In 2024, Medicaid providers in Santa Clarita billed $8,112,177 for services categorized under the National Codes Established for State Medicaid Agencies, as indicated by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 4.9% rise from the $7,731,544 billed in 2023 for the same category of services.
Medicaid, a public insurance program operated by states and funded through both federal and state contributions, provides health coverage to low-income families, seniors, children, and individuals with disabilities. The program ranks among the largest segments of the U.S. health care system.
Since Medicaid spending is taxpayer funded, fluctuations in local billing illustrate how public health care dollars are utilized in a community.
The “National Codes Established for State Medicaid Agencies” category represents a classification of Medicaid-billed services according to care type, guided by standard HCPCS and CPT code groupings. For this review, billing codes were each placed in a single service classification based on set code prefixes and numbers. This method grouped related services, avoided double counting, and enabled accurate rankings over periods of time.
While Medicaid expenditures rose in multiple service groupings, National Codes Established for State Medicaid Agencies held the top spot by total Medicaid payments in Santa Clarita for 2024.
Statewide in California, National Codes Established for State Medicaid Agencies also placed first in overall Medicaid payments in 2024.
For the five years preceding 2024, Santa Clarita Medicaid payments for the National Codes Established for State Medicaid Agencies category increased by $367,614, or 4.7%. Spending growth accelerated in selected periods, particularly in 2020 and 2023, when notable annual hikes occurred.
Although these Medicaid funds for National Codes Established for State Medicaid Agencies were allocated citywide, payments were concentrated in a few ZIP codes. In 2024, the ZIPs with the highest totals were 91351 with $4,143,698, 91355 with $3,439,915, and 91321 with $528,564. Altogether, these 3 ZIP codes made up 100% of the associated Medicaid payments for Santa Clarita in 2024.
A select number of individual billing codes captured the largest share of Medicaid payments within this service category.
For context, while the National Codes Established for State Medicaid Agencies category in Santa Clarita increased by 4.9% from 2023 to 2024, Medicaid payments overall in the city across all claims rose by 11.3% during this time.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, which represented approximately 18% of all U.S. health expenditures—a significant jump from $613.5 billion in 2019, prior to the COVID-19 crisis.
This jump amounts to around 40% growth in several years, caused mostly by increased enrollment and greater use of Medicaid services throughout and following the pandemic timeline.
Recent federal budget moves under the Trump administration have featured substantial proposals to curtail federal Medicaid spending and fundamentally change the program structure. For instance, the “One Big Beautiful Bill Act,” enacted into law in 2025, is set to reduce federal Medicaid expenditures by more than $1 trillion over the next 10 years and implements policies like work prerequisites and heightened cost-sharing, which may limit coverage and funding for certain beneficiaries. These actions are projected to shift increased costs to states and restrain the expansion of federal Medicaid assistance, even as the program continues covering millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $7,744,563 | 27.4% |
| 2021 | $8,817,338 | 13.9% |
| 2022 | $6,395,707 | -27.5% |
| 2023 | $7,731,544 | 20.9% |
| 2024 | $8,112,177 | 4.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $8,112,177 | 62.4% |
| 2 | Medicine Services and Procedures | $1,687,583 | 13% |
| 3 | Alcohol and Drug Abuse Treatment | $1,243,915 | 9.6% |
| 4 | Evaluation and Management | $624,108 | 4.8% |
| 5 | Anesthesia | $490,024 | 3.8% |
| 6 | Dental Services | $350,724 | 2.7% |
| 7 | Radiology Procedures | $217,993 | 1.7% |
| 8 | Procedures / Professional Services | $96,250 | 0.7% |
| 9 | Drugs Administered Other than Oral Method | $65,292 | 0.5% |
| 10 | Surgery | $53,912 | 0.4% |
| 11 | Temporary National Codes (Non-Medicare) | $40,731 | 0.3% |
| 12 | Medical And Surgical Supplies | $7,374 | 0.1% |
| 13 | Vision Services | $6,309 | <0.1% |
| 14 | Temporary Codes | $2,940 | <0.1% |
| 15 | Pathology and Laboratory Procedures | $2,908 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $7,573,243 | 599 |
| T2031 | Assist living waiver/diem | $528,564 | 9 |
| T1001 | Nursing assessment/evaluatn | $10,369 | 6 |
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.