In 2024, Medicaid providers in Elk Grove submitted $4,227,068 in claims for services under the National Codes Established for State Medicaid Agencies category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 34.9% rise from 2023, when $3,133,664 was billed for the same services.
Medicaid is a state-administered public health insurance program funded jointly by federal and state governments. It provides coverage to low-income individuals and families, seniors, children, and those with disabilities and is a core component of the U.S. health care system.
Because taxpayer funds support Medicaid payments, local changes in billing reflect how community health care funds are allocated.
The “National Codes Established for State Medicaid Agencies” category groups Medicaid-billed services by care type, following standardized HCPCS and CPT code definitions. Each billing code was matched to a specific service group for the analysis, using consistent code prefixes and ranges. This approach keeps related services together, avoids double counting, and maintains reliable ranking over time.
While Medicaid spending increased in several service categories, National Codes Established for State Medicaid Agencies was the second-largest by total Medicaid payments in Elk Grove for 2024.
Across California, the National Codes Established for State Medicaid Agencies category held the top spot for total Medicaid payments in 2024.
From 2019 to 2024, Medicaid payments attributed to the National Codes Established for State Medicaid Agencies category in Elk Grove increased by $3,122,499, or 282.7%. Periods of rapid growth included notable year-over-year gains in 2021 and 2023.
Spending for this Medicaid service category was spread across Elk Grove, but the highest payments concentrated in a few ZIP codes. In 2024, ZIP code 95758 led with $3,879,662, followed by 95624 with $197,692, and 95757 with $149,712. Together, these 3 ZIP codes made up all Medicaid payments for this service category in the city for the year.
Payments within the National Codes Established for State Medicaid Agencies category were concentrated among a select number of billing codes.
Comparing changes, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Elk Grove grew 34.9% between 2024 and 2023. That compares with a 34.4% increase across all Medicaid billing categories in Elk Grove for the period.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending was approximately $871.7 billion in fiscal year 2023, comprising about 18% of national health expenditures, rising sharply from roughly $613.5 billion in 2019 before the COVID-19 pandemic.
This equates to an increase of about 40% over several years, driven by expanded enrollment and higher use of services during and following the pandemic.
Recent federal budget policies under the Trump administration introduced notable proposals to decrease federal Medicaid funding and reshape the program. Legislation such as the “One Big Beautiful Bill Act,” enacted in 2025, is forecast to decrease federal Medicaid support by over $1 trillion in the coming decade. The law adds changes like work requirements and higher cost-sharing, potentially reducing coverage and funds for some enrollees. The result may be greater cost burdens on states and restricted growth in federal Medicaid payments, though the program will remain essential for tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,104,568 | -47.5% |
| 2021 | $1,731,671 | 56.8% |
| 2022 | $2,266,796 | 30.9% |
| 2023 | $3,133,664 | 38.2% |
| 2024 | $4,227,067 | 34.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Ambulance and Other Transport Services and Supplies | $10,346,991 | 45% |
| 2 | National Codes Established for State Medicaid Agencies | $4,227,067 | 18.4% |
| 3 | Temporary National Codes (Non-Medicare) | $3,212,613 | 14% |
| 4 | Medicine Services and Procedures | $2,327,634 | 10.1% |
| 5 | Dental Services | $1,361,645 | 5.9% |
| 6 | Procedures / Professional Services | $1,281,771 | 5.6% |
| 7 | Evaluation and Management | $190,290 | 0.8% |
| 8 | Surgery | $15,024 | 0.1% |
| 9 | Pathology and Laboratory Procedures | $12,784 | 0.1% |
| 10 | Vision Services | $10,306 | <0.1% |
| 11 | Radiology Procedures | $3,384 | <0.1% |
| 12 | Drugs Administered Other than Oral Method | $1,634 | <0.1% |
| 13 | Medical And Surgical Supplies | $35 | <0.1% |
| 14 | Anesthesia | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2005 | N-et; stretcher van | $2,554,766 | 12 |
| T1026 | Ped compr care pkg, per hour | $1,129,295 | 12 |
| T2007 | Non-emer transport wait time | $254,550 | 31 |
| T1001 | Nursing assessment/evaluatn | $122,340 | 11 |
| T2001 | N-et; patient attend/escort | $112,925 | 12 |
| T2003 | N-et; encounter/trip | $53,189 | 7 |
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.
