Larkspur Medicaid billing for Procedures / Professional Services hits $559,736 in 2024, up 38%

In 2024, Medicaid providers in Larkspur billed $559,736 for services in the Procedures / Professional Services category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an increase of 38% compared to 2023, when billings for the same category totaled $405,555.

Medicaid is a publicly funded health insurance initiative operated at the state level and financed through a partnership between federal and state governments. The program provides coverage for low-income individuals and families, as well as seniors, children and people with disabilities, making it a significant component of the U.S. health care framework.

Because Medicaid utilizes tax dollars, shifts in local claim billing reflect changes in how health care funding is used in specific communities.

The “Procedures / Professional Services” category encompasses Medicaid-billed care grouped by service type, using standardized HCPCS and CPT code classifications. For this report, each code was mapped to a single service group through uniform code prefixes and numeric ranges. This approach allows for analysis by group while avoiding duplicate counts and preserving reliable historical rankings.

While overall Medicaid spending grew in several areas, Procedures / Professional Services placed third by total Medicaid payments in Larkspur for 2024.

Across California, Procedures / Professional Services ranked sixth statewide for Medicaid payment totals in 2024.

Between the five years prior to 2024, Medicaid spending on Procedures / Professional Services in Larkspur rose by $537,950, or 2,469.2%. Growth in expenses was particularly notable in 2021 and 2022 with substantial year-over-year increases during those intervals.

While the cost of care in this category was distributed among different areas of the city, most payments originated from a small number of ZIP codes. In 2024, ZIP code 94939 represented $559,735 in Medicaid spending for this category. The top ZIP code alone accounted for 100% of all category payments in Larkspur that year.

Within Procedures / Professional Services, payments were concentrated among just a few billing codes.

To compare, between 2024 and 2023, Larkspur saw a 38% increase in Medicaid payments for Procedures / Professional Services, versus a 4.9% rise across all Medicaid claim types in the city over the same period.

According to the Centers for Medicare & Medicaid Services, total Medicaid spending by federal and state governments was about $871.7 billion in fiscal year 2023, making up roughly 18% of all U.S. health expenditures. That amount significantly increased from approximately $613.5 billion in 2019, before the COVID-19 pandemic.

This growth equates to a roughly 40% increase in just a few years, propelled primarily by greater enrollment and higher service use associated with the pandemic and its aftermath.

Recent federal budget acts during the Trump administration proposed large reductions in Medicaid funding and major program changes. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to decrease federal Medicaid spending by more than $1 trillion in the next decade. The legislation includes new work requirements and higher cost-sharing, which may reduce both coverage and funding for some recipients. These changes are projected to require states to bear more costs as federal funding growth slows, even as Medicaid continues to cover tens of millions nationwide.

Note: HCPCS codes are provided for context by category. Rankings and totals in this article are based on standardized groupings rather than only individual billing codes.

Data in this article was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source can be accessed here.