Seaside sees $4,645,672 in Medicaid payments for National Codes Established for State Medicaid Agencies in 2024

Seaside Medicaid providers reported $4,645,672 billed in 2024 for services included in the National Codes Established for State Medicaid Agencies group, as indicated by the U.S. Department of Health and Human Services Medicaid Provider Spending database. That figure is an 8.4% increase from 2023, when providers in Seaside filed $4,284,943 in claims for the same category.

Medicaid, a state-administered and jointly federally-and state-funded public health insurance program, serves low-income individuals and families, seniors, children, and people with disabilities, making it a core component of the American health system. For more funding information, visit the Commonwealth Fund.

Because Medicaid is taxpayer-funded, fluctuations in local billing directly reflect how a community’s public health care spending is being allocated.

The “National Codes Established for State Medicaid Agencies” group corresponds to a set of Medicaid services categorized by care type, using standardized HCPCS and CPT coding. This reporting approach assigns each billing code to a single service category through consistent prefixes and number ranges, allowing for related services to be tracked together, while avoiding duplicate counts and supporting proper historical rankings.

Among all Medicaid service categories, National Codes Established for State Medicaid Agencies led Seaside in total Medicaid payments for 2024.

Statewide, this same group also had the highest total Medicaid payments in California for 2024.

Over the five-year period ending in 2024, Medicaid payments for National Codes Established for State Medicaid Agencies in Seaside increased by $851,037, or 15.5%. Periods of particularly strong spending growth occurred in 2023 and 2020, with marked year-over-year gains.

The spending was distributed citywide but largely concentrated in specific ZIP codes. By 2024, ZIP code 93955 accounted for $4,645,671, or 100% of citywide payments linked to National Codes Established for State Medicaid Agencies during the year.

Billed payments within the National Codes Established for State Medicaid Agencies group were heavily focused on a small set of individual billing codes.

Payment totals for this category in Seaside saw an 8.4% increase between 2024 and 2023, compared to an 8.2% change across all Medicaid claim groups in Seaside during the same timeframe.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures nationally hit around $871.7 billion in fiscal year 2023, making up approximately 18% of total health spending nationwide, significantly up from $613.5 billion in 2019 before the COVID-19 outbreak.

This jump represents about 40% growth over a few years as expanded enrollment and greater service usage drove spending both during and after the pandemic period.

Recent federal budget measures during the Trump administration have introduced major changes to Medicaid finances and structure. As one example, the “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to reduce federal Medicaid support by more than $1 trillion over 10 years. The legislation also brings in policies like new work mandates and increased cost sharing, which may limit access and shift costs to states and families, potentially curbing financial support for certain recipients while Medicaid continues serving tens of millions.

Note: HCPCS codes are listed for information in the category context. Article totals and rankings here rely on standardized service groups, not single billing codes.

Data for this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The full source data set can be accessed here.