In 2024, Medicaid providers in Arnold billed a total of $266,191 for services under the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount reflects a 5% rise from 2023, when $253,400 was billed for these services.
Medicaid, a public health insurance initiative managed by states and financially supported by both federal and state governments, serves low-income individuals and families, children, seniors and people with disabilities. It remains a major component of the U.S. health care system.
Local billing fluctuations reflect the allocation of public health care funds in a community since Medicaid payments derive from taxpayers.
The “National Codes Established for State Medicaid Agencies” grouping represents several Medicaid-billed services determined by care type and guided by standardized HCPCS and CPT coding. For this report, each billing code aligned with a single service group using set code prefixes and numeric bands, helping to analyze related services together and avoid double counting or misranking data over time.
Arnold’s top Medicaid payment total in 2024 came from the National Codes Established for State Medicaid Agencies category, which also led among all service groupings citywide.
Statewide in California, the National Codes Established for State Medicaid Agencies also led by total Medicaid payments for 2024.
Between 2019 and 2024, Arnold saw Medicaid payments for National Codes Established for State Medicaid Agencies increase by $130,991, or 96.9%. Payments surged more quickly at times, with substantial year-over-year growth again documented in both 2023 and 2021.
Spending for National Codes Established for State Medicaid Agencies services was distributed throughout Arnold but was most heavily concentrated in a few ZIP codes. In 2024, ZIP code 95223 represented the entirety of Medicaid payments at $266,191, making up 100% of the Arnold total for the category that year.
Within the category itself, Medicaid reimbursements focused on a narrow set of billing codes.
Compared with a 2.3% increase for all Medicaid claims across Arnold between 2024 and 2023, the National Codes Established for State Medicaid Agencies category rose by 5% during the same period.
Centers for Medicare & Medicaid Services data shows federal and state Medicaid spending jointly totaled about $871.7 billion in fiscal year 2023, or around 18% of total U.S. health expenditures. That figure rose sharply from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.
The rise reflects roughly 40% overall growth in just a few years, primarily driven by increased enrollment and higher utilization during and following the pandemic.
Recent federal budget actions under the Trump administration have put forward substantial efforts to reduce federal support for Medicaid and revise the program’s structure. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over the coming decade and set new policies, such as work requirements and greater cost-sharing, that may impact coverage amounts and funding for several beneficiaries. The anticipated result is more financial responsibility for states and restricted growth in federal Medicaid assistance, although Medicaid will continue to cover tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $135,200 | -12.2% |
| 2021 | $181,744 | 34.4% |
| 2022 | $157,533 | -13.3% |
| 2023 | $253,399 | 60.9% |
| 2024 | $266,191 | 5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $266,191 | 91.3% |
| 2 | Evaluation and Management | $25,075 | 8.6% |
| 3 | Medicine Services and Procedures | $426 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $266,191 | 22 |
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.
