In 2024, Medicaid providers in Patterson billed $5,431,240 for services under the National Codes Established for State Medicaid Agencies category, as reported by data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 35.2% increase from 2023, when billing for the same services totaled $4,017,302.
Medicaid, a government health insurance program operated by states and funded by both federal and state governments, serves low-income groups, seniors, children, and people with disabilities. It is one of the largest components of the U.S. health care system.
Because taxpayer dollars fund Medicaid, fluctuations in local billing can indicate how public health funding is distributed within communities.
The “National Codes Established for State Medicaid Agencies” category includes a specific group of services defined by care type and organized according to standardized HCPCS and CPT coding. For this report, each code was grouped into a single service category using consistent prefixes and numerical ranges, enabling effective comparisons while avoiding overlap and ensuring precise rankings year over year.
Medicaid spending rose in several categories, but National Codes Established for State Medicaid Agencies ranked as the leading category in Patterson for total Medicaid payments in 2024.
Statewide in California, National Codes Established for State Medicaid Agencies was also the top category by Medicaid payments for the year.
From 2020 through 2024, Medicaid payments associated with the National Codes Established for State Medicaid Agencies category in Patterson rose by $2,448,866, an 82.1% increase. Some years showed larger year-to-year gains, especially in 2023 and 2022.
While spending on this category occurred citywide, payments were heavily concentrated in a small number of ZIP codes. In 2024, ZIP code 95363 registered $5,431,239 in payments, accounting for 100% of Medicaid payments for this category in Patterson that year.
Within this category, Medicaid billing remained focused on a relatively small set of individual codes.
To compare, Medicaid payments for National Codes Established for State Medicaid Agencies in Patterson increased 35.2% from 2023 to 2024, while all Medicaid claim categories in the city rose by 10.2% for the same period.
The Centers for Medicare & Medicaid Services report combined federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, representing around 18% of all national health expenditures. That was up significantly from roughly $613.5 billion in 2019, before the COVID-19 pandemic.
This jump amounts to around 40% growth in several years, mainly due to enrollment increases and higher usage during and after the pandemic.
Recent federal budget changes under the Trump administration included notable proposals to reduce federal Medicaid support and restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut federal Medicaid spending by over $1 trillion over 10 years, adding policies such as work requirements and higher out-of-pocket costs that could decrease coverage and funding for certain recipients. As a result, states may face greater financial responsibility and slower growth in federal funding, even as Medicaid continues to serve large numbers of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,982,373 | -1% |
| 2021 | $2,499,608 | -16.2% |
| 2022 | $2,654,230 | 6.2% |
| 2023 | $4,017,301 | 51.4% |
| 2024 | $5,431,239 | 35.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $5,431,239 | 69.8% |
| 2 | Medicine Services and Procedures | $1,204,264 | 15.5% |
| 3 | Evaluation and Management | $657,390 | 8.4% |
| 4 | Pathology and Laboratory Procedures | $315,829 | 4.1% |
| 5 | Ambulance and Other Transport Services and Supplies | $121,820 | 1.6% |
| 6 | Procedures / Professional Services | $43,970 | 0.6% |
| 7 | Drugs Administered Other than Oral Method | $5,125 | 0.1% |
| 8 | Surgery | $903 | <0.1% |
| 9 | Vision Services | $438 | <0.1% |
| 10 | Temporary Codes | $176 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $5,420,206 | 192 |
| T1001 | Nursing assessment/evaluatn | $11,033 | 6 |
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.



