In 2024, Medicaid providers in Arbuckle billed $525,073 for services under the National Codes Established for State Medicaid Agencies category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 1.9% gain from 2023, when providers submitted $515,492 in claims for this service area.
Medicaid is a public insurance initiative, operated by states and financially supported through federal and state funding. The program serves low-income residents, older adults, children, and those with disabilities, making it a major component of the nation’s health care system.
Since these Medicaid payments draw from taxpayer resources, fluctuations in local billing amounts reflect how public health care funds are spent in the community.
The “National Codes Established for State Medicaid Agencies” category groups Medicaid claims by type of care, relying on standardized HCPCS and CPT code sets. For this analysis, each billing code was placed into one service category using established code prefixes and numerical ranges, which enables analysis of related services as a group without double-counting and maintains ranking accuracy over multiple years.
Although Medicaid expenditures rose across several categories, National Codes Established for State Medicaid Agencies led in overall Medicaid payments in Arbuckle in 2024.
Statewide, this category also ranked highest for total Medicaid payments in California during 2024.
Over the five years up to 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Arbuckle increased by $154,950, or 41.9%. Growth quickened during certain years, with substantial increases recorded in both 2023 and 2020.
While spending was distributed across Arbuckle, payments were focused within a small number of ZIP codes. In 2024, the ZIP code with the largest Medicaid payments in this category was 95912, which totaled $525,072. The leading 1 ZIP codes combined accounted for 100% of Medicaid payments for this category in Arbuckle for the year.
Within this major category, Medicaid spending was further concentrated in a small group of specific billing codes.
In comparison, Medicaid payments tied to this category grew 1.9% from 2023 to 2024 in Arbuckle, outpacing the 1% change seen across all Medicaid service categories in the city during the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled about $871.7 billion in fiscal 2023, representing 18% of all U.S. health expenditures—up from around $613.5 billion in 2019, prior to the COVID-19 pandemic.
This rise represents about 40% growth in just a few years, driven primarily by greater enrollment and increased service use during and after the pandemic period.
Recent federal budget measures under the Trump administration have featured plans for substantial reductions in federal Medicaid funding and structural changes to the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to slash federal Medicaid spending by more than $1 trillion in the next decade, introducing requirements such as work mandates and higher cost-sharing that could reduce coverage and funds for certain recipients. These changes are likely to pass more costs to states and limit federal Medicaid expansion even as the program continues to serve tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $370,123 | 28.7% |
| 2021 | $348,023 | -6% |
| 2022 | $320,942 | -7.8% |
| 2023 | $515,491 | 60.6% |
| 2024 | $525,072 | 1.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $525,072 | 97.6% |
| 2 | Evaluation and Management | $11,319 | 2.1% |
| 3 | Medicine Services and Procedures | $1,592 | 0.3% |
| 4 | Pathology and Laboratory Procedures | $8 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $525,072 | 35 |
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.

