According to the U.S. Department of Health and Human Services Medicaid Provider Spending database, Hollister Medicaid providers billed $6,157,735 for Anesthesia-related services in 2024. This amount is a significant jump of 7819.7% compared with 2023, when $77,752 was billed for the same services.
Medicaid, a public health insurance program administered by individual states and jointly financed by federal and state governments, serves low-income people, seniors, children, and individuals with disabilities, making it one of the largest healthcare systems in the U.S.
Because Medicaid is publicly funded, any shifts in local spending highlight how public healthcare resources are distributed within a community.
The Anesthesia category consists of Medicaid services grouped by care type, as determined by standardized HCPCS and CPT code classifications. For this report, codes were assigned to each service group using code prefixes and numeric ranges, allowing services to be reviewed together without double counting and to accurately track rankings across years.
Spending on Anesthesia services in 2024 made it the second-largest Medicaid payment category in Hollister by total payments.
Statewide, the Anesthesia category ranked eighth for total Medicaid payments in California in 2024.
Looking at the five-year period leading up to 2024, Medicaid payments in Hollister for the Anesthesia category increased by $6,016,040, or 4245.8%. Notable spending increases occurred during certain intervals, especially in 2023 and 2022 based on yearly comparisons.
While Anesthesia-related payments occurred throughout the city, a small number of ZIP codes accounted for the bulk of the spending. In 2024, ZIP code 95023 reported $6,157,735 in Medicaid payments for Anesthesia—comprising 100% of the total in Hollister for that year.
A limited set of specific billing codes also concentrated Medicaid spending within the Anesthesia category.
Comparatively, while Hollister had a 7819.7% jump in Medicaid payments in the Anesthesia category from 2023 to 2024, all claim categories in the city saw a 44.3% change in the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, making up about 18% of all U.S. health spending, which is a significant leap from nearly $613.5 billion in 2019 before the COVID-19 pandemic.
This rise indicates approximately 40% growth over a few years, mainly due to expanded enrollment and greater utilization in and after the pandemic era.
Federal budget measures under the Trump administration have featured proposals to reduce federal Medicaid allocations and overhaul the program structure. One example is the “One Big Beautiful Bill Act,” enacted in 2025, which is anticipated to decrease federal Medicaid funding by over $1 trillion across the next 10 years. The law establishes provisions such as work requirements and higher cost-sharing, which could result in reduced coverage for some Medicaid recipients. These policy revisions are likely to increase financial responsibility for states and slow federal support growth, while the program continues serving tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $141,695 | -31.7% |
| 2021 | $7,405 | -94.8% |
| 2022 | $11,032 | 49% |
| 2023 | $77,751 | 604.8% |
| 2024 | $6,157,735 | 7819.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $6,324,245 | 27.4% |
| 2 | Anesthesia | $6,157,735 | 26.7% |
| 3 | Evaluation and Management | $3,961,505 | 17.2% |
| 4 | Pathology and Laboratory Procedures | $3,090,550 | 13.4% |
| 5 | Medicine Services and Procedures | $1,582,280 | 6.9% |
| 6 | Radiology Procedures | $1,197,676 | 5.2% |
| 7 | Alcohol and Drug Abuse Treatment | $381,065 | 1.7% |
| 8 | Procedures / Professional Services | $152,627 | 0.7% |
| 9 | Ambulance and Other Transport Services and Supplies | $88,805 | 0.4% |
| 10 | Surgery | $74,318 | 0.3% |
| 11 | Dental Services | $38,552 | 0.2% |
| 12 | Drugs Administered Other than Oral Method | $36,760 | 0.2% |
| 13 | Medical And Surgical Supplies | $353 | <0.1% |
| 14 | Temporary National Codes (Non-Medicare) | $164 | <0.1% |
| 15 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 0121 | $5,122,334 | 11 | |
| 0122 | $1,023,957 | 4 | |
| 0450 | $11,050 | 12 | |
| 0270 | $154 | 8 | |
| 0251 | $92 | 6 | |
| 0300 | $50 | 19 | |
| 0250 | $48 | 9 | |
| 0306 | $15 | 11 | |
| 0636 | $9 | 17 | |
| 0301 | $9 | 12 | |
| 0637 | $5 | 3 | |
| 0305 | $4 | 17 | |
| 0252 | $0 | 3 | |
| 0258 | $0 | 15 | |
| 0272 | $0 | 1 | |
| 0302 | $0 | 18 | |
| 0324 | $0 | 6 | |
| 0352 | $0 | 5 | |
| 0460 | $0 | 6 | |
| 0720 | $0 | 1 |
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.
