Waterford Medicaid payments for state-established national codes reach $1.7 million in 2024

Waterford Medicaid providers billed $1,693,093 in 2024 for services falling under the National Codes Established for State Medicaid Agencies category, using figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure marks a 4% uptick from 2023, when billings for these services were $1,627,844.

Medicaid is a joint federal and state health insurance initiative managed at the state level and funded by both federal and state governments. It serves low-income families and individuals, seniors, children, and people with disabilities, making it a major component of U.S. health care spending.

As Medicaid payments use taxpayer funding, shifts in the volume of local billing reveal how resources for public health care are deployed within the area.

The “National Codes Established for State Medicaid Agencies” category encompasses Medicaid-billed services identified by the care type, using preset HCPCS and CPT coding groupings. Each billing code was consistently grouped into one service category for this reporting, ensuring related care types remained together for analysis and rankings remained distinct over time.

Medicaid expenditures increased across several service areas, but National Codes Established for State Medicaid Agencies was the top-ranking category for total payments in Waterford for 2024.

Statewide, California also saw the National Codes Established for State Medicaid Agencies category come in first by Medicaid payments during 2024.

From five years before 2024, Waterford’s Medicaid payments for the National Codes Established for State Medicaid Agencies category rose $527,232, or 45.2%. Much of this growth came in periods such as 2023 and 2021, which showed significant annual increases.

Though services within this category were provided citywide, Medicaid billing was concentrated in the same limited ZIP codes. In 2024, the highest value ZIP code for the category was 95386, which contributed $1,693,092, representing 100% of Waterford’s Medicaid payments in this group that year.

Medicaid spending for the National Codes Established for State Medicaid Agencies category was aggregated among only a handful of service-specific billing codes.

Between 2024 and 2023, Waterford’s Medicaid payments for this category rose 4%, while all local Medicaid claim categories together grew by 0.9% in that period.

According to the Centers for Medicare & Medicaid Services, total Medicaid spending by both state and federal sources climbed to about $871.7 billion in fiscal year 2023. That equaled roughly 18% of all U.S. health care expenditures and was up sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.

The growth represents an increase of approximately 40% over several years, mainly as a result of enrollment expansion and increased health care utilization after the pandemic.

The Trump administration signed recent federal budget legislation with substantial proposed reductions to federal Medicaid contributions and changes to how the program is structured. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid outlays by over $1 trillion over 10 years while introducing policies including work mandates and higher cost-sharing that may reduce coverage for some groups. These shifts are expected to place a greater share of Medicaid costs on states and could slow federal funding growth as millions of Americans continue to use Medicaid services.

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.