Oroville Medicaid providers submitted $25,354,427 in 2024 for services designated under National Codes Established for State Medicaid Agencies, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That total reflects a 2.9% uptick from the $24,647,848 recorded for these services in 2023.
Medicaid is a state-run public health insurance program jointly financed by federal and state governments, providing coverage for low-income groups, seniors, children, and people with disabilities, and forming a major component of the national health care system.
Shifts in local Medicaid billing offer a window into community-level public health spending funded by taxpayers.
The “National Codes Established for State Medicaid Agencies” section includes Medicaid-billed services organized by the type of care, using standardized HCPCS and CPT code groupings. In this analysis, each billing code was placed into a single service group based on code prefixes and number ranges, helping ensure related services were grouped for comparison, preventing double-counting and supporting accurate rankings over time.
Spending rose across several Medicaid categories, but in Oroville, National Codes Established for State Medicaid Agencies secured the top spot for total Medicaid payments in 2024.
Across California, this category also led statewide Medicaid payments in 2024.
From five years before 2024, Oroville’s Medicaid payments for National Codes Established for State Medicaid Agencies jumped by $5,751,659, representing a 29.3% gain. Some years saw marked increases, notably in 2023 and 2020.
Payment activity within the National Codes Established for State Medicaid Agencies category was citywide, though dollars were concentrated in a small number of ZIP codes. In 2024, ZIP codes 95966 ($14,485,941) and 95965 ($10,868,485) together comprised all Medicaid spending in Oroville for this category.
Medicaid reimbursements in this category were focused on a select group of codes.
Over the year, the city’s Medicaid payments for National Codes Established for State Medicaid Agencies climbed 2.9%—just below the 4.2% rise seen across all Medicaid claim categories in Oroville during the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled approximately $871.7 billion in the 2023 fiscal year, making up nearly 18% of all national health expenditures, up sharply from $613.5 billion in 2019 just before COVID-19.
This translates to growth of about 40% over a few years, primarily due to increased enrollment and use of services during and following the pandemic.
Recent federal budgeting under the Trump administration proposed major reductions to federal Medicaid spending and changes to the program. The “One Big Beautiful Bill Act,” enacted in 2025, is set to lower federal Medicaid allocations by more than $1 trillion over the next 10 years and introduces policies such as work requirements and higher cost-sharing, which may curtail benefits and funding for certain recipients. These adjustments are expected to increase the financial role of states and slow the expansion of federal Medicaid support, while the program continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $19,602,767 | 17.2% |
| 2021 | $21,114,759 | 7.7% |
| 2022 | $19,028,068 | -9.9% |
| 2023 | $24,647,848 | 29.5% |
| 2024 | $25,354,427 | 2.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $25,354,427 | 53.8% |
| 2 | Evaluation and Management | $7,181,910 | 15.2% |
| 3 | Pathology and Laboratory Procedures | $4,436,986 | 9.4% |
| 4 | Medicine Services and Procedures | $2,862,271 | 6.1% |
| 5 | Alcohol and Drug Abuse Treatment | $2,472,010 | 5.2% |
| 6 | Procedures / Professional Services | $1,959,833 | 4.2% |
| 7 | Radiology Procedures | $1,759,412 | 3.7% |
| 8 | Dental Services | $743,395 | 1.6% |
| 9 | Surgery | $320,882 | 0.7% |
| 10 | Drugs Administered Other than Oral Method | $50,215 | 0.1% |
| 11 | Temporary Codes | $16,483 | <0.1% |
| 12 | Administrative, Miscellaneous and Investigational | $6,425 | <0.1% |
| 13 | Hearing Services | $3,477 | <0.1% |
| 14 | Anesthesia | $794 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $25,086,364 | 661 |
| T1017 | Targeted case management | $198,043 | 25 |
| T2021 | Day habil waiver per 15 min | $68,948 | 6 |
| T1001 | Nursing assessment/evaluatn | $1,070 | 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.
