reported $29,040 in claims for services within the Medicine Services and Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. That figure reflects a 118.1% increase over the previous year, when providers billed $13,318 for the same category of service.

Medicaid is a state-operated public health insurance program funded cooperatively by federal and state governments. The program offers coverage for low-income individuals and families, children, seniors and people with disabilities, making it a key component of the U.S. health care landscape.

As Medicaid payments represent taxpayer funds, fluctuations in local billing reveal shifts in how public health resources are distributed within communities.

The “Medicine Services and Procedures” category includes a set of Medicaid-billed services characterized by the type of care provided, which is based on standardized HCPCS and CPT code groupings. For this data review, billing codes were grouped by consistent code prefixes and numeric ranges, helping track related services over time without double counting and ensuring valid rankings.

Alongside increases observed in other service groupings, Medicine Services and Procedures stood as the third largest Medicaid payment category in Tipton for 2024.

Across California during the same year, Medicine Services and Procedures also ranked third statewide in total Medicaid payments.

Examining the five-year span through 2024, Medicaid payments to the Medicine Services and Procedures category in Tipton rose $28,186—an increase of 3302.2%. Several years saw rapid growth, with particularly strong annual increases documented in both 2023 and 2022.

Spending for the Medicine Services and Procedures category was spread throughout the city, but confined primarily to specific ZIP codes. In 2024, ZIP code 93272 registered $29,040 in Medicaid payments for this category. The top single ZIP code comprised 100% of all such Medicaid payments in Tipton for the year.

A small set of billing codes represented the majority of the Medicaid payment volume in the Medicine Services and Procedures category.

By comparison, the 118.1% growth rate in Tipton’s Medicaid payments for Medicine Services and Procedures from 2023 to 2024 far outpaced the 2.4% change seen across all claim categories in the city during the same period.

Data from the Centers for Medicare & Medicaid Services show that combined federal and state Medicaid expenditures reached an estimated $871.7 billion during fiscal year 2023, accounting for around 18% of all national health care spending—up significantly from about $613.5 billion in 2019, before the COVID-19 pandemic.

The growth represents about a 40% increase within a relatively few years, largely attributable to expanded enrollment and increased utilization in the pandemic’s aftermath.

Major federal budget legislation during the Trump administration included several proposals for reducing federal Medicaid support and restructuring aspects of the program. As an example, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over 10 years. The law also implements measures like work requirements and greater cost-sharing, which may limit funding and coverage for certain Medicaid recipients. These adjustments are expected to transfer more costs to states while limiting growth in federal Medicaid payments, even as the program remains a vital source of care for millions of Americans.

Medicaid Payments Tied to Medicine Services and Procedures in Tipton, California Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $853 -92.2%
2021 $1,121 31.3%
2022 $2,140 90.9%
2023 $13,318 522.3%
2024 $29,040 118.1%
Top Categories by Medicaid Payments in Tipton, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $2,106,027 83.3%
2 Evaluation and Management $382,400 15.1%
3 Medicine Services and Procedures $29,040 1.1%
4 Pathology and Laboratory Procedures $10,343 0.4%
5 Procedures / Professional Services $1,726 0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Tipton, California, 2024

HCPCS Code Description Medicaid Payments Claims
92552 Pure tone audiometry air $11,518 34
96160 Pt-focused hlth risk assmt $10,559 36
94760 N-invas ear/pls oximetry 1 $3,506 38
96127 Brief emotional/behav assmt $2,560 38
96110 Developmental screen w/score $360 3
93000 Electrocardiogram complete $344 1
90656 Iiv3 vacc no prsv 0.5 ml im $191 2

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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