Hawthorne Medicaid bills for non-oral drug administration top $558,780 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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According to the U.S. Department of Health and Human Services Medicaid Provider Spending database, Medicaid providers in Hawthorne invoiced $558,780 for Drugs Administered Other than Oral Method services in 2024. This represents a 15.6% rise compared with 2023 claims, which totaled $483,375 for the same service category.

Medicaid, a major public health insurance program, is administered at the state level and receives funding from both federal and state governments. It provides coverage for low-income individuals and families, including seniors, children, and those with disabilities, forming one of the most significant elements of the U.S. health care system.

Since Medicaid funds are supplied by taxpayers, changes in billing within the community reflect how public health care resources are distributed locally.

The “Drugs Administered Other than Oral Method” designation includes a range of Medicaid-billed services, identified by the specific care given and categorized through standardized HCPCS and CPT code ranges. Each billable code was grouped into one service type using uniform code prefixes and numbers for this analysis, ensuring services were properly sorted and ranked without duplication.

In 2024, although several service areas saw increased Medicaid spending, Drugs Administered Other than Oral Method ranked seventh for total Medicaid payments in Hawthorne.

Across California in 2024, Drugs Administered Other than Oral Method was 14th in Medicaid payment ranking by service category.

Between 2019 and 2024, Medicaid payments in Hawthorne for Drugs Administered Other than Oral Method grew by $364,645, or 187.8%. During that period, there were significant year-over-year jumps in spending, particularly during 2020 and 2023.

Medicaid spending for these services was present throughout Hawthorne, but the majority was concentrated within specific ZIP codes. In 2024, ZIP code 90250 accounted for $558,779—essentially all Medicaid payments for Drugs Administered Other than Oral Method in the city that year.

Payments were also focused among a small set of HCPCS billing codes related to Drugs Administered Other than Oral Method services.

When comparing year-over-year changes, Medicaid payments in Hawthorne linked to the Drugs Administered Other than Oral Method category climbed 15.6% from 2023 to 2024. In contrast, claims for all Medicaid service types in the city recorded a 19.7% change in the same time span.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenditures reached about $871.7 billion during fiscal year 2023, making up around 18% of national health expenditures. This was a substantial jump compared with $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

The figure reflects approximately 40% growth within several years, pushed higher by more enrollment and greater usage over and after the pandemic period.

Recent federal budget legislation enacted under the Trump administration featured major proposals to adjust how Medicaid is funded. The “One Big Beautiful Bill Act,” signed in 2025, is expected to slash more than $1 trillion from federal Medicaid funding in the next 10 years. Provisions include work requirements and increased cost-sharing, which could reduce both coverage and available funds for some beneficiaries. In turn, this may shift expanded costs to states and restrain the future growth of federal Medicaid spending, while the program continues to provide coverage for many Americans.

Medicaid Payments Tied to Drugs Administered Other than Oral Method in Hawthorne, California Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $194,135 265.1%
2021 $272,769 40.5%
2022 $199,409 -26.9%
2023 $483,375 142.4%
2024 $558,779 15.6%
Top Categories by Medicaid Payments in Hawthorne, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $7,323,898 42%
2 Dental Services $2,938,524 16.8%
3 Temporary National Codes (Non-Medicare) $2,124,032 12.2%
4 Evaluation and Management $1,583,642 9.1%
5 Anesthesia $1,056,110 6.1%
6 Medicine Services and Procedures $925,858 5.3%
7 Drugs Administered Other than Oral Method $558,779 3.2%
8 Surgery $414,684 2.4%
9 Radiology Procedures $155,734 0.9%
10 Alcohol and Drug Abuse Treatment $152,001 0.9%
11 Hearing Services $123,646 0.7%
12 Pathology and Laboratory Procedures $31,071 0.2%
13 Orthotic Procedures and services $25,412 0.1%
14 Procedures / Professional Services $23,975 0.1%
15 Vision Services $9,323 0.1%
16 Temporary Codes $1,991 <0.1%
17 Medical And Surgical Supplies $1,718 <0.1%
Top 20 HCPCS Codes Within the Drugs Administered Other than Oral Method Category in Hawthorne, California, 2024

HCPCS Code Description Medicaid Payments Claims
J7298 Mirena, 52 mg $382,370 11
J7296 Kyleena, 19.5 mg $137,043 9
J7307 Etonogestrel implant system $28,779 3
J0887 Epoetin beta esrd use $6,494 10
J1756 Iron sucrose injection $2,907 10
J1100 Dexamethasone sodium phos $565 11
J3301 Triamcinolone acet inj nos $485 9
J1050 Medroxyprogesterone acetate $135 4

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.



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