Camarillo sees 18.2% rise in Medicaid spending for Procedures / Professional Services in 2024

In 2024, Medicaid providers in Camarillo submitted claims totaling $351,731 for services within the Procedures / Professional Services category, according to information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflects an 18.2% increase from 2023, when providers billed $297,528 for these services.

Medicaid operates as a public health insurance program managed by individual states with shared federal and state funding, as noted by the Commonwealth Fund. It provides coverage for low-income residents, seniors, children, and individuals with disabilities, and is one of the main components of the U.S. health care system.

Since Medicaid is taxpayer-funded, shifts in local claims reflect how community public health care dollars are distributed.

The “Procedures / Professional Services” designation groups services billed to Medicaid by care type, using standardized HCPCS and CPT classification codes. For this reporting, each billing code was attributed to a single service group based on defined code ranges and prefixes, keeping related care categories together and ensuring accurate year-over-year comparison.

Although various service types experienced higher Medicaid spending, Procedures / Professional Services was the sixth-largest Medicaid category by total payments in Camarillo for 2024.

Across California, Procedures / Professional Services also ranked sixth by Medicaid payment volume in 2024.

Looking at the five years prior to 2024, Medicaid payments for this category in Camarillo climbed by $143,765, or 69.1%. Growth rates accelerated during some years, with marked increases reported in 2023 and 2022.

Although the city saw spending in this category across several areas, payments predominantly came from a small number of ZIP codes. In 2024, ZIP code 93012 led with $348,095, followed by 93010 at $3,635. Combined, these two ZIP codes represented all Medicaid Procedures / Professional Services spending in Camarillo for the year.

Within this group, Medicaid payments also tended to cluster around select individual billing codes.

To put it in perspective, Medicaid Procedures / Professional Services payments in Camarillo climbed 18.2% from 2023 to 2024, while the increase for all city Medicaid claim categories across that period was 32.2%.

The Centers for Medicare & Medicaid Services report that combined federal and state Medicaid spending reached around $871.7 billion in the 2023 fiscal year, equating to about 18% of the country’s total health expenditures—an increase from roughly $613.5 billion in 2019, before the effects of the COVID-19 pandemic.

This growth—close to 40% in just a few years—reflects both expanded Medicaid enrollment and increased service usage during and after the pandemic.

Recent federal legislation during the Trump administration included proposals to decrease federal support for Medicaid and change the program’s structure. For instance, the “One Big Beautiful Bill Act,” was enacted in 2025 and is expected to reduce federal Medicaid spending by over $1 trillion within a decade. It introduces new requirements such as work mandates and more cost-sharing, potentially limiting coverage and federal funding for some participants, and increasing financial responsibility for states.

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.