Medicaid payments reach $3,675,920 for National Codes services in Chowchilla

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Chowchilla Medicaid providers billed $3,675,920 for services under the National Codes Established for State Medicaid Agencies category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This was a 26.9% jump from 2023, when claims for this category totaled $2,897,374.

Medicaid, a public insurance program operated at the state level and funded by both federal and state governments, provides coverage for low-income adults and families, seniors, children, and people with disabilities. It is among the largest health care payers in the nation.

As Medicaid payments are funded by taxpayers, shifts in billing volumes reflect how health care funding is distributed within communities.

The “National Codes Established for State Medicaid Agencies” grouping includes services characterized by their care type, organized by standardized HCPCS and CPT code sets. For this report, each billing code was linked to a single service group based on shared prefixes and ranges, allowing analysis of grouped services over time with accurate ranking and without overlap.

Among Medicaid categories in Chowchilla, National Codes Established for State Medicaid Agencies finished 2024 as the second highest by total Medicaid payments.

Statewide in California, this category ranked first by total 2024 payments.

Throughout the five years before 2024, Medicaid payouts in Chowchilla for the National Codes Established for State Medicaid Agencies grouping grew by $595,765, or 19.3%. There were significant year-on-year increases reported in both 2021 and 2020.

Though these Medicaid payments were for care delivered across Chowchilla, funds were concentrated in a small number of ZIP codes. In 2024, ZIP code 93610 alone accounted for $3,675,920. Altogether, the leading ZIP code held 100% of Chowchilla’s Medicaid payments for the category that year.

Within the National Codes Established for State Medicaid Agencies grouping, spending was focused in just a few specific billing codes.

Comparing between 2024 and 2023, Medicaid spending for this Chowchilla category rose 26.9%, while total Medicaid claim spending across all categories in the city changed by 0.7% during the same period.

Data from the Centers for Medicare & Medicaid Services indicate federal and state Medicaid spending amounted to approximately $871.7 billion for fiscal year 2023, or nearly 18% of total U.S. health expenditures—up from $613.5 billion in 2019 before the COVID-19 pandemic.

This increase represents about 40% growth over several years, largely due to higher enrollment and more intensive use during and after the pandemic.

Recent federal budget changes made during the Trump administration involved major proposals to curb federal Medicaid spending and adjust its funding model. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to cut over $1 trillion in federal Medicaid funds for the next decade, implementing measures like work requirements and higher cost-sharing that may reduce coverage and federal dollars for some eligible groups. These shifts are projected to place more financial responsibility on states and cap future federal Medicaid increases as the program continues to provide coverage to millions nationwide.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Chowchilla, California Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $3,080,155 15%
2021 $3,835,625 24.5%
2022 $3,195,264 -16.7%
2023 $2,897,373 -9.3%
2024 $3,675,920 26.9%
Top Categories by Medicaid Payments in Chowchilla, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Vision Services $12,858,091 77.2%
2 National Codes Established for State Medicaid Agencies $3,675,920 22.1%
3 Medicine Services and Procedures $61,547 0.4%
4 Evaluation and Management $52,456 0.3%
5 Procedures / Professional Services $12,262 0.1%
6 Pathology and Laboratory Procedures $3,460 <0.1%
7 Alcohol and Drug Abuse Treatment $1,287 <0.1%
8 Drugs Administered Other than Oral Method $0 <0.1%
8 Temporary National Codes (Non-Medicare) $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Chowchilla, California, 2024

HCPCS Code Description Medicaid Payments Claims
T1015 Clinic service $3,671,396 160
T1001 Nursing assessment/evaluatn $4,523 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.



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