In 2024, Grover Beach Medicaid providers submitted $334,308 in claims 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 represents a 28.9% rise over 2023, when providers billed $259,422 for the same group of services.
Medicaid, a government health insurance program managed at the state level and jointly funded by state and federal governments, covers low-income individuals, children, seniors, and people with disabilities. The program is one of the largest sectors of the U.S. health care system, providing crucial coverage for millions of Americans nationwide.
Because taxpayer dollars fund Medicaid, shifts in local billing indicate how public health care resources are dispersed at the community level.
The National Codes Established for State Medicaid Agencies category refers to Medicaid-billed services grouped by types of care, compiled using standardized HCPCS and CPT code groupings. For this analysis, every billing code was placed into a single service category based on code prefixes and number ranges, making it possible to review similar services together while preventing double-counting and ensuring accurate rankings over time.
Multiple Medicaid service categories saw greater spending, with the National Codes Established for State Medicaid Agencies category ranking third in total Medicaid payments in Grover Beach for 2024.
Across California, the National Codes Established for State Medicaid Agencies category held the top spot statewide for Medicaid payment totals in 2024.
Over the five years preceding 2024, Medicaid payments associated with the National Codes Established for State Medicaid Agencies category in Grover Beach went up by $54,901, equaling a 19.6% increase. Some years featured stronger growth, especially notable in 2023 and 2020.
While payments for this category of care occurred throughout the city, activity was concentrated in select ZIP codes. In 2024, ZIP code 93433 accounted for the entire $334,308 total in this service category, comprising 100% of Grover Beach Medicaid payments under National Codes Established for State Medicaid Agencies.
A small number of specific billing codes made up most payments in the National Codes Established for State Medicaid Agencies category.
When compared to all claim categories in the city, Grover Beach Medicaid payments for this category surged 28.9% from 2023 to 2024, versus a 25.2% increase across all claim types in that span.
The Centers for Medicare & Medicaid Services reports that total Medicaid spending from both federal and state levels hit approximately $871.7 billion in fiscal year 2023. That represented roughly 18% of national health expenditures, up significantly from about $613.5 billion in 2019, the period before the COVID-19 pandemic.
This marks around 40% growth in just a few years, primarily driven by expanded enrollment and greater utilization during and after the COVID-19 period.
Recent federal budget legislation under the Trump administration featured extensive proposals to limit federal Medicaid funds and alter the program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over the next decade while instituting new work requirements and heightened cost-sharing, potentially affecting coverage and assistance for some beneficiaries. These changes are projected to shift greater fiscal responsibilities to states and limit the pace of federal Medicaid expansion as the program continues to cover tens of millions of people.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $279,406 | 47.7% |
| 2021 | $151,378 | -45.8% |
| 2022 | $171,213 | 13.1% |
| 2023 | $259,422 | 51.5% |
| 2024 | $334,308 | 28.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $851,653 | 42.9% |
| 2 | Medicine Services and Procedures | $354,490 | 17.9% |
| 3 | National Codes Established for State Medicaid Agencies | $334,308 | 16.9% |
| 4 | Evaluation and Management | $314,581 | 15.9% |
| 5 | Procedures / Professional Services | $125,495 | 6.3% |
| 6 | Vision Services | $2,748 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1017 | Targeted case management | $194,447 | 19 |
| T2050 | Financial mgt waiver/diem | $123,876 | 8 |
| T2024 | Serv asmnt/care plan waiver | $15,984 | 1 |
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.