In 2024, Medicaid providers in Bay Point submitted $1,107,827 in claims for services within the National Codes Established for State Medicaid Agencies category, U.S. Department of Health and Human Services Medicaid Provider Spending data shows. This represents a 0.1% rise from 2023, when claims for the same category totaled $1,106,870.
Medicaid is a state-administered health insurance initiative, backed by both federal and state governments. The program insures low-income residents, older adults, children and those with disabilities, ranking among the country’s largest health care programs.
Because Medicaid is funded by taxpayers, variations in local Medicaid billing reflect the way public health resources are distributed within each community.
The “National Codes Established for State Medicaid Agencies” group includes services billed using standardized HCPCS and CPT codes defined by their care type. Each billing code in this analysis was mapped to a specific service group through common code prefixes and numeric ranges, ensuring services were grouped accurately for evaluation and that no double counting occurred.
Among various service categories, National Codes Established for State Medicaid Agencies had the highest total Medicaid payment amount in Bay Point for 2024.
Across California, the National Codes Established for State Medicaid Agencies group also led all Medicaid service categories in total payment volume for 2024.
Over the five-year period ending in 2024, Medicaid payments related to the National Codes Established for State Medicaid Agencies category in Bay Point rose by $818,858, amounting to a 283.4% increase. Growth surged in some years, with particularly strong yearly gains in both 2021 and 2023.
Medicaid spending for this category, though spread citywide, was highly concentrated in a small number of ZIP codes. In 2024, ZIP code 94565 alone saw $1,107,827 in payments—accounting for the entire Medicaid allocation in this service category for Bay Point that year.
Payments within the National Codes Established for State Medicaid Agencies were also clustered by a select number of billing codes.
For additional context, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Bay Point increased 0.1% from 2023 to 2024, whereas all Medicaid claim categories citywide posted a 2.2% change during that same span.
Centers for Medicare & Medicaid Services data show that combined state and federal Medicaid expenditures reached about $871.7 billion in fiscal 2023—nearly 18% of overall national health outlays, up considerably from roughly $613.5 billion in 2019, before the pandemic.
That jump is roughly 40% over just a few recent years, largely due to significant growth in enrollment and service use during and after the COVID-19 public health emergency.
Federal budget changes passed under the Trump administration include key measures for Medicaid restructuring and funding cuts. The “One Big Beautiful Bill Act,” enacted in 2025, is forecasted to decrease federal Medicaid investments by more than $1 trillion throughout the next 10 years, introducing mandates such as work requirements and greater cost-sharing in ways that could curtail coverage and dollars for some recipients. As a result, states are expected to bear greater responsibility for Medicaid costs, which may limit future expansions in federal support while the program continues to aid tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $288,969 | -48.8% |
| 2021 | $1,471,154 | 409.1% |
| 2022 | $383,045 | -74% |
| 2023 | $1,106,870 | 189% |
| 2024 | $1,107,827 | 0.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $1,107,827 | 79.2% |
| 2 | Anesthesia | $290,913 | 20.8% |
| 3 | Medicine Services and Procedures | $270 | <0.1% |
| 4 | Evaluation and Management | $0 | <0.1% |
| 4 | Pathology and Laboratory Procedures | $0 | <0.1% |
| 4 | Procedures / Professional Services | $0 | <0.1% |
| 4 | Surgery | $0 | <0.1% |
| 4 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $1,107,827 | 47 |
Note: HCPCS codes are shared to show the context within the category. Total figures and category rankings use standardized service groupings, not individual billing codes.
Data referenced here is drawn from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Find the source data here.
