Upland Medicaid payments for surgery services up 2.5% in 2024

In 2024, Upland Medicaid providers billed $3,602,033 for services categorized under Surgery, as per information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 2.5% rise over 2023, when $3,512,521 in Surgery-related claims were submitted.

Medicaid, a public health insurance initiative managed by states and financed through joint federal and state funding, provides coverage for low-income residents, seniors, children and individuals with disabilities and forms a significant segment of the U.S. health care system.

Because Medicaid is taxpayer-funded, fluctuations in claims locally provide insight into how community health dollars are utilized.

The “Surgery” category includes a range of Medicaid services determined by care type, organized through specific HCPCS and CPT code groups. In this analysis, each billing code was matched to a distinct service group using set code prefixes and number ranges, ensuring related services are tracked accurately over time without duplication.

Despite several categories seeing higher Medicaid spending, Surgery represented the fourth largest payment category in Upland in 2024.

Statewide in California, Surgery placed 12th in total Medicaid payments for the year.

Across the five years preceding 2024, Upland’s Medicaid payments related to Surgery services climbed by $1,572,520, equivalent to 77.5%. Some periods saw faster growth, notably with year-over-year jumps evident in 2023 and 2021.

While Medicaid spending in the Surgery group spanned the city, most of the payments were geographically focused. By 2024, ZIP code 91786 accounted for all Surgery-related Medicaid billing in Upland, totaling $3,602,033 and representing 100% of the category’s claims within the city.

Medicaid payments within the Surgery segment focused on a select number of billing codes.

When comparing trends, Surgery-related Medicaid payments in Upland grew 2.5% from 2023 to 2024, whereas overall citywide Medicaid claims rose by 8.2% over the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid outlays reached approximately $871.7 billion in fiscal 2023, making up around 18% of total national health spending. That marks a sharp gain from $613.5 billion in 2019, prior to the COVID-19 pandemic.

The overall increase of about 40% in recent years was mainly fueled by increased Medicaid enrollment and service utilization during and after the pandemic.

Recent federal budget measures under the Trump administration have proposed significant reductions to federal Medicaid funding and program restructuring. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to trim more than $1 trillion from Medicaid over the next decade, introducing work requirements and additional cost-sharing expected to restrict funding and coverage for some beneficiaries. These updates would shift greater fiscal responsibility to states and slow the expansion of federal Medicaid aid, as the program remains vital for tens of millions of Americans.

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.