Providers in Montebello billed Medicaid $3,722,160 for services under the National Codes Established for State Medicaid Agencies category in 2024, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 1.7% rise compared to 2023, when billings for the same services reached $3,660,592.
Medicaid operates as a state-run public health insurance program funded jointly by federal and state governments. It provides coverage for low-income groups, including families, seniors, children, and people with disabilities, making up one of the largest portions of the U.S. health care structure.
Since Medicaid funds are sourced from the public, local changes in billing reflect how communities use public health care resources.
The “National Codes Established for State Medicaid Agencies” category encompasses groups of billed services defined by standardized HCPCS and CPT code groupings by service type. Each code for this analysis was placed into one service group based on consistent prefixes and numerical ranges, letting analysts track similar services together while preventing overlapping counts and ensuring rankings remain accurate over time.
While overall Medicaid outlays grew in several service areas, National Codes Established for State Medicaid Agencies secured the second-largest total Medicaid payments in Montebello for 2024.
Statewide in California, the National Codes Established for State Medicaid Agencies category ranked as the top recipient of Medicaid payments in 2024.
From five years prior to 2024, Medicaid payments tied to this category in Montebello climbed by $2,997,058, up 413.3%. The rate of increase picked up pace at certain points, especially in 2021 and 2023, when notable year-over-year growth was observed.
Although Medicaid spending under this category was recorded throughout Montebello, payment totals were heavily focused on a few ZIP codes. In 2024, ZIP code 90640 accounted for $3,722,159 in Medicaid payments tied to this group of services. This ZIP code alone represented 100% of all such Medicaid payments in Montebello that year.
Within this category, Medicaid payments were concentrated in a narrow range of individual billing codes.
To put the rise in context, Medicaid payments under the National Codes Established for State Medicaid Agencies category in Montebello increased 1.7% between 2024 and 2023, while overall Medicaid claims across all service categories in the city experienced a 22.1% change during the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up approximately 18% of total national health costs, rising sharply from $613.5 billion in 2019, ahead of the COVID-19 pandemic.
This increase represents almost 40% growth in a few years, driven primarily by greater enrollment and service use during and following the pandemic period.
Recent national budget measures enacted under the Trump administration included major proposals to decrease federal Medicaid contributions and revise the program structure. The “One Big Beautiful Bill Act,” signed in 2025, is slated to reduce federal Medicaid spending by over $1 trillion over the next 10 years and introduces new guidelines such as work requirements and increased cost-sharing. These changes may cut back on coverage and funding for some beneficiaries while putting more financial responsibility on states—even as the program continues to serve tens of millions of people in the U.S.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $725,102 | -1.2% |
| 2021 | $2,177,907 | 200.4% |
| 2022 | $1,721,822 | -20.9% |
| 2023 | $3,660,591 | 112.6% |
| 2024 | $3,722,159 | 1.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $7,993,009 | 32.7% |
| 2 | National Codes Established for State Medicaid Agencies | $3,722,159 | 15.2% |
| 3 | Evaluation and Management | $3,364,260 | 13.7% |
| 4 | Temporary National Codes (Non-Medicare) | $2,684,113 | 11% |
| 5 | Dental Services | $2,590,305 | 10.6% |
| 6 | Surgery | $2,030,570 | 8.3% |
| 7 | Hearing Services | $705,895 | 2.9% |
| 8 | Chemotherapy Drugs | $396,111 | 1.6% |
| 9 | Orthotic Procedures and services | $322,707 | 1.3% |
| 10 | Medical And Surgical Supplies | $208,393 | 0.9% |
| 11 | Vision Services | $151,229 | 0.6% |
| 12 | Alcohol and Drug Abuse Treatment | $106,021 | 0.4% |
| 13 | Procedures / Professional Services | $86,282 | 0.4% |
| 14 | Drugs Administered Other than Oral Method | $50,757 | 0.2% |
| 15 | Temporary Codes | $28,786 | 0.1% |
| 16 | Radiology Procedures | $18,633 | 0.1% |
| 17 | Pathology and Laboratory Procedures | $7,007 | <0.1% |
| 18 | Prosthetic Procedures | $6,340 | <0.1% |
| 19 | Anesthesia | $3,553 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $2,132,864 | 59 |
| T2031 | Assist living waiver/diem | $1,528,276 | 12 |
| T1001 | Nursing assessment/evaluatn | $36,239 | 6 |
| T1017 | Targeted case management | $24,780 | 2 |
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.
