Manteca Medicaid providers submitted claims totaling $7,869,378 in 2024 for services categorized under the National Codes Established for State Medicaid Agencies, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That represents a 36.8% increase over 2023, when claims for these services reached $5,752,590.
Medicaid is a public health insurance initiative run by states and funded collectively by federal and state governments. The program serves low-income residents, seniors, children, and individuals with disabilities, making it one of the main pillars of U.S. health care.
Since Medicaid draws on taxpayer funds, shifts in local billing patterns highlight changes in how public health resources are distributed within a community.
The “National Codes Established for State Medicaid Agencies” category groups Medicaid-billed services by type of care, using consistent HCPCS and CPT coding ranges. For this analysis, each billing code is assigned to a unique service category through standardized code prefixes and numbers, enabling grouped analysis without duplication and supporting accurate comparisons over time.
National Codes Established for State Medicaid Agencies ranked second among Medicaid service categories in Manteca for total payments in 2024, despite overall spending increases across several categories.
On the state level, National Codes Established for State Medicaid Agencies led all categories in California by total Medicaid payments in 2024.
Between 2019 and 2024, Medicaid payments for this category in Manteca grew by $3,211,315, a 68.9% gain. Certain years, including 2020 and 2023, saw especially strong year-over-year increases in spending for these services.
While payments for this category were made across Manteca, the bulk of Medicaid dollars went to a few ZIP codes. In 2024, ZIP code 95336 received $7,869,364 in payments, and 95337 received $14. Combined, these two ZIP codes represented 100% of all Medicaid spending for this service category in the city for the year.
Within this service grouping, most Medicaid payments were focused on a small set of billing codes.
Medicaid spending related to National Codes Established for State Medicaid Agencies in Manteca rose 36.8% from 2023 to 2024, outpacing the 13.2% increase reported across all Medicaid claim categories in the city in the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion during fiscal year 2023. This amounted to roughly 18% of total U.S. health expenditures and was a significant increase from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.
The data reflect a nearly 40% increase in just a few years, largely resulting from greater enrollment and higher service use during and after the pandemic.
Recent federal budget actions under the Trump administration have proposed major reductions to federal Medicaid contributions and changes to program structure. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid outlays by more than $1 trillion over 10 years, adding policies such as work requirements and increased cost-sharing that may limit coverage and funding for certain recipients. These changes are likely to shift more responsibility to state governments while constraining future federal support, even as Medicaid continues serving tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $4,658,063 | 26.6% |
| 2021 | $4,268,712 | -8.4% |
| 2022 | $3,550,326 | -16.8% |
| 2023 | $5,752,589 | 62% |
| 2024 | $7,869,378 | 36.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $9,499,730 | 22.8% |
| 2 | National Codes Established for State Medicaid Agencies | $7,869,378 | 18.9% |
| 3 | Drugs Administered Other than Oral Method | $7,575,444 | 18.2% |
| 4 | Pathology and Laboratory Procedures | $3,709,793 | 8.9% |
| 5 | Radiology Procedures | $3,326,305 | 8% |
| 6 | Anesthesia | $3,038,859 | 7.3% |
| 7 | Medicine Services and Procedures | $2,824,526 | 6.8% |
| 8 | Surgery | $1,311,404 | 3.1% |
| 9 | Dental Services | $1,292,833 | 3.1% |
| 10 | Ambulance and Other Transport Services and Supplies | $493,235 | 1.2% |
| 11 | Chemotherapy Drugs | $436,136 | 1% |
| 12 | Diagnostic Radiology Services | $123,148 | 0.3% |
| 13 | Temporary National Codes (Non-Medicare) | $74,751 | 0.2% |
| 14 | Procedures / Professional Services | $66,719 | 0.2% |
| 15 | Temporary Codes | $50,209 | 0.1% |
| 16 | Hearing Services | $18,470 | <0.1% |
| 17 | Administrative, Miscellaneous and Investigational | $10,555 | <0.1% |
| 18 | Medical And Surgical Supplies | $6,926 | <0.1% |
| 19 | Vision Services | $5,675 | <0.1% |
| 20 | Alcohol and Drug Abuse Treatment | $2,048 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $7,861,558 | 303 |
| T1999 | Noc retail items andsupplies | $7,820 | 15 |
| T1017 | Targeted case management | $0 | 8 |
| T2021 | Day habil waiver per 15 min | $0 | 2 |
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.
