Medicaid providers in Yuba City submitted $21,897,469 in claims for services under the National Codes Established for State Medicaid Agencies in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented a 7.5% rise from 2023, when payments reached $20,361,499 for the same services.
Medicaid operates as a state-managed public health insurance program with joint federal and state funding from taxpayers. It serves people with low incomes, children, seniors, and individuals with disabilities, making it a cornerstone of the U.S. health care landscape.
Because Medicaid is funded by public dollars, trends in local billing provide insight into how public health care resources are distributed in communities.
The “National Codes Established for State Medicaid Agencies” group includes Medicaid-billed services organized by care type using standardized HCPCS and CPT code ranges. In this analysis, each billing code was matched to one service category, enabling examination of related services together while avoiding overlap or double counting and maintaining consistent rankings through the years.
National Codes Established for State Medicaid Agencies led all service groups in Yuba City by total Medicaid payments in 2024 as spending increased across multiple categories.
Statewide, National Codes Established for State Medicaid Agencies also topped the list for Medicaid payments in California in 2024.
From 2020 to 2024, Medicaid payments for this service category in Yuba City rose $11,752,161, or 115.8%. Growth accelerated in select years, with notable year-over-year gains seen in 2023 and 2021.
While spending in this category covered providers across the city, Medicaid payments were most heavily concentrated in a small number of ZIP codes. In 2024, ZIP codes 95993 and 95991 accounted for $11,792,683 and $10,104,785, respectively—together making up 100% of Medicaid payments associated with the National Codes Established for State Medicaid Agencies category in Yuba City for the year.
Within the same category, Medicaid payments were distributed among a small selection of individual billing codes.
For context, Medicaid payments for this category in Yuba City grew 7.5% from 2023 to 2024, compared to a 13.9% increase across all Medicaid claim types in the city in that period.
According to the Centers for Medicare & Medicaid Services, total Medicaid spending from federal and state sources was about $871.7 billion in fiscal year 2023. That total amounted to approximately 18% of all national health expenditures, sharply up from $613.5 billion in 2019 before the COVID-19 pandemic.
This change means national Medicaid spending grew about 40% in several years, driven in large part by expanded enrollment and greater service use during and following the pandemic.
Recent federal budget legislation enacted in the Trump administration introduced major proposals to cut federal Medicaid funding and reshape the program. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years through steps such as work requirements and increased cost-sharing. These changes could reduce coverage and shift more costs to states, putting added constraints on Federal Medicaid funding while the program continues to serve millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $10,145,308 | -3.9% |
| 2021 | $12,124,706 | 19.5% |
| 2022 | $12,681,739 | 4.6% |
| 2023 | $20,361,498 | 60.6% |
| 2024 | $21,897,468 | 7.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $21,897,468 | 38.5% |
| 2 | Medicine Services and Procedures | $7,489,040 | 13.2% |
| 3 | Dental Services | $6,567,223 | 11.6% |
| 4 | Evaluation and Management | $4,676,778 | 8.2% |
| 5 | Ambulance and Other Transport Services and Supplies | $4,164,757 | 7.3% |
| 6 | Alcohol and Drug Abuse Treatment | $4,073,344 | 7.2% |
| 7 | Procedures / Professional Services | $3,876,928 | 6.8% |
| 8 | Durable Medical Equipment | $1,026,926 | 1.8% |
| 9 | Surgery | $851,818 | 1.5% |
| 10 | Radiology Procedures | $672,532 | 1.2% |
| 11 | Pathology and Laboratory Procedures | $615,172 | 1.1% |
| 12 | Drugs Administered Other than Oral Method | $403,978 | 0.7% |
| 13 | Temporary National Codes (Non-Medicare) | $190,901 | 0.3% |
| 14 | Medical And Surgical Supplies | $123,923 | 0.2% |
| 15 | Hearing Services | $111,703 | 0.2% |
| 16 | Administrative, Miscellaneous and Investigational | $64,149 | 0.1% |
| 17 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $31,229 | 0.1% |
| 18 | Temporary Codes | $2,942 | <0.1% |
| 19 | Anesthesia | $708 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $20,193,015 | 676 |
| T1026 | Ped compr care pkg, per hour | $942,844 | 12 |
| T1017 | Targeted case management | $565,728 | 18 |
| T4541 | Large disposable underpad | $43,026 | 8 |
| T1001 | Nursing assessment/evaluatn | $37,064 | 9 |
| T4527 | Adult size pull-on lg | $30,456 | 8 |
| T4535 | Disposable liner/shield/pad | $24,242 | 8 |
| T4528 | Adult size pull-on xl | $23,080 | 8 |
| T4526 | Adult size pull-on med | $22,062 | 8 |
| T1014 | Telehealth transmit, per min | $15,490 | 10 |
| T1016 | Case management | $455 | 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.
