Medicaid payments for National Codes Established for State Medicaid Agencies increase 2.3% in Pittsburg in 2024

In 2024, Pittsburg Medicaid providers billed $25,520,575 for services under the National Codes Established for State Medicaid Agencies, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 2.3% jump from 2023, when claims totaled $24,954,726 for these services.

Medicaid serves as a joint state and federally funded public health insurance program. It provides coverage for low-income people, seniors, children, and individuals with disabilities, playing a major role in the U.S. health care system. Additional background can be found at the Commonwealth Fund.

Because taxpayer funding drives Medicaid spending, shifts in local billing give insight into public health funding distribution within communities.

The “National Codes Established for State Medicaid Agencies” group comprises billing types defined by care provided, using standardized HCPCS and CPT code sets. This analysis assigned each billing code to a unique category via consistent prefixes and number ranges to minimize overlap, allowing related services to be tracked together and providing accurate historical ranking.

Among multiple rising Medicaid service categories, National Codes Established for State Medicaid Agencies led Pittsburg in total Medicaid outlays for 2024.

Statewide in California, National Codes Established for State Medicaid Agencies was also the largest category by total payments for the year.

From 2019 through 2024, Pittsburg saw a $1,128,104, or 4.6%, rise in Medicaid spending related to National Codes Established for State Medicaid Agencies services. The pace of increase varied from year to year, with strong gains especially in 2021 and 2023.

Though this category of Medicaid payments spanned the city, total spending was highly concentrated among certain ZIP codes in 2024. ZIP code 94565 accounted for $25,520,574 of spending, representing 100% of Medicaid payments in Pittsburg for this group that year.

The dollar volume within National Codes Established for State Medicaid Agencies payments also remained concentrated among a limited set of billing codes.

For context, payments for this category in Pittsburg climbed by 2.3% from 2023 to 2024, while overall Medicaid claims citywide rose 1% during the same comparison period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid costs reached about $871.7 billion in fiscal year 2023, which accounted for roughly 18% of all U.S. health expenditures. That was up significantly from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This reflects an increase of about 40% over several years, with much of the growth driven by expanded enrollment and greater use of services during and after the pandemic.

Federal budget legislation passed under the Trump administration included significant changes to Medicaid funding and structure. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over the next decade. It adds measures such as work requirements and higher out-of-pocket costs for beneficiaries, which could limit coverage and future funding. States may be required to take on greater cost responsibility, even as Medicaid continues its large-scale U.S. coverage.

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.

The data for this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database, available here.