In 2024, Medicaid providers in Whittier billed $4,420,016 for services under the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 39.6% rise over 2023, when $3,165,178 in claims were submitted for the same services.
Medicaid is a public health insurance program managed by states and funded jointly by the federal and state governments. It provides coverage for low-income adults and families, seniors, children, and people with disabilities, making it one of the nation’s largest health care programs.
Since Medicaid payments are funded by taxpayers, shifts in local billing amounts indicate how community health care funds are distributed.
The “National Codes Established for State Medicaid Agencies” category contains services classified by care type according to standardized HCPCS and CPT code groupings. For this report, billing codes were sorted into single service categories based on standard prefixes and ranges, enabling analysis of related services without double counting and maintaining consistent rankings across years.
While overall Medicaid spending increased in various service areas, National Codes Established for State Medicaid Agencies ranked second in Whittier for Medicaid payment totals in 2024.
Statewide in California, National Codes Established for State Medicaid Agencies led all categories in total Medicaid payments in 2024.
Over the five years before 2024, Medicaid payments under the National Codes Established for State Medicaid Agencies category in Whittier grew by $4,058,579, or 1,122.9%. The growth rate accelerated at times, with notable increases seen in 2023 and 2021.
Although these payments were disbursed throughout Whittier, much of the total was concentrated in a few ZIP codes. In 2024, ZIP codes 90603, 90602, and 90605 accounted for $1,861,507, $1,804,633, and $730,551 respectively. Together, these 3 ZIP codes made up 99.5% of Medicaid payments in this category citywide.
Within the National Codes Established for State Medicaid Agencies group, Medicaid spending was focused on a relatively small set of billing codes.
For perspective, Medicaid payments for this category in Whittier rose 39.6% from 2023 to 2024, compared with an overall 10.7% payment change across all Medicaid claim types in Whittier during that period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays reached about $871.7 billion in fiscal year 2023, making up nearly 18% of national health spending. This represents a significant increase from $613.5 billion in 2019, before the COVID-19 pandemic.
This growth of roughly 40% over a few years has been mainly driven by higher enrollment and more care utilization during and following the pandemic.
Recent budget measures passed under the Trump administration introduced large proposed reductions to federal Medicaid funding and changes to match rates. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion in federal Medicaid spending over 10 years. Provisions such as work requirements and increased cost-sharing could limit benefits and shift additional costs onto states, even as the program continues providing coverage for millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $361,437 | 18.4% |
| 2021 | $558,382 | 54.5% |
| 2022 | $561,626 | 0.6% |
| 2023 | $3,165,177 | 463.6% |
| 2024 | $4,420,015 | 39.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $7,970,626 | 27.7% |
| 2 | National Codes Established for State Medicaid Agencies | $4,420,015 | 15.4% |
| 3 | Medicine Services and Procedures | $4,254,936 | 14.8% |
| 4 | Pathology and Laboratory Procedures | $3,909,741 | 13.6% |
| 5 | Radiology Procedures | $2,166,219 | 7.5% |
| 6 | Temporary National Codes (Non-Medicare) | $2,153,614 | 7.5% |
| 7 | Anesthesia | $1,393,612 | 4.8% |
| 8 | Dental Services | $801,117 | 2.8% |
| 9 | Drugs Administered Other than Oral Method | $613,450 | 2.1% |
| 10 | Alcohol and Drug Abuse Treatment | $294,972 | 1% |
| 11 | Durable Medical Equipment | $214,807 | 0.7% |
| 12 | Procedures / Professional Services | $173,698 | 0.6% |
| 13 | Medical And Surgical Supplies | $151,589 | 0.5% |
| 14 | Surgery | $112,281 | 0.4% |
| 15 | Diagnostic Radiology Services | $50,911 | 0.2% |
| 16 | Vision Services | $41,510 | 0.1% |
| 17 | Temporary Codes | $32,830 | 0.1% |
| 18 | Chemotherapy Drugs | $10,203 | <0.1% |
| 19 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $9,889 | <0.1% |
| 20 | Prosthetic Procedures | $5,513 | <0.1% |
| 21 | Orthotic Procedures and services | $3,964 | <0.1% |
| 22 | Administrative, Miscellaneous and Investigational | $1,200 | <0.1% |
| 23 | Coronavirus Diagnostic Panel | $1,137 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2031 | Assist living waiver/diem | $4,165,813 | 34 |
| T4541 | Large disposable underpad | $83,630 | 30 |
| T4535 | Disposable liner/shield/pad | $35,202 | 19 |
| T4527 | Adult size pull-on lg | $27,794 | 18 |
| T4523 | Adult size brief/diaper lg | $26,973 | 10 |
| T4526 | Adult size pull-on med | $20,480 | 19 |
| T4524 | Adult size brief/diaper xl | $17,123 | 11 |
| T1014 | Telehealth transmit, per min | $16,659 | 41 |
| T1001 | Nursing assessment/evaluatn | $13,812 | 6 |
| T4528 | Adult size pull-on xl | $6,440 | 5 |
| T4522 | Adult size brief/diaper med | $6,084 | 5 |
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.
