Mill Valley sees $136,403 in Medicaid payouts for medicine services and procedures in 2024

In 2024, Medicaid providers in Mill Valley billed $136,403 for care included in the Medicine Services and Procedures classification, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database indicates. The total represented a 74.3% increase over the $78,240 these providers claimed for the same services in 2023.

Medicaid is a public health insurance program operated at the state level and funded jointly by federal and state governments. Its coverage serves low-income residents, families, children, seniors, and people with disabilities, establishing the program as one of the largest pillars of the U.S. health care system.

Because tax dollars are used to fund Medicaid payments, shifts in billing amounts reveal changes in the local allocation of public health care funding.

The “Medicine Services and Procedures” grouping categorizes Medicaid-billed services by the type of care delivered, organized according to designated HCPCS and CPT code clusters. For the purposes of this report, codes were grouped to a single service category via specified prefixes and numeric ranges, ensuring related care was evaluated collectively and rankings reflected actual volumes while preventing overlap.

Spending on Medicaid rose in a number of service categories, but in Mill Valley, Medicine Services and Procedures ranked as the city’s second-largest Medicaid expenditure in 2024.

Statewide, the Medicine Services and Procedures category accounted for the third-largest share of Medicaid payments for California in 2024.

Over the five years up to 2024, Mill Valley’s Medicaid spending related to the Medicine Services and Procedures group increased by $35,283, a 34.9% jump. The rate of spending growth varied, with notable year-to-year gains in both 2021 and 2020.

Although use of these medicine services and procedures was spread across the city, Medicaid payments were concentrated within a small number of ZIP codes. For 2024, ZIP code 94941 led, totaling $136,403. The top ZIP code alone comprised 100% of Medicaid payouts tied to Medicine Services and Procedures in Mill Valley that year.

Payments within this category focused primarily on a select group of individual billing codes.

Looking at the trend, Mill Valley experienced a 74.3% rise in Medicaid funding specific to Medicine Services and Procedures from 2023 to 2024, whereas the increase across all categories of Medicaid claims in the city measured only 0.7% over the same span.

The Centers for Medicare & Medicaid Services reports that federal and state Medicaid spending combined reached approximately $871.7 billion for fiscal 2023, making up roughly 18% of U.S. national health expenditures, a significant jump from $613.5 billion in 2019 before the COVID-19 pandemic.

The total reflects nearly 40% growth in just a few years, in large part due to increased enrollment and intensified medical use before, during, and after the pandemic.

Federal budget measures enacted under the Trump administration feature substantial proposals to trim federal Medicaid funding and adjust the program structure. The “One Big Beautiful Bill Act,” passed in 2025, is set to cut federal Medicaid spending by over $1 trillion in the coming decade and introduces work requirements and greater cost responsibilities for beneficiaries, which could reduce both coverage and funding. States are expected to bear more fiscal responsibility and face potential limits in future federal support even as the program covers 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.