Jamestown Medicaid spending on medicine services jumps 69.4% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

In 2024, Jamestown Medicaid providers invoiced $429,976 for Medicine Services and Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represents an increase of 69.4% when compared to 2023, when providers submitted $253,773 in claims for the same service type.

Medicaid is a state-managed health insurance system funded in partnership with federal and state governments. The program insures low-income people and families, seniors, children, and those with disabilities, making it a key part of health care delivery within the United States.

Because taxpayer funding supports Medicaid, changes in local billing levels reflect how public health dollars are distributed locally.

The “Medicine Services and Procedures” classification groups types of care billed to Medicaid using standardized HCPCS and CPT code arrays. To facilitate this analysis, each billing code was allocated to a single category according to consistent code ranges and prefixes. This approach keeps related service types together while accurately ranking claims and eliminating double counting.

Although spending rose for multiple categories, Medicine Services and Procedures represented the third-highest Medicaid payment total in Jamestown for 2024.

Across California, this category was also ranked third in terms of Medicaid payments that year.

Between 2019 and 2024, Jamestown’s Medicaid payments for Medicine Services and Procedures rose by $306,068, or 247%. Spending growth accelerated in certain years, especially during 2020 and 2021, which each showed significant annual increases.

Payments for Medicine Services and Procedures were made across the community, but totals were concentrated in a small set of ZIP codes. In 2024, ZIP code 95327 posted the highest Medicaid payment total for this category in Jamestown, $429,976. This single ZIP code accounted for 100% of Jamestown’s Medicaid expenditures tied to Medicine Services and Procedures.

Additionally, Medicaid payments in this category were centered around a small group of individual billing codes.

For perspective, the 69.4% rise in Jamestown Medicaid payments for this category between 2024 and 2023 compares to a 16% increase across all claim types within the city for the same period.

According to the Centers for Medicare & Medicaid Services, federal and state spending combined for Medicaid reached about $871.7 billion in fiscal year 2023, making up roughly 18% of total national health expenditures. This is up sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This represents a near 40% uptick in just a few years, attributed mainly to higher participation rates and more service utilization during and after the pandemic.

Recent federal budget policies under the Trump administration have proposed notable reductions in federal Medicaid allocations and plans to restructure the program. For instance, the “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the coming decade and implement provisions like work requirements and increased cost sharing that may restrict coverage and funding for certain enrollees. This is projected to shift greater expenses to state governments and curb the rise of federal support, even as Medicaid continues covering tens of millions in the U.S.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $123,907 600.3%
2021 $222,381 79.5%
2022 $243,126 9.3%
2023 $253,772 4.4%
2024 $429,976 69.4%
Top Categories by Medicaid Payments in Jamestown, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $5,376,469 79.3%
2 Procedures / Professional Services $907,679 13.4%
3 Medicine Services and Procedures $429,976 6.3%
4 Evaluation and Management $47,700 0.7%
5 Temporary Codes $13,919 0.2%
6 Medical And Surgical Supplies $3,650 0.1%
7 Pathology and Laboratory Procedures $3,056 <0.1%
8 Drugs Administered Other than Oral Method $362 <0.1%
9 Dental Services $0 <0.1%
9 Surgery $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Jamestown, California, 2024

HCPCS Code Description Medicaid Payments Claims
90999 Unlisted dialysis procedure $425,707 10
96372 Ther/proph/diag inj sc/im $2,912 10
90837 Psytx w pt 60 minutes $1,239 10
97811 Acup 1/> w/o estim ea add 15 $117 10
97026 Infrared therapy $0 10
97810 Acup 1/> wo estim 1st 15 min $0 10
90471 Immunization admin $0 2
90658 Iiv3 vaccine splt 0.5 ml im $0 2
90834 Psytx w pt 45 minutes $0 5

Note: HCPCS codes are listed for context within the category. The article bases its totals and rankings on standardized service categories, not individual billing codes.

Source for this information: U.S. Department of Health and Human Services Medicaid Provider Spending database. Find the underlying data here.



Related

Dr. Mehmet Oz CMS Administrator

Mariposa Medicaid spending for Medicine Services and Procedures reaches $1,186,224 in 2024

In 2024, Medicaid providers in Mariposa billed $1,186,224 for Medicine Services and Procedures, reflecting a 37.3% increase over the prior year.

Dr. Mehmet Oz CMS Administrator

Valley Springs Medicaid Evaluation and Management payments surge to $283,696 in 2024

Medicaid payments for Evaluation and Management services in Valley Springs jumped by 149.8% in 2024, highlighting shifts in health care billing and reimbursements.

Dr. Mehmet Oz CMS Administrator

Sonora Medicaid payments for Medicine Services and Procedures up 2.2% in 2024

In 2024, Medicaid providers in Sonora billed $1,770,396 for Medicine Services and Procedures, reflecting a 2.2% rise from the prior year.

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from Gold Country Today.