Planada sees 74.6% rise in Medicaid payments for state-established code services, reaching $922,482 in 2024

Providers in Planada submitted claims totaling $922,482 for services listed under the National Codes Established for State Medicaid Agencies in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 74.6% jump over the prior year, when $528,309 in Medicaid claims were recorded for these specific services.

Medicaid operates as a state-run public health insurance program, jointly funded by federal and state governments as explained here. It provides coverage for low-income people, seniors, children, and those with disabilities, making it a major component of health care in the United States.

Shifts in local Medicaid billing levels reflect allocation trends for taxpayer-funded health care spending at the community level.

The “National Codes Established for State Medicaid Agencies” service category encompasses Medicaid claims grouped by care type, based on standardized HCPCS and CPT coding. Every code in this analysis was assigned to a category using standardized prefixes and numbering to group related services, avoiding overlap and ensuring accurate rankings year over year.

Medicaid expenditures climbed across several categories, but National Codes Established for State Medicaid Agencies captured the most payments in Planada in 2024.

This category also led statewide rankings by total Medicaid funding in California in 2024.

Looking over the five-year period ahead of 2024, Medicaid payments linked to the National Codes Established for State Medicaid Agencies in Planada saw an increase of $131,387, or 16.6%. The rate of growth accelerated during select timeframes, with sharp annual increases logged in 2021 and 2020.

While these payments were made throughout Planada, funding was most pronounced in a small number of ZIP codes. For 2024, all Medicaid disbursements for the National Codes Established for State Medicaid Agencies category in Planada—$922,482—originated from ZIP code 95365, accounting for 100% of payments in this sector.

A subset of individual billing codes accounted for the majority of Medicaid payments within this service grouping.

In a year-over-year comparison, Planada’s 74.6% rise in payments for this service category matches an overall 75.1% rise across all Medicaid categories in the city for the same span.

Centers for Medicare & Medicaid Services data show federal and state Medicaid spending totaled $871.7 billion in the 2023 fiscal year, around 18% of national health spending, increasing sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This roughly 40% surge resulted mainly from higher enrollment and increased use as the pandemic and its aftermath drove demand.

Legislation enacted during the Trump administration included substantial proposals to scale back federal Medicaid contributions and alter the program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to decrease federal Medicaid expenditures by more than $1 trillion over 10 years, introducing work requirements and greater cost-sharing that may reduce benefits and funds for some recipients. These moves could transfer more Medicaid funding responsibility to states and curtail federal program expansion, even as it serves tens of millions.

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.