In 2024, Medicaid providers in La Quinta billed $3,203,826 for services listed under the Procedures / Professional Services category, using data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflects an increase of 42.6% compared to 2023, when providers billed $2,246,241 for these services.
Medicaid is administered by the states and is funded by both federal and state governments. It serves low-income individuals, seniors, children, families, and those with disabilities, making it one of the primary programs within the U.S. health care system.
Since Medicaid payments are publicly funded, fluctuations in local billing reflect how public health care funds are distributed in a specific community.
The “Procedures / Professional Services” category encompasses a range of Medicaid-billed services, organized by the type of care delivered and defined by standardized HCPCS and CPT codes. In this analysis, each billing code is assigned to a single category by code prefix and range, enabling grouping of similar services for analysis, preventing double counting, and allowing for accurate yearly comparisons.
While payments increased for several service categories, Procedures / Professional Services was the second-highest category for total Medicaid payments in La Quinta in 2024.
Among California statewide Medicaid spending, Procedures / Professional Services ranked sixth overall by total payments in 2024.
During the five-year span ending in 2024, payments associated with Procedures / Professional Services in La Quinta rose by $2,663,008—a 492.4% increase. Certain years, including 2023 and 2020, saw especially large annual spending gains.
The distribution of spending in Procedures / Professional Services was concentrated in only a few ZIP codes. For 2024, ZIP code 92253 represented $3,203,826 in billed Medicaid payments for this category. The top ZIP code in La Quinta accounted for 100% of all Medicaid expenditures for Procedures / Professional Services that year.
Spending within this category was also focused among just a few billing codes.
When comparing growth rates, La Quinta’s Procedures / Professional Services Medicaid payments rose 42.6% from 2024 to 2023, while all Medicaid claim categories in the city increased by 19.9% over the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays totaled about $871.7 billion in fiscal year 2023, or approximately 18% of the nation’s total health care spending—a significant jump from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth is about 40% over a few years, mostly driven by wider enrollment and higher care use during and following the pandemic.
Recent federal budget actions under the Trump administration included substantial initiatives to trim Medicaid spending and revise the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over 10 years while adding measures such as work requirements and greater cost-sharing that may affect coverage for some recipients. These modifications are expected to transfer more financial responsibility to states and reduce the potential for further federal funding growth, even as Medicaid continues to serve tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $540,818 | 206.5% |
| 2021 | $200,686 | -62.9% |
| 2022 | $586,394 | 192.2% |
| 2023 | $2,246,240 | 283.1% |
| 2024 | $3,203,826 | 42.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $4,736,047 | 35.5% |
| 2 | Procedures / Professional Services | $3,203,826 | 24% |
| 3 | Evaluation and Management | $1,998,576 | 15% |
| 4 | Temporary National Codes (Non-Medicare) | $1,303,499 | 9.8% |
| 5 | Alcohol and Drug Abuse Treatment | $941,884 | 7.1% |
| 6 | Surgery | $513,381 | 3.9% |
| 7 | Drugs Administered Other than Oral Method | $280,087 | 2.1% |
| 8 | Dental Services | $210,282 | 1.6% |
| 9 | Radiology Procedures | $63,143 | 0.5% |
| 10 | National Codes Established for State Medicaid Agencies | $54,345 | 0.4% |
| 11 | Pathology and Laboratory Procedures | $19,243 | 0.1% |
| 12 | Medical And Surgical Supplies | $244 | <0.1% |
| 13 | Coronavirus Diagnostic Panel | $0 | <0.1% |
| 13 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G0300 | Hhs/hospice of lpn ea 15 min | $3,103,457 | 12 |
| G2211 | Complex e/m visit add on | $48,992 | 11 |
| G0447 | Behavior counsel obesity 15m | $29,533 | 16 |
| G0162 | Hhc rn e&m plan svs, 15 min | $10,568 | 8 |
| G0299 | Hhs/hospice of rn ea 15 min | $7,800 | 3 |
| G0442 | Annual alcohol screen 15 min | $2,972 | 4 |
| G9920 | Scrning perf and negative | $456 | 36 |
| G2012 | Brief check in by md/qhp | $24 | 6 |
| G8510 | Scr dep neg, no plan reqd | $21 | 20 |
| G8431 | Pos clin depres scrn f/u doc | $0 | 1 |
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.
