San Anselmo Medicaid providers billed $1,612 for Medicine Services and Procedures in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 141.7% increase from 2023, when the total was $667 for similar services.
Medicaid is a state-operated health insurance program funded jointly by federal and state governments. It serves low-income groups, seniors, children, and people with disabilities, making it a significant part of the national health care system.
Shifts in local Medicaid billing reflect how publicly funded health care dollars are used within a community.
The “Medicine Services and Procedures” category groups Medicaid services by care type based on standardized HCPCS and CPT code sets. For this report, each billing code was assigned to one service category using consistent code prefixes and numeric spans, letting related services be reviewed together, while ensuring accurate historical rankings and avoiding duplicated counts.
While Medicaid expenditures grew in several service areas, Medicine Services and Procedures held the second-highest rank by payment amount in San Anselmo in 2024.
Statewide in California, the Medicine Services and Procedures category placed third by total Medicaid payments for 2024.
During the past five years, Medicaid payments linked to Medicine Services and Procedures in San Anselmo rose by $449, a 38.6% increase. The growth rate accelerated at several points, especially in 2021 and 2022 with sizable yearly increases.
Payments for Medicine Services and Procedures within the city were distributed broadly, but most totals were reported in just a few ZIP codes. For 2024, ZIP code 94960 accounted for $1,611, making up 100% of the Medicaid payments for this service group cited in San Anselmo that year.
Medicaid payments in this category tended to cluster within a limited range of specific billing codes.
Comparatively, San Anselmo Medicaid payments for Medicine Services and Procedures rose 141.7% between 2024 and 2023, versus a 2.5% shift across all Medicaid claim groupings in the city for the same timeframe.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, accounting for roughly 18% of national health care spending, a significant increase from about $613.5 billion in 2019 before the COVID-19 pandemic.
This growth represents an increase of approximately 40% in a few years, largely driven by expanded program enrollment and higher usage rates during and after the pandemic.
Recent federal legislation during the Trump administration included substantial proposals to limit federal Medicaid funding and adapt its structure. The “One Big Beautiful Bill Act,” passed in 2025, is expected to cut more than $1 trillion in federal Medicaid spending over 10 years and implement measures such as work mandates and greater cost-sharing, which could impact coverage and financing for some enrollees. These adjustments are projected to increase state funding burdens and restrict the federal share of Medicaid, despite the program’s ongoing reach to tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,163 | – |
| 2021 | $3,397 | 192.1% |
| 2022 | $1,207 | -64.5% |
| 2023 | $667 | -44.8% |
| 2024 | $1,611 | 141.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $26,615 | 94.3% |
| 2 | Medicine Services and Procedures | $1,611 | 5.7% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 95816 | Eeg awake and drowsy | $1,611 | 3 |
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.