In 2024, Medicaid providers in Belmont collected $2,000,367 in payments for services under the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount is a 0.1% increase from 2023, when $1,998,967 in claims were submitted for the category.
Medicaid is a state-administered program funded in partnership with federal and state governments. It provides coverage to low-income people, families, seniors, children, and those with disabilities, making it a critical element of the U.S. health care system.
Since Medicaid payments are funded by public dollars, shifts in local billing levels highlight how health care resources are distributed in a community.
The “National Codes Established for State Medicaid Agencies” category covers Medicaid-billed services grouped based on specific care types using standardized HCPCS and CPT code structures. This analysis assigned each billing code to one service category by matching consistent code prefixes and ranges, supporting category analysis while preventing double counting and ensuring accurate year-to-year rankings.
While Medicaid spending grew in several service categories, National Codes Established for State Medicaid Agencies reported the highest total Medicaid payments in Belmont for 2024.
Statewide in California, National Codes Established for State Medicaid Agencies was also ranked first by total Medicaid payments during 2024.
Between 2019 and 2024, Belmont’s Medicaid payments for National Codes Established for State Medicaid Agencies rose by $26,421, or 1.3%. The growth rate increased during certain annual periods, most notably in 2020 and again in 2023.
Although care spending from this category happened throughout Belmont, much of the total was focused in a small number of ZIP codes. In 2024, ZIP code 94002 accounted for $2,000,367, representing all of the Medicaid payments attributed to this category in Belmont that year.
A small number of individual billing codes accounted for most payments in the National Codes Established for State Medicaid Agencies category.
To compare, National Codes Established for State Medicaid Agencies payments in Belmont rose by 0.1% from 2023 to 2024, while total Medicaid claims citywide across all categories increased by 3.8% over the same period.
Centers for Medicare & Medicaid Services data show combined state and federal Medicaid expenditures reached around $871.7 billion in fiscal year 2023. That was about 18% of all U.S. health spending, a sharp uptick from roughly $613.5 billion in 2019, prior to COVID-19.
This marks an approximate 40% increase in spending over several years, primarily due to sector enrollment expansion and greater utilization associated with the pandemic.
New federal budget laws enacted during the Trump administration propose to significantly reduce Medicaid funding at the federal level and alter its framework. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, is set to cut federal Medicaid spending by more than $1 trillion over 10 years and includes provisions like employment requirements and higher cost-sharing, which could decrease access and financial support for certain recipients. These changes may increase state-level costs and restrain federal Medicaid expansion, even as the program continues to provide coverage to tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,973,946 | 12.8% |
| 2021 | $1,855,864 | -6% |
| 2022 | $1,924,784 | 3.7% |
| 2023 | $1,998,966 | 3.9% |
| 2024 | $2,000,367 | 0.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $2,000,367 | 59.4% |
| 2 | Evaluation and Management | $662,000 | 19.7% |
| 3 | Medical And Surgical Supplies | $353,212 | 10.5% |
| 4 | Alcohol and Drug Abuse Treatment | $192,703 | 5.7% |
| 5 | Administrative, Miscellaneous and Investigational | $121,342 | 3.6% |
| 6 | Pathology and Laboratory Procedures | $27,504 | 0.8% |
| 7 | Dental Services | $11,266 | 0.3% |
| 8 | Medicine Services and Procedures | $274 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T4541 | Large disposable underpad | $453,597 | 12 |
| T4523 | Adult size brief/diaper lg | $378,102 | 11 |
| T4535 | Disposable liner/shield/pad | $341,438 | 12 |
| T4527 | Adult size pull-on lg | $202,729 | 11 |
| T4524 | Adult size brief/diaper xl | $120,163 | 11 |
| T1017 | Targeted case management | $119,980 | 8 |
| T4522 | Adult size brief/diaper med | $104,131 | 11 |
| T4526 | Adult size pull-on med | $86,131 | 11 |
| T4534 | Youth size pull-on | $83,753 | 11 |
| T4528 | Adult size pull-on xl | $65,134 | 11 |
| T4537 | Reusable underpad bed size | $24,534 | 1 |
| T4525 | Adult size pull-on sm | $20,670 | 10 |
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.
