Commerce Medicaid providers billed $19,601,329 in 2024 for services within the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This was a 20.7% rise over 2023, when total billings for this service type reached $16,237,971.
Medicaid, a state-administered public health insurance program financed jointly by federal and state governments, provides coverage for low-income residents, children, seniors and people with disabilities. It is one of the largest components of the U.S. health care system.
Shifts in local Medicaid billing illustrate how community health funding is distributed, since these payments are made with taxpayer dollars.
The “National Codes Established for State Medicaid Agencies” classification includes a set of Medicaid-billed services based on specific care types identified through consistent HCPCS and CPT code groupings. Each billing code in this analysis was matched to a single service category via standardized code prefixes and numeric ranges, ensuring similar services were grouped together for accurate year-over-year comparisons and rankings.
National Codes Established for State Medicaid Agencies took the top spot among Medicaid service categories in Commerce by payment totals in 2024, amid statewide spending increases across several categories.
Statewide in California, this category also ranked first for total Medicaid payments during 2024.
Between 2019 and 2024, Medicaid payments for this category in Commerce grew by $8,880,562, marking an 82.8% increase. Certain periods, such as 2023 and 2021, experienced particularly high year-over-year spending gains.
Although spending in the National Codes Established for State Medicaid Agencies category spanned several neighborhoods, 2024 payments were mostly concentrated within a small number of ZIP codes. ZIP code 90022 accounted for $18,374,862 and 90040 for $1,226,466; together, these top 2 ZIP codes represented 100% of Medicaid payments for this service category in Commerce for the year.
A limited group of individual billing codes also saw most of the Medicaid payments for services within the National Codes Established for State Medicaid Agencies category.
From 2023 to 2024, Commerce recorded a 20.7% rise in this category’s Medicaid payments, compared to a 16.9% increase across all categories citywide during the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid outlays were roughly $871.7 billion in the 2023 fiscal year, making up about 18% of all national health spending, up significantly from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth represents an increase of about 40% over several years, largely attributable to higher enrollment figures and increased service utilization during and after the pandemic.
Recent federal budget actions under the Trump administration have featured major proposals to cut federal Medicaid spending and modify program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and will introduce policies such as work requirements and greater cost-sharing, potentially cutting coverage and decreasing aid for certain participants. These adjustments are anticipated to transfer more financial responsibility to states and may constrain federal funding increases, even as the program continues to serve tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $10,720,766 | -1.2% |
| 2021 | $11,550,936 | 7.7% |
| 2022 | $10,197,899 | -11.7% |
| 2023 | $16,237,970 | 59.2% |
| 2024 | $19,601,329 | 20.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $19,601,329 | 75.7% |
| 2 | Ambulance and Other Transport Services and Supplies | $4,156,939 | 16.1% |
| 3 | Medicine Services and Procedures | $1,309,346 | 5.1% |
| 4 | Procedures / Professional Services | $443,031 | 1.7% |
| 5 | Evaluation and Management | $238,159 | 0.9% |
| 6 | Dental Services | $104,318 | 0.4% |
| 7 | Pathology and Laboratory Procedures | $16,607 | 0.1% |
| 8 | Alcohol and Drug Abuse Treatment | $14,697 | 0.1% |
| 9 | Vision Services | $4,176 | <0.1% |
| 10 | Medical And Surgical Supplies | $1,257 | <0.1% |
| 11 | Anesthesia | $846 | <0.1% |
| 12 | Drugs Administered Other than Oral Method | $461 | <0.1% |
| 13 | Surgery | $427 | <0.1% |
| 14 | Radiology Procedures | $0 | <0.1% |
| 14 | Temporary National Codes (Non-Medicare) | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $19,584,736 | 812 |
| T1017 | Targeted case management | $16,592 | 3 |
| T2049 | N-et; stretcher van, mileage | $0 | 4 |
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.