In 2024, Medicaid providers in Marysville billed $9,002,040 for services grouped 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 represented a 13.2% increase from 2023, when providers filed $7,951,069 in claims for these services.
Medicaid, a government health insurance program administered by states and funded through federal and state contributions, serves low-income individuals, families, seniors, children, and people with disabilities. It is among the largest components of the U.S. health care system.
Since Medicaid is funded by taxpayers, fluctuations in local billing levels help illustrate how community health care resources are allocated.
The “National Codes Established for State Medicaid Agencies” category comprises Medicaid-billed services defined by the specific care type, based on standardized HCPCS and CPT code ranges. Each billing code was categorized using consistent code prefixes and numeric ranges, grouping similar services and ensuring accurate comparisons without double counting.
Medicaid spending rose in several service categories, but National Codes Established for State Medicaid Agencies led all categories in Marysville for total Medicaid payments in 2024.
Statewide in California, the National Codes Established for State Medicaid Agencies category also ranked first for total Medicaid payments in 2024.
Between 2019 and 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Marysville climbed by $5,959,798, marking an increase of 195.9%. Some years, including 2021 and 2023, saw particularly strong year-over-year growth in spending.
Payments for care in the National Codes Established for State Medicaid Agencies category were distributed citywide, but a few ZIP codes accounted for most funding. In 2024, ZIP code 95901 alone accounted for $9,002,040, representing 100% of all local Medicaid payments in this category for the year.
Within this category, most Medicaid payments were awarded to a small number of individual billing codes.
For comparison, payments related to this category in Marysville rose by 13.2% from 2023 to 2024, while Medicaid claims for all categories in the city remained unchanged during that time.
According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, or about 18% of total national health expenditures. That figure is a significant jump from $613.5 billion in 2019, before the COVID-19 pandemic.
This growth reflects an increase of about 40% in several years, largely due to greater enrollment and higher use of services during and after the pandemic.
Recent federal budget measures during the Trump administration have advanced extensive proposals to scale back federal Medicaid funding and restructure key aspects of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid outlays by more than $1 trillion over 10 years, adding policies such as work requirements and increased cost-sharing, which may reduce access and funding for certain enrollees. These changes are likely to shift more costs to states and place limits on federal Medicaid funding growth, despite the program continuing to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,042,242 | -49.2% |
| 2021 | $6,218,795 | 104.4% |
| 2022 | $6,133,716 | -1.4% |
| 2023 | $7,951,069 | 29.6% |
| 2024 | $9,002,040 | 13.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $9,002,040 | 30.5% |
| 2 | Evaluation and Management | $7,111,362 | 24.1% |
| 3 | Alcohol and Drug Abuse Treatment | $3,966,441 | 13.4% |
| 4 | Medicine Services and Procedures | $2,890,926 | 9.8% |
| 5 | Radiology Procedures | $2,292,353 | 7.8% |
| 6 | Pathology and Laboratory Procedures | $1,212,160 | 4.1% |
| 7 | Procedures / Professional Services | $1,113,915 | 3.8% |
| 8 | Ambulance and Other Transport Services and Supplies | $825,387 | 2.8% |
| 9 | Anesthesia | $703,820 | 2.4% |
| 10 | Drugs Administered Other than Oral Method | $145,362 | 0.5% |
| 11 | Surgery | $134,890 | 0.5% |
| 12 | Prosthetic Procedures | $103,037 | 0.3% |
| 13 | Temporary Codes | $22,420 | 0.1% |
| 14 | Dental Services | $14,505 | <0.1% |
| 15 | Administrative, Miscellaneous and Investigational | $13,584 | <0.1% |
| 16 | Temporary National Codes (Non-Medicare) | $134 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $8,721,937 | 371 |
| T2040 | Financial mgt waiver/15min | $188,478 | 10 |
| T2007 | Non-emer transport wait time | $91,625 | 9 |
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.
