Medicaid providers in Livingston reported $8,804,746 in billings for services under the National Codes Established for State Medicaid Agencies category in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 194.4% jump from 2023, when claims for these services totaled $2,991,190.
Medicaid, a public health insurance program managed by states with joint federal and state funding, serves low-income people, families, seniors, children, and those with disabilities and is one of the largest components of the U.S. health care system. More information about how Medicaid is financed can be found at Commonwealth Fund.
Because Medicaid uses taxpayer funds, shifts in local billing amounts illustrate how health care resources are deployed within a community.
The “National Codes Established for State Medicaid Agencies” grouping encompasses Medicaid-billed services organized by care provided, using standardized HCPCS and CPT code clusters. For this analysis, each code was sorted into a single service category based on shared prefixes and numeric groupings, enabling related services to be tracked together without duplicating counts, and maintaining accurate categorical trends over time.
Even though Medicaid expenditures rose across different service categories, the National Codes Established for State Medicaid Agencies category had the highest Medicaid payments in Livingston for 2024.
Statewide in California, the National Codes Established for State Medicaid Agencies category also ranked first by total payments in 2024.
Looking at the five years ending in 2024, Medicaid payments linked to the National Codes Established for State Medicaid Agencies category in Livingston grew by $6,323,537, or 254.9%. Periods of especially rapid increase included 2023 and 2020, when year-over-year spending gains were pronounced.
Spending for services in this category was seen citywide, but was largely concentrated within a few ZIP codes. For 2024, ZIP code 95334 alone accounted for $8,804,746 in Medicaid payments within this category. In fact, the top 1 ZIP code represented 100% of Livingston’s Medicaid payments for the National Codes Established for State Medicaid Agencies category during the year.
Within the category, Medicaid payments were further focused on a small subset of billing codes.
To compare, Medicaid payments for this category in Livingston advanced by 194.4% from 2023 to 2024, whereas overall Medicaid payments across all categories in the city posted a 131.4% increase in the same time frame.
The Centers for Medicare & Medicaid Services reports combined state and federal Medicaid spending totaled about $871.7 billion for fiscal year 2023. This made up nearly 18% of total national health care expenditures, up sharply from $613.5 billion in 2019, before COVID-19.
This rise totals an increase of about 40% over several years, mainly attributed to expanded enrollment and greater use of services during and following the pandemic.
Recent federal budget measures from the Trump administration have included major proposals to scale back federal Medicaid support and change the program’s structure. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid funding by more than $1 trillion over 10 years and introduces elements such as work requirements and higher cost-sharing that may affect some beneficiaries’ coverage and funding. These changes are likely to result in increased financial responsibility for states and curb the rate of federal Medicaid growth, though the program will continue to serve millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,481,209 | 22.8% |
| 2021 | $2,760,675 | 11.3% |
| 2022 | $2,223,349 | -19.5% |
| 2023 | $2,991,190 | 34.5% |
| 2024 | $8,804,746 | 194.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $8,804,746 | 85.4% |
| 2 | Evaluation and Management | $592,339 | 5.7% |
| 3 | Medicine Services and Procedures | $515,860 | 5% |
| 4 | Dental Services | $155,951 | 1.5% |
| 5 | Surgery | $137,465 | 1.3% |
| 6 | Pathology and Laboratory Procedures | $48,635 | 0.5% |
| 7 | Procedures / Professional Services | $36,583 | 0.4% |
| 8 | Alcohol and Drug Abuse Treatment | $12,226 | 0.1% |
| 9 | Medical And Surgical Supplies | $1,316 | <0.1% |
| 10 | Drugs Administered Other than Oral Method | $411 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $8,803,504 | 162 |
| T1001 | Nursing assessment/evaluatn | $1,242 | 1 |
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.