Orland Medicaid payments for National Codes Established for State Medicaid Agencies reach $2,459,879 in 2024

In Orland, Medicaid providers recorded $2,459,879 in billing 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 indicates. This represented a 9.6% bump compared to 2023, when $2,244,396 was submitted in claims for these services.

Medicaid is administered by individual states with funding from both federal and state governments and offers coverage for seniors, children, individuals with disabilities, and low-income families. This program is a major segment of the nation’s health care infrastructure. More detailed information is available from the joint federal-state financing overview.

Local shifts in Medicaid claims impact how locally generated tax revenue supports public care for the community.

The “National Codes Established for State Medicaid Agencies” section comprises various Medicaid-billed services that are categorized using standardized HCPCS and CPT billing codes. In the data analysis, each billing code aligned to a single service group by matching certain code prefixes and numeric bands, ensuring consistent categorization, preventing overlapping counts, and supporting accurate multiyear comparisons.

Medicaid expenditures grew in multiple service categories, but National Codes Established for State Medicaid Agencies topped all others in Orland for total Medicaid disbursements in 2024.

This category also ranked first in total Medicaid payments statewide for California in 2024.

From 2019 through 2024, Medicaid payments associated with National Codes Established for State Medicaid Agencies in Orland rose by $554,673 (29.1%). Growth was fastest in certain periods, with pronounced annual increases during 2022 and 2023.

The distribution of Medicaid spending under this category showed it was mainly focused within a few ZIP codes in Orland, with 95963 recording $2,459,878 in payments in 2024. Collectively, this single ZIP code accounted for all payments in the National Codes Established for State Medicaid Agencies category citywide for the year.

The category’s payments were also heavily tied to a small selection of specific billing codes.

While Medicaid payments for this service category in Orland grew 9.6% year over year between 2023 and 2024, the city overall experienced a 4% rise across all claim categories during the same time frame.

According to the Centers for Medicare & Medicaid Services, state and federal Medicaid spending amounted to approximately $871.7 billion in fiscal year 2023. This figure made up about 18% of total national health spending, rising from about $613.5 billion in 2019, prior to the COVID-19 pandemic period.

The approximately 40% growth during this timeframe largely reflects increased program enrollment and higher health service utilization in and after the pandemic years.

Recent federal budget actions during the Trump administration featured significant plans to decrease federal Medicaid allocations and alter program structure. Notably, the “One Big Beautiful Bill Act,” which became law in 2025, aims to reduce federal Medicaid spending by more than $1 trillion over 10 years. The law brings in work requirements, more cost sharing, and other policies likely to impact coverage—and potentially decrease access—for some recipients. Most analysts expect more fiscal responsibility to be shifted onto states, slowing future federal Medicaid spending increases while the program remains a mainstay for tens of millions nationwide.

Note: HCPCS codes are provided for clarity about the group. All rankings and totals use coordinated category groupings, not individual billing code sums.

Details for this report came from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The full dataset is online here.