El Monte Medicaid billings for Procedures / Professional Services reach $873,239 in 2024

In 2024, Medicaid providers in El Monte submitted $873,239 in claims for services within the Procedures / Professional Services category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 62.5% increase from 2023, when providers reported $537,485 for these services.

Medicaid is a public health insurance program managed at the state level and funded with contributions from federal and state governments. It delivers coverage to eligible low-income families and individuals, including seniors, children, and people with disabilities, making it a major element of the U.S. health care landscape.

Because Medicaid expenditures are financed by taxpayers, trends in local billing shed light on how public health care funds are used in a specific area.

The “Procedures / Professional Services” grouping comprises Medicaid claims defined by care type, structured around standardized HCPCS and CPT code sets. Billed codes in this analysis were each mapped to one service category using uniform prefixes and numerical ranges, enabling the grouping of similar services and reducing duplicate counts for clearer annual comparisons.

While spending under multiple Medicaid-covered service categories grew, Procedures / Professional Services placed sixth by overall Medicaid payments in El Monte in 2024.

Across California, the Procedures / Professional Services grouping was also the sixth highest in Medicaid payments in 2024.

Over the five-year period before 2024, Medicaid payments for this category in El Monte rose by $474,426, a jump of 119%. Growth in spending was especially marked during periods such as 2021 and 2020, which saw particularly rapid gains.

Although funding for Procedures / Professional Services spanned several neighborhoods, the majority of payments were highly concentrated in a few ZIP codes. For 2024, ZIP code 91731 accounted for $866,977, 91732 for $6,108, and 91733 for $152. Collectively, these top 3 ZIP codes represented 100% of payments in this service category in El Monte for the year.

Spending within the Procedures / Professional Services category also focused around a small set of specific billing codes.

In comparison, Medicaid billings for Procedures / Professional Services in El Monte climbed 62.5% between 2024 and 2023, while the citywide change across all Medicaid categories was 26.7% for the same interval.

The Centers for Medicare & Medicaid Services reported that national Medicaid spending, including state and federal contributions, hit approximately $871.7 billion in fiscal 2023. This equaled about 18% of all national health expenditures, a steep increase from nearly $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This increase equates to approximately 40% growth over a short period, largely the result of greater enrollment and higher service usage throughout and following the pandemic.

Recent federal budget actions under the Trump administration have featured major proposals to reduce Medicaid allocations and amend program structures. One example, the “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid spending by more than $1 trillion over the next 10 years, adding measures such as work requirements and increased cost-sharing that may restrict coverage and financial support for various populations. These changes are projected to shift more responsibility for funding to states, while scaling back federal support even as Medicaid remains a critical safety-net for millions.

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.