Homeland Medicaid spending on National Codes Established for State Medicaid Agencies reaches $20,493 for 2024

Homeland Medicaid providers billed $20,493 in 2024 for services grouped under the National Codes Established for State Medicaid Agencies, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount is a 30.4% rise from 2023, when claimed services of this category totaled $15,718.

Medicaid is a public insurance program administered by states and backed by both federal and state governments. It covers individuals and families with low incomes, seniors, children, and those with disabilities, making it a major part of U.S. health care.

As Medicaid spending is funded with taxpayer money, local billing variations reflect how public health care funds are used within communities.

The “National Codes Established for State Medicaid Agencies” classification contains Medicaid services categorized by the care provided, based on standard HCPCS and CPT code groupings. In this analysis, each code was assigned uniquely to a single service category using consistent prefixes and numerical ranges, ensuring related services are grouped and double counting is prevented while maintaining ranking accuracy across periods.

Spending on Medicaid increased across multiple service categories, and in 2024, National Codes Established for State Medicaid Agencies ranked second by total Medicaid payments in Homeland.

For California as a whole, the National Codes Established for State Medicaid Agencies category held the top spot for total payments during 2024.

Over the five years preceding 2024, Medicaid payments for National Codes Established for State Medicaid Agencies services in Homeland grew by $14,235, or 227.5%. Some years, including 2021 and 2022, saw particularly sharp growth from one year to the next.

Although Medicaid-paid services in the National Codes Established for State Medicaid Agencies category were spread throughout the city, the payments mainly came from a few ZIP codes. In 2024, the ZIP code 92548 reported $20,493 in such Medicaid payments, which represents 100% of these payments in Homeland that year.

Within the National Codes Established for State Medicaid Agencies grouping, Medicaid reimbursements were also concentrated among a small set of billing codes.

Comparing year to year, Medicaid payments for this category in Homeland climbed by 30.4% from 2023 to 2024. This contrasts with a 17.5% increase among all Medicaid claim categories in the city during the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together totaled about $871.7 billion in fiscal 2023, approximately 18% of all national health expenditures, up significantly from about $613.5 billion in 2019 before the COVID-19 pandemic.

This represents about 40% growth in a few years, mostly driven by more enrollees and increased utilization during and after the pandemic.

Recent federal budget acts under the Trump administration have proposed major reductions to federal Medicaid support and restructuring of the program. One example is the “One Big Beautiful Bill Act,” enacted in 2025, which is forecast to reduce federal Medicaid spending by more than $1 trillion over the coming 10 years. The law creates work requirements and increased cost-sharing, potentially reducing coverage and funding for certain enrollees. More costs are expected to shift to states, limiting the ability of federal funding for Medicaid growth, even as the program serves tens of millions nationwide.

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.

The information cited in this article is from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original dataset can be accessed here.