Rancho Cucamonga sees 14.9% rise in Medicaid payments for Procedures / Professional Services in 2024

In 2024, Medicaid providers in Rancho Cucamonga billed $6,163,075 for services within the Procedures / Professional Services category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represented a 14.9% increase over 2023, when claims for these services totaled $5,365,640.

Medicaid, a health insurance initiative managed by states and jointly financed by federal and state government resources, assists low-income individuals and families, seniors, children, and those with disabilities. It stands as one of the country’s largest health care programs. For more details, see the Commonwealth Fund explainer.

Given that Medicaid funding comes directly from taxpayers, any changes in local billing reflect how health care dollars are used in the community.

The “Procedures / Professional Services” classification includes a range of Medicaid-billed care types, organized using standard HCPCS and CPT code groupings. In this report, each billing code was placed in a single service category using uniform code prefixes and number ranges, helping to group related services together while avoiding duplicated counts and preserving the accuracy of comparative rankings year over year.

Procedures / Professional Services was the third-largest Medicaid spending category in Rancho Cucamonga in 2024, among multiple service areas that experienced increases.

Statewide, Procedures / Professional Services ranked sixth in California by total Medicaid payments for 2024.

Across the five years up to 2024, Medicaid payments for Procedures / Professional Services in Rancho Cucamonga grew by $3,095,751, an increase of 100.9%. Certain years, such as 2020 and 2023, saw especially sharp year-over-year growth.

Spending on Procedures / Professional Services was spread throughout Rancho Cucamonga, yet was most concentrated in several ZIP codes. For 2024, ZIP code 91730 led with $6,036,826 in Medicaid payments, followed by 91701 with $109,586, and 91739 with $8,704. These top 3 ZIP codes comprised 99.9% of all city Medicaid expenditures in this category for the year.

Within the overall Procedures / Professional Services group, a small set of billing codes accounted for the bulk of Medicaid payments.

To compare, Medicaid payments associated with the Procedures / Professional Services category in Rancho Cucamonga climbed 14.9% from 2023 to 2024, while the increase across all Medicaid claim types citywide for the same period was 6.6%.

The Centers for Medicare & Medicaid Services reported that combined federal and state Medicaid spending reached $871.7 billion in fiscal year 2023, or about 18% of national health care expenditures, compared to $613.5 billion in 2019 before the COVID-19 pandemic.

This rise marks an increase of roughly 40% in just a few years, mainly attributed to expanded Medicaid enrollment and higher use of services during and after the pandemic.

Recent federal budget legislation during the Trump administration has featured major plans to reduce Medicaid funding at the federal level and change the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut more than $1 trillion from federal Medicaid funding over 10 years and brings policies like work requirements and increased cost-sharing, which may reduce coverage and funding for some participants. This is anticipated to place a greater financial burden on states and limit federal support growth, even as millions of Americans continue to depend on Medicaid.

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.