In 2024, San Fernando Medicaid providers received $12,645,452 in payments for services classified within the National Codes Established for State Medicaid Agencies category, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That total reflected a 14.4% increase from 2023, when $11,057,936 was paid for the same types of services.
Medicaid is a public health insurance program administered by states with funding shared by federal and state governments. It provides health coverage for low-income people and families, seniors, children and those with disabilities, making it a major component of the overall U.S. health care system.
Since Medicaid finances come from taxpayers, shifts in local billing indicate how health care dollars are distributed in a community.
The “National Codes Established for State Medicaid Agencies” designation groups services based on type of care, united under standardized HCPCS and CPT codes. This analysis assigned each billing code to a single service group using consistent code groups, supporting examination of services as a unit and ensuring accuracy over time by avoiding overlapping counts.
National Codes Established for State Medicaid Agencies was the top Medicaid payment category by volume in San Fernando in 2024, following broader growth across several categories.
Statewide, for 2024, services grouped under the National Codes Established for State Medicaid Agencies category led in total Medicaid payments.
From 2019 to 2024, Medicaid payments connected to this category in San Fernando rose by $3,170,400—or 33.5%. Periods of increased growth included significant annual jumps noted in 2023 and 2021.
Within San Fernando, City-wide spending for these codes was higher in select ZIP codes. In 2024, ZIP code 91340 saw Medicaid payments totaling $12,645,451, accounting for the city’s entire aggregate under this category.
Payments for this category were similarly concentrated within a small group of specific billing codes.
Comparing increases across categories, payments for these state-designated national codes grew 14.4% between 2023 and 2024 locally, while the combined total for all claim types rose 7.7% in the same timeframe.
Centers for Medicare & Medicaid Services reports combined federal and state Medicaid outlays hit nearly $871.7 billion in fiscal 2023, representing about 18% of national health spending. This is a marked increase from $613.5 billion in 2019, ahead of the COVID-19 pandemic.
This change equals growth of approximately 40% over several years, mainly driven by expanded Medicaid enrollment and increased health care use during and after the pandemic.
Recent budget laws enacted during the Trump administration brought substantial proposals to decrease the federal Medicaid contribution and restructure program rules. The “One Big Beautiful Bill Act,” approved in 2025, is expected to reduce federal Medicaid outlays by more than $1 trillion over a decade. The law enacts work requirements and higher cost-sharing provisions, likely reducing benefits for some and shifting more of the financial responsibility to states, even as Medicaid continues to cover millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $9,475,051 | 10% |
| 2021 | $11,506,658 | 21.4% |
| 2022 | $8,573,279 | -25.5% |
| 2023 | $11,057,936 | 29% |
| 2024 | $12,645,451 | 14.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $12,645,451 | 48.4% |
| 2 | Procedures / Professional Services | $5,871,524 | 22.5% |
| 3 | Medicine Services and Procedures | $2,524,107 | 9.7% |
| 4 | Dental Services | $1,981,053 | 7.6% |
| 5 | Alcohol and Drug Abuse Treatment | $1,303,303 | 5% |
| 6 | Evaluation and Management | $829,581 | 3.2% |
| 7 | Temporary National Codes (Non-Medicare) | $755,382 | 2.9% |
| 8 | Anesthesia | $144,457 | 0.6% |
| 9 | Vision Services | $24,036 | 0.1% |
| 10 | Surgery | $17,270 | 0.1% |
| 11 | Temporary Codes | $12,931 | <0.1% |
| 12 | Pathology and Laboratory Procedures | $9,739 | <0.1% |
| 13 | Radiology Procedures | $1,979 | <0.1% |
| 14 | Ambulance and Other Transport Services and Supplies | $617 | <0.1% |
| 15 | Drugs Administered Other than Oral Method | $156 | <0.1% |
| 16 | Medical And Surgical Supplies | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $10,535,894 | 698 |
| T1019 | Personal care ser per 15 min | $2,003,516 | 10 |
| T2038 | Comm trans waiver/service | $49,433 | 1 |
| T1017 | Targeted case management | $49,348 | 8 |
| T1001 | Nursing assessment/evaluatn | $7,194 | 1 |
| T1016 | Case management | $40 | 4 |
| T1003 | Lpn/lvn services up to 15min | $12 | 55 |
| T1002 | Rn services up to 15 minutes | $12 | 39 |
| T1004 | Nsg aide service up to 15min | $0 | 49 |
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.
