In 2024, Medicaid providers in Vista submitted $2,955,853 in claims for services within the Medicine Services and Procedures category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 0.2% rise when compared to 2023, when billed claims for the same services totaled $2,949,121.
Medicaid is a government-sponsored health insurance initiative overseen at the state level and funded through a partnership between state and federal governments. The program provides coverage for low-income Americans, seniors, children, and people with disabilities, making it one of the principal components of the nation’s health care framework.
As Medicaid is financed by taxpayers, shifts in billing at the local level reflect how public health funding is dispersed in a particular community.
The “Medicine Services and Procedures” category encompasses a range of Medicaid-billed services, defined by their care types and grouped using standardized HCPCS and CPT codes. For this report, each billing code was categorized into a single service group using set code prefixes and number ranges, ensuring related services could be evaluated together without duplication and that service rankings remained accurate over time.
Even though Medicaid spending went up in several service categories, Medicine Services and Procedures was the second-largest category by total Medicaid payments in Vista for 2024.
Statewide in California, the Medicine Services and Procedures category was ranked third in terms of total Medicaid payments in 2024.
From five years prior to 2024, Vista’s Medicaid payments for Medicine Services and Procedures grew by $884,341, or 42.7%. Periods of accelerated growth were seen, notably with larger year-over-year increases in 2023 and 2021.
Although services under Medicine Services and Procedures were provided across the city, the bulk of payments were attributed to a handful of ZIP codes. During 2024, ZIP code 92084 led with $1,423,113, followed by 92081 at $1,159,360, and 92083 with $373,378. These top 3 ZIP codes together represented 100% of Medicaid payments in this category for Vista in the year.
Medicaid payments for Medicine Services and Procedures also tended to be focused on a relatively small set of billing codes.
To compare, Medicaid payments in Vista associated with the Medicine Services and Procedures category rose 0.2% from 2023 to 2024, while overall Medicaid claims in the city changed by 5% during that same timeframe.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached an estimated $871.7 billion for fiscal year 2023 and made up about 18% of the nation’s total health spending. This figure was a notable jump from $613.5 billion in 2019, before the COVID-19 pandemic.
This growth reflects an increase of nearly 40% in the span of several years, largely driven by expanded enrollment and heightened utilization tied to the pandemic and its aftermath.
Recent federal budget measures under the Trump administration included major recommendations to cut federal Medicaid funding and restructure the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim more than $1 trillion from federal Medicaid costs over the next decade and implement policies such as work requirements and higher cost sharing that could potentially limit coverage and funding for select beneficiaries. The resulting adjustments are projected to transfer greater costs to states and restrain the growth of federal Medicaid support, even as the program continues to cover millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,071,511 | -18.3% |
| 2021 | $2,270,201 | 9.6% |
| 2022 | $2,181,469 | -3.9% |
| 2023 | $2,949,121 | 35.2% |
| 2024 | $2,955,853 | 0.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $18,802,251 | 58.1% |
| 2 | Medicine Services and Procedures | $2,955,853 | 9.1% |
| 3 | Temporary National Codes (Non-Medicare) | $2,404,096 | 7.4% |
| 4 | Procedures / Professional Services | $1,550,036 | 4.8% |
| 5 | Evaluation and Management | $1,345,469 | 4.2% |
| 6 | Anesthesia | $1,282,650 | 4% |
| 7 | Alcohol and Drug Abuse Treatment | $1,225,210 | 3.8% |
| 8 | Dental Services | $1,110,939 | 3.4% |
| 9 | Medical And Surgical Supplies | $703,425 | 2.2% |
| 10 | Pathology and Laboratory Procedures | $409,998 | 1.3% |
| 11 | Ambulance and Other Transport Services and Supplies | $300,632 | 0.9% |
| 12 | Drugs Administered Other than Oral Method | $88,179 | 0.3% |
| 13 | Vision Services | $84,613 | 0.3% |
| 14 | Surgery | $69,123 | 0.2% |
| 15 | Durable Medical Equipment | $6,106 | <0.1% |
| 16 | Orthotic Procedures and services | $615 | <0.1% |
| 17 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 17 | Radiology Procedures | $0 | <0.1% |
| 17 | Screening Procedures | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90999 | Unlisted dialysis procedure | $1,094,189 | 11 |
| 92508 | Tx sp lang voice comm group | $450,351 | 10 |
| 90837 | Psytx w pt 60 minutes | $238,174 | 38 |
| 96130 | Psycl tst eval phys/qhp 1st | $181,893 | 9 |
| 90834 | Psytx w pt 45 minutes | $127,302 | 103 |
| 96158 | Hlth bhv ivntj indiv 1st 30 | $105,070 | 14 |
| 95004 | Perq tests w/alrgnc xtrcs | $86,714 | 13 |
| 92014 | Compre oph exam est pt 1/> | $82,131 | 96 |
| 93306 | Tte w/doppler complete | $54,792 | 11 |
| 92340 | Fit spectacles monofocal | $53,055 | 42 |
| 90791 | Psych diagnostic evaluation | $42,678 | 43 |
| 92004 | Compre oph exam new pt 1/> | $39,896 | 40 |
| 92507 | Tx sp lang voice comm indiv | $39,714 | 9 |
| 92523 | Speech sound lang comprehen | $39,250 | 8 |
| 90832 | Psytx w pt 30 minutes | $34,687 | 99 |
| 90792 | Psych diag eval w/med srvcs | $25,390 | 27 |
| 95144 | Antigen therapy services | $24,389 | 2 |
| 95117 | Immunotherapy injections | $22,049 | 23 |
| 95165 | Antigen therapy services | $22,005 | 1 |
| 90847 | Family psytx w/pt 50 min | $21,983 | 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.
