Medicaid payments for non-oral drug administration in South El Monte reach $48,077 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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South El Monte’s Medicaid providers invoiced $48,077 for Drugs Administered Other than Oral Method services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents an increase of 17.2% from 2023, when providers billed $41,024 for identical services.

Medicaid is a government health insurance initiative that is funded jointly by state and federal governments. The program serves low-income families and individuals, seniors, children and people with disabilities, making it one of the largest segments of the U.S. health care system.

Because public funds support Medicaid, fluctuations in community billing reveal how local health care spending is directed and utilized.

The “Drugs Administered Other than Oral Method” classification denotes a group of claims determined by specific care types, using standardized HCPCS and CPT code groupings. This review assigned each billing code to a single service class through consistent code prefixes and defined numeric ranges, grouping related care for analysis and preventing duplicate counts.

Several Medicaid service categories showed increased expenditures, with Drugs Administered Other than Oral Method holding the ninth-highest spot by total Medicaid payments within South El Monte in 2024.

On a broader scale, this care category was 14th among total Medicaid payment categories in California for 2024.

From 2019 to 2024, South El Monte saw Medicaid payments for Drugs Administered Other than Oral Method grow by $27,851, a jump of 137.7%. Notable surges occurred during certain intervals, especially 2022 and 2023.

Within the city, spending for this category was distributed but was primarily aggregated within a small number of ZIP codes. For 2024, the ZIP code 91733 registered the highest amount—$48,076—in Medicaid payments linked to these services. As a result, the top ZIP code accounted for all Medicaid funds directed at this category in South El Monte that year.

Spending in this service area was further focused among select billing codes inside the Drugs Administered Other than Oral Method grouping.

By comparison, Medicaid expenditures connected to this category increased by 17.2% from 2023 to 2024, while, for all Medicaid service classes in South El Monte, payments shifted by 34.6% over the same period.

According to the Centers for Medicare & Medicaid Services, combined Medicaid spending by states and the federal government was about $871.7 billion in fiscal 2023, comprising roughly 18% of national health spending. This figure marks an increase from roughly $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This change equates to nearly 40% growth over a few years, largely due to elevated enrollment and heightened service utilization during and post-pandemic.

Recent federal budget actions during the Trump administration advanced significant initiatives to decrease federal Medicaid contributions and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid allocations by over $1 trillion over the ensuing decade. The law implements work requirements and increased cost-sharing measures, moves that may decrease benefits for some enrollees and restrict future funding growth, potentially shifting more financial responsibility onto states even as the program continues to cover tens of millions nationwide.

Medicaid Payments Tied to Drugs Administered Other than Oral Method in South El Monte, California Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $20,226 -75.9%
2021 $23,191 14.7%
2022 $34,473 48.6%
2023 $41,023 19%
2024 $48,076 17.2%
Top Categories by Medicaid Payments in South El Monte, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $1,629,088 37%
2 Temporary National Codes (Non-Medicare) $796,625 18.1%
3 Anesthesia $430,492 9.8%
4 Radiology Procedures $391,692 8.9%
5 Ambulance and Other Transport Services and Supplies $390,174 8.9%
6 Alcohol and Drug Abuse Treatment $387,207 8.8%
7 Pathology and Laboratory Procedures $168,247 3.8%
8 Evaluation and Management $100,986 2.3%
9 Drugs Administered Other than Oral Method $48,076 1.1%
10 Dental Services $37,620 0.9%
11 Procedures / Professional Services $14,463 0.3%
12 Temporary Codes $1,563 <0.1%
13 Medical And Surgical Supplies $1,189 <0.1%
14 Surgery $339 <0.1%
Top 20 HCPCS Codes Within the Drugs Administered Other than Oral Method Category in South El Monte, California, 2024

HCPCS Code Description Medicaid Payments Claims
J1756 Iron sucrose injection $12,037 16
J7030 Normal saline solution infus $7,700 11
J3490 Drugs unclassified injection $6,042 11
J1885 Ketorolac tromethamine inj $5,310 11
J2270 Morphine sulfate injection $2,576 11
J2405 Ondansetron hcl injection $2,363 11
J0696 Ceftriaxone sodium injection $2,264 11
J1815 Insulin injection $1,379 9
J2765 Metoclopramide hcl injection $1,124 11
J0887 Epoetin beta esrd use $1,108 20
J1100 Dexamethasone sodium phos $1,102 11
J7060 5% dextrose/water $1,090 9
J2060 Lorazepam injection $712 9
J1200 Diphenhydramine hcl injectio $648 8
J7040 Normal saline solution infus $563 10
J7613 Albuterol non-comp unit $506 11
J1644 Inj heparin sodium per 1000u $451 13
J2919 Inj, methylpred sod succ 5mg $368 6
J2930 Methylprednisolone injection $316 3
J2470 Inj pantoprazole sodium 40mg $271 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.



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