Medicaid payments for National Codes category in Lodi reach $6,152,548 in 2024

Providers in Lodi billed a total of $6,152,548 to Medicaid for services under the National Codes Established for State Medicaid Agencies group in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 21.6% increase over the $5,060,985 in claims reported in 2023 for the same service group.

Medicaid, a statewide public health insurance program, is funded through joint federal and state resources. The program insures low-income people, older adults, children, and individuals with disabilities, making it a significant component of the U.S. health care landscape.

Because taxpayer dollars fund Medicaid, changes in local payment amounts indicate how a community’s public health dollars are distributed.

The “National Codes Established for State Medicaid Agencies” group comprises Medicaid-billed services categorized by type, relying on standardized HCPCS and CPT code groupings. For this review, billing codes were organized into single service groups based on code prefixes and ranges. This method enables analysis of related services together, avoids duplicated counts, and helps maintain accurate rankings from year to year.

While several Medicaid service categories saw spending increases, National Codes Established for State Medicaid Agencies held the top spot for total Medicaid payments in Lodi in 2024.

Statewide, California also ranked National Codes Established for State Medicaid Agencies first by total Medicaid payment in 2024.

Looking at the five years before 2024, Lodi’s Medicaid payments linked to the National Codes Established for State Medicaid Agencies group rose by $2,242,666, an increase of 57.4%. Certain intervals saw more rapid spending growth, with significant annual upticks noted in 2023 and 2020.

Although payments within the category were made throughout Lodi, spending was primarily concentrated in a few ZIP codes. In 2024, ZIP code 95240 accounted for $4,479,673, and 95242 contributed $1,672,875. Combined, these 2 ZIP codes made up 100% of Lodi’s Medicaid payments associated with this service category for the year.

In the National Codes Established for State Medicaid Agencies group, Medicaid spending was mostly centered on a select number of billing codes.

Between 2024 and 2023, Medicaid payments for the National Codes Established for State Medicaid Agencies group in Lodi increased 21.6%, while the growth across all Medicaid claim groups in the city was 1.7% over the same span.

The Centers for Medicare & Medicaid Services report that federal and state Medicaid spending together totaled approximately $871.7 billion in fiscal year 2023, making up about 18% of nationwide health expenses. This is up sharply from $613.5 billion in 2019, before the pandemic.

The difference marks nearly 40% growth in just several years, primarily fueled by broader enrollment and higher use of services during and after the pandemic.

Recent federal budget measures under the Trump administration have included major proposals to reduce federal Medicaid support and change the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid spending by over $1 trillion over the next 10 years, introducing measures such as work requirements and increased cost-sharing that may reduce coverage and federal funds for certain beneficiaries. These adjustments are projected to shift more financial responsibility to states and may slow the expansion of federal Medicaid support, even as the program continues to cover tens of millions.

Note: HCPCS codes are provided for reference. All category totals and rankings are based on standardized service groups, not individual codes.

Data for this story is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source can be accessed here.