Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Medicaid providers in Culver City billed $6,249,246 for Procedures / Professional Services in 2024. This represents a 19.3% rise from 2023, when billings for the same category totaled $5,237,542.
Medicaid, a public health insurance program managed by states and funded in partnership by federal and state governments, serves low-income individuals and families, seniors, children, and people with disabilities. It is one of the main elements of the U.S. health care system.
Because Medicaid is taxpayer funded, fluctuations in billing locally help indicate how community health care resources are allocated.
The “Procedures / Professional Services” group includes Medicaid-billed services categorized by care type, as identified by standardized HCPCS and CPT code sets. For this review, each billing code was placed into a single service group based on code prefixes and numeric sequences, which enabled grouping of related services, accurate ranking over time, and prevented double counting.
In 2024, Procedures / Professional Services was the second-highest Medicaid payment category in Culver City.
Across California, Procedures / Professional Services ranked sixth for total Medicaid payments in 2024.
During the five years leading up to 2024, Culver City Medicaid payments for Procedures / Professional Services increased by $1,501,980, or 31.6%. Certain time periods saw accelerated growth, with significant year-over-year gains occurring in 2023 and 2020.
Payment distribution citywide for Procedures / Professional Services was concentrated in a small number of ZIP codes. In 2024, the largest amounts were recorded in ZIP code 90230, with $5,801,810, and in ZIP code 90232 at $447,435. Together, these 2 ZIP codes accounted for all Medicaid billings tied to Procedures / Professional Services in the city that year.
A limited number of individual billing codes also received the majority of Medicaid Procedure / Professional Services payments.
To compare, the citywide increase of 19.3% for Procedures / Professional Services from 2023 to 2024 outpaced the 17.9% gain seen across all Medicaid payment categories during the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, making up approximately 18% of nationwide health spending. That figure was sharply higher than the $613.5 billion reported in 2019 before the COVID-19 pandemic.
This reflects a roughly 40% jump in a few years, mostly attributed to higher enrollment and greater use during and after the pandemic.
Recent federal budget laws under the Trump administration have featured major proposals that would decrease federal Medicaid support and revise the system. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to reduce federal Medicaid spending by more than $1 trillion over the next decade and sets forth changes such as work requirements and increased cost-sharing. These shifts could reduce access or funding for some users and are expected to transfer more costs to states while limiting federal spending increases, though the program continues to serve tens of millions nationally.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $4,747,266 | 30.7% |
| 2021 | $3,739,525 | -21.2% |
| 2022 | $2,324,625 | -37.8% |
| 2023 | $5,237,541 | 125.3% |
| 2024 | $6,249,246 | 19.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $8,389,650 | 23.6% |
| 2 | Procedures / Professional Services | $6,249,246 | 17.6% |
| 3 | Temporary National Codes (Non-Medicare) | $5,463,649 | 15.4% |
| 4 | Medicine Services and Procedures | $4,631,179 | 13% |
| 5 | Alcohol and Drug Abuse Treatment | $4,137,483 | 11.7% |
| 6 | Evaluation and Management | $2,909,498 | 8.2% |
| 7 | Medical And Surgical Supplies | $1,558,573 | 4.4% |
| 8 | Enteral and Parenteral Therapy | $561,804 | 1.6% |
| 9 | Dental Services | $519,462 | 1.5% |
| 10 | Surgery | $341,114 | 1% |
| 11 | Durable Medical Equipment | $240,578 | 0.7% |
| 12 | Ambulance and Other Transport Services and Supplies | $142,678 | 0.4% |
| 13 | Temporary Codes | $136,509 | 0.4% |
| 14 | Drugs Administered Other than Oral Method | $79,583 | 0.2% |
| 15 | Hearing Services | $55,383 | 0.2% |
| 16 | Anesthesia | $34,500 | 0.1% |
| 17 | Pathology and Laboratory Procedures | $22,981 | 0.1% |
| 18 | Vision Services | $16,737 | <0.1% |
| 19 | Radiology Procedures | $7,761 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G0300 | Hhs/hospice of lpn ea 15 min | $2,177,115 | 11 |
| G9149 | Medical home level ii | $1,175,700 | 11 |
| G9150 | Medical home level iii | $1,040,772 | 11 |
| G0299 | Hhs/hospice of rn ea 15 min | $667,224 | 10 |
| G9012 | Other specified case mgmt | $456,332 | 35 |
| G2212 | Prolong outpt/office vis | $368,321 | 6 |
| G9148 | Medical home level 1 | $354,673 | 10 |
| G0162 | Hhc rn e&m plan svs, 15 min | $8,203 | 10 |
| G9920 | Scrning perf and negative | $716 | 12 |
| G0447 | Behavior counsel obesity 15m | $122 | 18 |
| G2211 | Complex e/m visit add on | $64 | 1 |
| G9008 | Mccd,phys coor-care ovrsght | $0 | 1 |
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.
