Medicaid payments for State Medicaid Agencies codes reach $830,104 in Oakland for 2024

Providers in Oakland submitted $830,104 in Medicaid claims in 2024 for services assigned to the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That total marked a 27.1% increase from 2023, when $652,884 in claims were reported.

Medicaid is a public insurance initiative managed by states and jointly funded by federal and state governments. Its coverage includes low-income people and families, seniors, children, and individuals with disabilities, which makes it a major component of the nation’s health care system.

Medicaid expenditures originate from taxpayer resources, so any shift in local billing activity reflects how public health dollars are allocated within a given community.

The “National Codes Established for State Medicaid Agencies” grouping identifies specific Medicaid services based on their care type, following standardized HCPCS and CPT code sets. Each code in this study was mapped to one service category using consistent numeric ranges and prefixes, which helps ensure related services are evaluated cumulatively without double counting and keeps rankings accurate over time.

Although multiple service categories saw increased Medicaid spending, National Codes Established for State Medicaid Agencies represented the top category by total payouts in Oakland during 2024.

In New Jersey, the category placed second for Medicaid payments statewide in 2024.

From the five years before 2024, Medicaid payments linked to the National Codes Established for State Medicaid Agencies category in Oakland totaled $830,104, with a 0% overall change. During this period, notable annual spending hikes occurred in 2023 and 2022.

While these sums were spread throughout Oakland, the majority of Medicaid payments in this category were concentrated in a small set of ZIP codes. In 2024, ZIP code 07436 accounted for $830,103, and this one ZIP code represented 100% of the city’s Medicaid claims under this category that year.

Payments under the National Codes Established for State Medicaid Agencies classification were also focused within a select set of individual billing codes.

For additional perspective, Oakland’s 27.1% rise in Medicaid payments relating to this category outpaced the overall 22.7% increase for all Medicaid claim types in the city during the same period from 2023 to 2024.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending was about $871.7 billion in fiscal year 2023. That amounted to around 18% of all U.S. health expenditures, representing a large rise from the $613.5 billion reported in 2019 before the pandemic.

This represents a growth rate near 40% within several years, with expanded enrollment and use contributing largely after the pandemic.

Recent federal budget laws during the Trump administration have advanced substantial reductions in federal Medicaid funding and led to program changes. Among them, the “One Big Beautiful Bill Act,” made law in 2025, is projected to decrease federal Medicaid spending by over $1 trillion over 10 years, while also introducing policies such as work requirements and higher cost-sharing, potentially limiting coverage and program funding for some. The changes are anticipated to increase the burden on states and to tighten federal support despite Medicaid’s reach to tens of millions 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.