According to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database, Medicaid providers in Daly City billed $16,336,239 for services under the National Codes Established for State Medicaid Agencies category in 2024. This amount represents an 8.7% increase from 2023, when providers billed $15,024,972 for the same group of services.
Medicaid, a public health insurance initiative managed by the states and financed by both federal and state governments, offers coverage to low-income individuals and families, seniors, children and people with disabilities. As a result, it is among the largest components of the U.S. health care system.
Local Medicaid claims reflect how tax dollars for public health care are spent in each community because they are funded through public sources.
The “National Codes Established for State Medicaid Agencies” group encompasses Medicaid-billed services defined by the type of care and standardized HCPCS and CPT code classifications. This analysis grouped each billing code into a single service category based on code prefixes and numeric series to examine related services collectively while avoiding double counting and maintaining accurate year-to-year comparisons.
This category led all others by total Medicaid payments in Daly City for 2024, with spending rising across several service types.
Statewide, California also ranked the National Codes Established for State Medicaid Agencies category first overall for total Medicaid payments in 2024.
Between 2020 and 2024, Medicaid payments attached to this category in Daly City rose by $8,410,403—a 106.1% increase. Periods of rapid growth occurred within those years, most notably in 2023 and 2020, when significant year-over-year increases were seen.
Payments for services in this category were distributed citywide, but concentrated in a small number of ZIP codes. In 2024, ZIP code 94015 accounted for $16,336,239, representing 100% of Daly City’s Medicaid payments for this service group that year.
Within the National Codes Established for State Medicaid Agencies category itself, payments were dominated by just a few individual billing codes.
To provide further context, the 8.7% increase in Daly City’s Medicaid payments for this category from 2023 to 2024 contrasts with a 2.6% overall change across all Medicaid claim categories in the city for the same span.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, making up roughly 18% of total national health costs, up substantially from $613.5 billion in 2019, the year prior to the COVID-19 pandemic.
The surge reflects nearly 40% growth in a few years, mainly due to increased enrollment and service use during and after the pandemic.
Federal budget changes under the Trump administration have included major proposals to trim federal Medicaid support and change the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is estimated to reduce federal Medicaid funds by more than $1 trillion over 10 years and adds requirements like work criteria and higher cost sharing, which may limit coverage and funding for certain groups. These adjustments are predicted to increase state responsibility for Medicaid as federal contribution growth slows, yet the program is expected to continue serving tens of millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $7,925,835 | 51.6% |
| 2021 | $9,436,354 | 19.1% |
| 2022 | $8,871,617 | -6% |
| 2023 | $15,024,972 | 69.4% |
| 2024 | $16,336,239 | 8.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $16,336,239 | 45.4% |
| 2 | Medicine Services and Procedures | $7,800,241 | 21.7% |
| 3 | Evaluation and Management | $3,226,011 | 9% |
| 4 | Alcohol and Drug Abuse Treatment | $2,165,594 | 6% |
| 5 | Procedures / Professional Services | $1,887,916 | 5.2% |
| 6 | Ambulance and Other Transport Services and Supplies | $1,525,889 | 4.2% |
| 7 | Hearing Services | $800,924 | 2.2% |
| 8 | Pathology and Laboratory Procedures | $791,857 | 2.2% |
| 9 | Dental Services | $633,088 | 1.8% |
| 10 | Anesthesia | $426,021 | 1.2% |
| 11 | Radiology Procedures | $300,729 | 0.8% |
| 12 | Surgery | $37,344 | 0.1% |
| 13 | Temporary National Codes (Non-Medicare) | $22,956 | 0.1% |
| 14 | Drugs Administered Other than Oral Method | $20,236 | 0.1% |
| 15 | Vision Services | $3,800 | <0.1% |
| 16 | Temporary Codes | $436 | <0.1% |
| 17 | Medical And Surgical Supplies | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $15,455,936 | 444 |
| T1017 | Targeted case management | $724,033 | 17 |
| T2024 | Serv asmnt/care plan waiver | $122,564 | 1 |
| T2001 | N-et; patient attend/escort | $21,280 | 5 |
| T1999 | Noc retail items andsupplies | $12,425 | 3 |
| T1013 | Sign lang/oral interpreter | $0 | 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.