Millbrae Medicaid payments for state agency codes reach $777,432 in 2024

In 2024, Medicaid providers in Millbrae billed $777,432 for services under the National Codes Established for State Medicaid Agencies, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a significant increase of 210.3% from 2023, when $250,529 in claims were submitted for the same service group.

Medicaid, a public health insurance initiative operated by states and financed jointly by federal and state governments, serves low-income individuals and families, older adults, children, and people with disabilities. It is one of the largest segments of the national health care system.

Since Medicaid is tax-funded, changes in billing at the local level illustrate how public health care funding is distributed within communities.

The “National Codes Established for State Medicaid Agencies” category includes services billed to Medicaid as determined by care type, based on established HCPCS and CPT code sets. For this analysis, each code was assigned to a specific service group using uniform code prefixes and number ranges, which allows analysts to track related services while avoiding duplicate counting and preserving year-to-year rank accuracy.

Though Medicaid spending increased across various categories, National Codes Established for State Medicaid Agencies was the top-ranking category by total payments in Millbrae for 2024.

Statewide, this category also held the leading position for California Medicaid payments in 2024.

Across the five years leading up to 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Millbrae grew by $777,432, or 0%. There were periods during which spending growth accelerated, especially in 2023 and 2022, according to annual year-over-year statistics.

Spending for care in this service category occurred citywide, but most payments were concentrated within specific ZIP codes. In 2024, Medicaid payments in ZIP code 94030 totaled $777,432, accounting for 100% of the city’s payments in this group for the year.

Within the National Codes Established for State Medicaid Agencies category, most Medicaid payments were linked to a small set of billing codes.

By comparison, Millbrae saw a 210.3% increase in Medicaid payments for this category between 2024 and 2023, whereas citywide Medicaid payments across all claim types rose 48.5% over the same period.

According to the Centers for Medicare & Medicaid Services, total Medicaid expenditures from federal and state sources reached approximately $871.7 billion in fiscal year 2023. This amount made up roughly 18% of all U.S. health spending, up from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This represents an estimated 40% increase within a few years, much of which resulted from higher enrollment and continued high utilization tied to the pandemic and its aftermath.

Recently enacted federal budget laws under the Trump administration have featured significant proposals to lower federal Medicaid support and change the structure of the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is forecasted to trim more than $1 trillion from federal Medicaid funding over the coming decade, establishing policies like work requirements and greater cost-sharing that could reduce coverage and funding for certain beneficiaries. These measures are anticipated to increase state fiscal responsibility and restrict federal Medicaid growth, while the program continues to serve millions nationwide.

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.