Alhambra sees $12,420,398 in Medicaid payments linked to National Codes Established for State Medicaid Agencies for 2024

In 2024, Medicaid providers in Alhambra submitted $12,420,398 in claims for services under the National Codes Established for State Medicaid Agencies category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents an increase of 110.9% over the prior year, when $5,887,994 was billed for similar services.

Medicaid is a publicly funded health insurance program managed by states with joint state and federal government finances. The program covers eligible low-income people and families, including seniors, children, and those with disabilities, and it remains a critical segment of the American health care system.

With Medicaid paid for by taxpayers, changes in billing figures at the local level reflect how public healthcare resources are distributed within communities.

The “National Codes Established for State Medicaid Agencies” group comprises services billed to Medicaid, categorized by service type and grouped using standardized HCPCS and CPT codes. For this analysis, each billing code was matched to a specific service grouping using unified code prefixes and number ranges, ensuring consistency, preventing overlap in reporting, and maintaining accurate trends over time.

Medicaid outlays increased in several service areas, but the National Codes Established for State Medicaid Agencies held the No. 2 spot in Alhambra based on total Medicaid payments recorded for 2024.

Across California, National Codes Established for State Medicaid Agencies led all categories statewide by payment total for 2024.

From 2019 through 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies in Alhambra grew by $11,623,484, or 1458.6%. Noteworthy spending surges occurred throughout, particularly in 2021 and 2023, contributing to the overall trend.

Although this Medicaid spending was distributed throughout Alhambra, payments mostly originated from a small number of ZIP codes. In 2024, the top ZIP codes—91803 and 91801—accounted for all Medicaid payments in this service group, with $7,956,453 and $4,463,943 billed respectively, adding up to 100% of Alhambra’s total in the category.

Within this category, Medicaid reimbursement was also concentrated around just a handful of high-usage billing codes.

To compare, the increase of 110.9% in this service group between 2024 and 2023 outstripped the overall 32.9% change spanning all Medicaid claim categories in the city across the same interval.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures reached an estimated $871.7 billion for fiscal year 2023—about 18% of total U.S. health spending—rising swiftly from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This jump of approximately 40% in a period of several years was driven by expanded Medicaid coverage and increased utilization during and following the pandemic period.

The Trump administration’s recent federal budget actions have introduced major proposals to curtail Medicaid spending and change the program’s financial structure. One example is the “One Big Beautiful Bill Act,” enacted in 2025, which anticipates over $1 trillion in reduced federal Medicaid funding over the next decade and implements changes like work mandates and higher cost-sharing that could slim coverage for some groups and raise the state share of Medicaid responsibilities, while the program continues to provide coverage for 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.