Loyalton Medicaid payments for State Medicaid Agencies codes climb 9.6% in 2024

In 2024, Medicaid providers in Loyalton billed $61,155 for services falling under the National Codes Established for State Medicaid Agencies, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This represented a 9.6% rise from the $55,806 billed for the same services in 2023.

Medicaid is a state-administered, publicly funded insurance program financed jointly by federal and state sources. It provides coverage for low-income individuals and families, along with seniors, children, and people with disabilities, making it a cornerstone of the U.S. health care system.

Because Medicaid spending uses taxpayer dollars, shifts in local billing highlight how health care funds are distributed across the community.

The “National Codes Established for State Medicaid Agencies” category aggregates Medicaid-billed services identified by care type, organized using standard HCPCS and CPT code groupings. For this report, every billing code was sorted into a single category using shared code prefixes and number bands, which helped prevent double counting and supported accurate trend analysis.

Medicaid spending increased for multiple categories; among these, the National Codes Established for State Medicaid Agencies category accounted for the most Medicaid payments in Loyalton during 2024.

Throughout California, this same category also led in total Medicaid payments in 2024.

From five years prior to 2024, Medicaid payments related to the National Codes Established for State Medicaid Agencies grew by $44,145 in Loyalton, representing a 41.9% jump. The pace of spending accelerated at times, with pronounced year-over-year gains in both 2020 and 2022.

The data show that while care in the State Medicaid Agencies code group was provided citywide, 2024 Medicaid payments were highly concentrated in a select set of ZIP codes. Most payments for this category, totaling $61,155, were accounted for within ZIP code 96118—making up 100% of the city’s Medicaid spending on that category for the year.

Within this category, Medicaid payments were focused among a small group of specific billing codes.

Between 2023 and 2024, Medicaid payments connected with the National Codes Established for State Medicaid Agencies category climbed 9.6% in Loyalton. By comparison, payments rose by 10.1% across all Medicaid categories in the same period for the city.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending added up to about $871.7 billion in fiscal year 2023. That accounted for roughly 18% of nationwide health care expenditures, a steep increase from around $613.5 billion in 2019, before the COVID-19 pandemic.

This change marks a roughly 40% surge in just a few years, largely due to heightened enrollment and greater health care use during and after the pandemic.

Recent federal budgets under the Trump administration featured major policy proposals to curtail federal Medicaid funding and to alter the program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to cut federal Medicaid spending by more than $1 trillion over the next decade. It includes changes such as work requirements and added cost-sharing that could limit coverage and funding for some recipients. As a result, states may be responsible for a larger financial share as federal support growth is restrained, even as Medicaid continues to serve tens of millions of people nationwide.

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.