Galt Medicaid payments for state-established national codes surge to $39.7 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Galt Medicaid providers reported $39,706,915 in billed services under the National Codes Established for State Medicaid Agencies category during 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 1,520.2% increase from 2023, when claims for the same category totaled $2,450,670.

Medicaid, administered by states and funded by both federal and state governments, provides health insurance coverage to low-income people, seniors, children, and persons with disabilities—making it a major part of the U.S. health system.

Because these payments are funded by taxpayers, local billing patterns highlight how a community’s public health funds are utilized.

The “National Codes Established for State Medicaid Agencies” designation refers to a collections of Medicaid-billed services categorized based on specific HCPCS and CPT coding frameworks. For this analysis, each service code was linked to one overarching service category using uniform code prefixes and numeric groupings to keep related services grouped and prevent duplicate counting and inaccurate rankings over time.

Medicaid spending grew across several service types, but National Codes Established for State Medicaid Agencies ranked highest in Galt by overall payments during 2024.

Statewide, this category also ranked first in California for total Medicaid reimbursements in 2024.

During the five-year period through 2024, Medicaid disbursements related to National Codes Established for State Medicaid Agencies in Galt increased by $37,814,185, or 1,997.9%. Growth in spending quickened in some years, with significant year-on-year jumps in both 2023 and 2020.

The distribution of payments for this category, while spanning multiple areas of Galt, was largely concentrated in a small number of ZIP codes. In 2024, ZIP code 95632 accounted for $39,706,914 in Medicaid payments—a 100% share of the total category spending in Galt for the year.

Payments within the National Codes Established for State Medicaid Agencies group were similarly focused among only a few billing codes.

Comparatively, Medicaid payments in Galt for this group rose 1,520.2% between 2024 and 2023, much higher than the 795% increase seen across all Medicaid claim types citywide in that timeframe.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid spending reached an estimated $871.7 billion in fiscal 2023. That amount represented approximately 18% of total health expenditures nationwide, marking a steep climb from about $613.5 billion in 2019 before the pandemic.

This translates to an increase of around 40% in just a few years, a rise caused mostly by expanded enrollment and greater utilization following the pandemic onset.

Recent federal budget measures under the Trump administration have advanced major plans to reduce federal Medicaid support and reorganize the program structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over a decade, with changes such as work mandates and increased cost-sharing likely reducing the number of beneficiaries and available funding. These policy shifts are poised to transfer more financial responsibility to states and curb growth in federal backing, even as Medicaid remains a key coverage source for millions of Americans.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Galt, California Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $1,892,730 29.7%
2021 $1,721,032 -9.1%
2022 $1,616,531 -6.1%
2023 $2,450,669 51.6%
2024 $39,706,914 1520.2%
Top Categories by Medicaid Payments in Galt, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $39,706,914 92.6%
2 Ambulance and Other Transport Services and Supplies $2,371,699 5.5%
3 Medicine Services and Procedures $440,443 1%
4 Evaluation and Management $213,595 0.5%
5 Dental Services $142,093 0.3%
6 Pathology and Laboratory Procedures $2,944 <0.1%
7 Anesthesia $1,844 <0.1%
8 Procedures / Professional Services $134 <0.1%
9 Radiology Procedures $122 <0.1%
10 Drugs Administered Other than Oral Method $55 <0.1%
11 Temporary National Codes (Non-Medicare) $8 <0.1%
12 Medical And Surgical Supplies $0 <0.1%
12 Surgery $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Galt, California, 2024

HCPCS Code Description Medicaid Payments Claims
T1015 Clinic service $39,664,539 555
T2007 Non-emer transport wait time $42,375 20

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.



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