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.
| 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% |
| 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% |
| 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.
