Hamilton City Medicaid spending on state national codes climbs to $297,084 in 2024

In 2024, Medicaid providers in Hamilton City billed $297,084 for services falling under the National Codes Established for State Medicaid Agencies, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a rise of 34.8% over 2023, when billings for this category came to $220,331.

Medicaid, a health insurance program administered by states and jointly funded by federal and state governments, provides coverage for low-income individuals and families, seniors, children, and people with disabilities. It remains a major component of the United States health care system.

Because taxpayer funding is involved, shifts in local Medicaid payment levels help illustrate how public health resources are allocated in various communities.

The “National Codes Established for State Medicaid Agencies” represents a defined collection of Medicaid-billed services shaped by standardized HCPCS and CPT codes. For this analysis, each billing code was assigned to one service category using uniform prefixes and number ranges, which gave a consistent approach to tracking related services, enabled year-over-year comparisons, and avoided duplicate counts.

Although Medicaid expenditures saw growth across different categories, the National Codes Established for State Medicaid Agencies held the top spot in Hamilton City for Medicaid payments in 2024.

At the state level, the National Codes Established for State Medicaid Agencies category was also California’s leading category by total Medicaid payments in 2024.

Looking at the five years ending in 2024, Hamilton City’s Medicaid payments connected to the National Codes Established for State Medicaid Agencies group rose by $65,253, or 28.1%. Certain periods showed higher growth, with significant increases seen in 2020 and 2023.

While 2024 saw spending on National Codes Established for State Medicaid Agencies services spread throughout the city, payments were mostly concentrated in a few ZIP codes. The 95951 ZIP code topped the list, totaling $297,083 for the year. Overall, the top 1 ZIP codes made up 100% of Medicaid payments tied to this category in Hamilton City.

Payments within the National Codes Established for State Medicaid Agencies were also mainly focused among a small subset of individual billing codes.

For context, Medicaid payments for this group in Hamilton City increased by 34.8% between 2024 and 2023, compared to a 45.8% change across all Medicaid categories in the city during the same time frame.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together reached about $871.7 billion in fiscal year 2023, which represented around 18% of national health expenditures. That is a notable increase from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase signifies a roughly 40% gain over several years, largely due to additional enrollment and greater use of services during and following the pandemic.

Federal budget measures enacted under the Trump administration included major steps toward reducing federal Medicaid funding and restructuring the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid outlays by more than $1 trillion over the next decade, adding work requirements and raising cost-sharing obligations that could reduce coverage and funding for certain beneficiaries. These provisions are projected to shift more Medicaid costs onto states and constrain federal Medicaid expansion, even as tens of millions of Americans remain enrolled in the program.

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.