Brentwood Medicaid providers submitted $6,708,157 in billing for services included in the National Codes Established for State Medicaid Agencies category for 2024, according to details from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 16.9% uptick compared to 2023, when claims in that category totaled $5,739,200.
Medicaid functions as a public health insurance initiative administered by state governments and funded jointly through federal and state resources. The program serves low-income families and individuals, children, seniors, and those with disabilities, ranking among the largest segments within the U.S. health system.
As Medicaid funding is drawn from taxpayers, shifting billing volumes highlight how public health care funds are distributed within local areas.
The “National Codes Established for State Medicaid Agencies” grouping designates a set of Medicaid services defined by care type, based on consistent HCPCS and CPT code series. Billing codes for this analysis were categorized by service using uniform code prefixes and numbers to keep similarly grouped services together, avoiding duplications and maintaining correct rankings through the years.
Spending on National Codes Established for State Medicaid Agencies outpaced other categories in Brentwood for total Medicaid payments in 2024, even as expenditures increased in several categories.
In California overall, National Codes Established for State Medicaid Agencies was also the largest Medicaid spending category in 2024.
Looking over the five years up to 2024, Medicaid payments connected to National Codes Established for State Medicaid Agencies in Brentwood rose $1,221,171, or 22.3%. Spending increased rapidly during specific intervals, especially with notable gains recorded for both 2023 and 2020.
Although Medicaid spending covered the city as a whole, payments under National Codes Established for State Medicaid Agencies were concentrated mainly in certain ZIP codes. In 2024, ZIP code 94513 made up all Medicaid payments for this service category in Brentwood, at $6,708,157. This single ZIP code contributed 100% of all related Medicaid spending during the year in the city.
Furthermore, Medicaid spending within this category was highly concentrated around a smaller set of individual billing codes.
For perspective, Medicaid amounts tied to the National Codes Established for State Medicaid Agencies category in Brentwood increased 16.9% from 2023 to 2024, compared to a citywide 15.1% change covering all Medicaid claim categories over the same span.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays totaled about $871.7 billion in fiscal year 2023—around 18% of all national health outlays—an increase from $613.5 billion in 2019 before the COVID-19 pandemic.
This nearly 40% rise in total costs over several years was largely fueled by expanding program enrollment and higher service usage throughout and immediately after the pandemic.
Recent federal budget initiatives under the Trump administration included measures targeting reductions in federal Medicaid payments and program restructuring. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over 10 years and implement policies such as work requirements and higher cost sharing, which could decrease coverage and federal support for select groups. These policy shifts are anticipated to increase financial responsibility for states and slow the growth of federal support, although Medicaid remains critical for tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $5,486,985 | 9.4% |
| 2021 | $5,744,711 | 4.7% |
| 2022 | $4,262,359 | -25.8% |
| 2023 | $5,739,200 | 34.6% |
| 2024 | $6,708,157 | 16.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $6,708,157 | 62.6% |
| 2 | Medicine Services and Procedures | $2,102,051 | 19.6% |
| 3 | Anesthesia | $1,116,277 | 10.4% |
| 4 | Dental Services | $501,269 | 4.7% |
| 5 | Procedures / Professional Services | $204,885 | 1.9% |
| 6 | Evaluation and Management | $45,813 | 0.4% |
| 7 | Vision Services | $28,831 | 0.3% |
| 8 | Radiology Procedures | $1,433 | <0.1% |
| 9 | Pathology and Laboratory Procedures | $318 | <0.1% |
| 10 | Surgery | $19 | <0.1% |
| 11 | Drugs Administered Other than Oral Method | $0 | <0.1% |
| 11 | Medical And Surgical Supplies | $0 | <0.1% |
| 11 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $6,562,023 | 229 |
| T2031 | Assist living waiver/diem | $146,133 | 3 |
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.