Perris Medicaid providers billed $10,304,250 for services under the National Codes Established for State Medicaid Agencies category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount marks a 42.1% increase from 2023, when claims for this service totaled $7,248,999.
Medicaid is a public insurance program operated by states and funded by both federal and state governments. It provides coverage for low-income people, seniors, children, and people with disabilities, making it a major component of the U.S. health care system.
Because tax dollars support Medicaid payments, fluctuations in local billing reflect how a community distributes funding for public health care.
The “National Codes Established for State Medicaid Agencies” category encompasses a group of Medicaid-billed services identified by service type, using standardized HCPCS and CPT code ranges and prefixes. In this analysis, each billing code is mapped to a single service category through consistent code assignment to evaluate related services together, avoiding duplication and accurately ranking trends over time.
Although spending rose in multiple Medicaid categories, National Codes Established for State Medicaid Agencies was Perris’ top category by total Medicaid payments in 2024.
Statewide in California, this category also led all Medicaid service groups in total payment during 2024.
From 2019 through 2024, Perris Medicaid payments for the National Codes Established for State Medicaid Agencies category rose by $7,814,395, or 313.8%. Spending trends accelerated during certain years, especially in 2023 and 2021.
Spending for services in this category was distributed throughout Perris but highly concentrated in a few ZIP codes. During 2024, ZIP code 92571 accounted for $6,651,400 and 92570 for $3,652,849 in Medicaid payments for this group, making up 100% of citywide spending in this category for the year.
Within this Medicaid category, a small selection of billing codes generated the majority of payments.
Comparing 2024 and 2023, citywide Medicaid payments for National Codes Established for State Medicaid Agencies grew 42.1%, outpacing the 28% rise seen across all claim categories in Perris for the same period.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached $871.7 billion for fiscal year 2023, making up approximately 18% of overall U.S. health spending. This is a sharp rise from about $613.5 billion spent in 2019, before the COVID-19 pandemic.
The increase reflects nearly 40% growth in several years, much of it due to higher enrollment and utilization tied to the pandemic.
Major federal budget legislation passed under the Trump administration featured significant efforts to reduce federal Medicaid support and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the next 10 years and implements new policies such as work requirements and increased cost-sharing, which could decrease benefits and funding for some beneficiaries. These adjustments are set to shift more expenses to states and slow the growth of federal contributions, even as Medicaid remains a key source of coverage for millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,489,855 | 9.8% |
| 2021 | $3,488,641 | 40.1% |
| 2022 | $3,566,470 | 2.2% |
| 2023 | $7,248,998 | 103.3% |
| 2024 | $10,304,249 | 42.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $10,304,249 | 59.5% |
| 2 | Medicine Services and Procedures | $3,032,362 | 17.5% |
| 3 | Dental Services | $1,595,500 | 9.2% |
| 4 | Evaluation and Management | $1,375,727 | 7.9% |
| 5 | Ambulance and Other Transport Services and Supplies | $568,511 | 3.3% |
| 6 | Surgery | $314,740 | 1.8% |
| 7 | Procedures / Professional Services | $58,617 | 0.3% |
| 8 | Temporary National Codes (Non-Medicare) | $24,344 | 0.1% |
| 9 | Alcohol and Drug Abuse Treatment | $12,138 | 0.1% |
| 10 | Radiology Procedures | $8,186 | <0.1% |
| 11 | Drugs Administered Other than Oral Method | $5,480 | <0.1% |
| 12 | Vision Services | $5,421 | <0.1% |
| 13 | Pathology and Laboratory Procedures | $4,987 | <0.1% |
| 14 | Anesthesia | $0 | <0.1% |
| 14 | Medical And Surgical Supplies | $0 | <0.1% |
| 14 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $7,355,351 | 185 |
| T2031 | Assist living waiver/diem | $1,504,373 | 11 |
| T2005 | N-et; stretcher van | $1,426,936 | 21 |
| T1001 | Nursing assessment/evaluatn | $10,827 | 4 |
| T2001 | N-et; patient attend/escort | $6,159 | 9 |
| T1027 | Family training & counseling | $601 | 3 |
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.