Martinez Medicaid spending on National Codes Established for State Medicaid Agencies reaches $46,044,137 in 2024

In 2024, Medicaid providers in Martinez billed $46,044,137 for services falling under the National Codes Established for State Medicaid Agencies category, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. That total represented a 42% rise from 2023, when $32,431,946 was billed for the same service category.

Medicaid is a public insurance initiative managed by states and funded together by federal and state governments. It provides coverage for low-income families and individuals, seniors, children, and people with disabilities, making it one of the largest segments of the U.S. health care system.

Since Medicaid payments are sourced from the public, local billing fluctuations reflect how health care resources are distributed in each community.

The “National Codes Established for State Medicaid Agencies” category includes Medicaid-billed services organized by the type of care based on consistent HCPCS and CPT code groupings. This analysis assigned each code to one service category using code prefixes and numeric ranges for clearer comparisons, preventing duplication and supporting accurate trends.

Although Medicaid spending was up for several service categories, National Codes Established for State Medicaid Agencies was the second-largest in Martinez for Medicaid payments in 2024.

Statewide in California, National Codes Established for State Medicaid Agencies led all categories in total Medicaid payments in 2024.

From the five years before 2024, Martinez saw Medicaid payments for National Codes Established for State Medicaid Agencies rise by $18,334,552—an increase of 66.2%. Growth accelerated during some years, with notable jumps seen in 2023 and 2020.

While these category payments were made across the city, most were concentrated within a small set of ZIP codes. In 2024, the highest Medicaid payments for this category were in ZIP code 94553, reporting $46,044,136. This ZIP code accounted for 100% of all Martinez Medicaid payments within the category for the year.

Payments in the National Codes Established for State Medicaid Agencies category in Martinez were also heavily grouped among a few specific billing codes.

Comparatively, Medicaid payments for this category rose by 42% from 2023 to 2024 in Martinez, outpacing the 31.1% increase seen for all categories during the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled approximately $871.7 billion in fiscal 2023, comprising about 18% of total U.S. health spending, rising sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth represents about a 40% rise over a few years, largely driven by increased enrollment and utilization during and after the pandemic period.

Federal budget laws passed during the Trump administration have proposed sizable reductions to federal Medicaid funding and changes to how the program is structured. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid funding by over $1 trillion over the next 10 years, introducing work requirements and greater cost-sharing measures that may impact coverage and funding for beneficiaries. These changes are likely to increase state responsibility for Medicaid funding and limit federal spending even as the program continues to insure millions.

Note: HCPCS codes are provided for reference within the category. The totals and rankings in this story draw on standardized service groupings, not on individual billing codes.

Information presented here comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source material is available here.