Mariposa Medicaid providers bill $19,160,862 for state agency code services in 2024

Providers in Mariposa billed Medicaid $19,160,862 in 2024 for services grouped under the National Codes Established for State Medicaid Agencies category, according to U.S. Department of Health and Human Services Medicaid Provider Spending data. This represents an increase of 65.8% over 2023, when claims for the same services totaled $11,558,499.

Medicaid, a public health program managed by the states and funded in partnership with the federal government, serves low-income families and individuals, children, senior citizens, and people with disabilities, making it a core component of the U.S. health care system.

Because taxpayer funding supports Medicaid, shifts in local billing patterns reflect how health care monies are distributed in communities.

The National Codes Established for State Medicaid Agencies category designates a collection of Medicaid services, each defined by the nature of the care and established using standard HCPCS and CPT coding groupings. Codes were indexed into single service categories via consistent prefixes and ranges for this analysis, ensuring that similar services could be grouped for accurate ranking without duplicate counts.

In addition to an increase across various Medicaid service groups, National Codes Established for State Medicaid Agencies was the leading category for total Medicaid payments in Mariposa for 2024.

Statewide, this service category also ranked at the top for total Medicaid payouts in California for the year.

For the five years preceding 2024, Medicaid payments connected to National Codes Established for State Medicaid Agencies in Mariposa grew by $17,579,207, a 1,111.4% rise. The pace of spending accelerated in certain periods, with substantial increases seen in 2023 and 2022.

Even though service spending under National Codes Established for State Medicaid Agencies was spread across Mariposa, total payments were mainly clustered within a limited number of ZIP codes. In 2024, Medicaid payments tied to this category were concentrated in ZIP code 95338, which accounted for $19,160,861—100% of such spending in Mariposa.

Within this Medicaid service category, a few billing codes made up the majority of payments by dollar amount.

In Mariposa, Medicaid expenditures for National Codes Established for State Medicaid Agencies grew by 65.8% between 2024 and 2023. By comparison, that outpaced the 34.5% growth seen across all Medicaid claims locally in the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion for fiscal year 2023, making up close to 18% of total U.S. health spending. This is an increase from approximately $613.5 billion in 2019, pre-pandemic.

This growth rate—roughly 40% over several years—was mainly driven by increased Medicaid enrollment and service demand during and after the pandemic.

Recent federal laws adopted under the Trump administration contained several measures to curb federal spending on Medicaid and reshape the program. For example, the “One Big Beautiful Bill Act,” which became law in 2025, is expected to lower federal Medicaid funding by more than $1 trillion in the decade ahead and introduces new work requirements and larger cost-sharing responsibilities, which may limit benefits and state funding growth for certain Medicaid recipients. As a result, more costs are projected to shift to states, potentially constraining federal Medicaid expansion despite the program continuing to support tens of millions of Americans.

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.