In 2024, providers in Imperial Beach billed $2,452,062 to Medicaid for services under the National Codes Established for State Medicaid Agencies, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That figure reflects a 67.2% jump from 2023, during which providers invoiced $1,466,290 for comparable services.
Medicaid, a joint federal and state program, provides public health insurance for low-income people, children, seniors, and individuals with disabilities. It is one of the largest components of the nation’s health care system, funded by both state and federal governments.
Since tax dollars finance Medicaid, alterations in local billing levels reflect how these public resources are distributed in a community.
The “National Codes Established for State Medicaid Agencies” category comprises services grouped by standardized HCPCS and CPT codes, using determined code prefixes and numeric ranges to ensure related services are reviewed together without duplicate counting and with accurate rankings over time.
While many service categories saw increases, National Codes Established for State Medicaid Agencies received the highest total Medicaid payments in Imperial Beach in 2024.
Statewide in California, National Codes Established for State Medicaid Agencies also ranked first by total Medicaid payments for 2024.
In the five years before 2024, payments linked to this category in Imperial Beach rose by $1,556,255, or 173.7%. Some years, including 2023 and 2020, saw more significant year-over-year gains.
Although spending for this category was distributed around Imperial Beach, payments were focused primarily in a small number of ZIP codes. The 91932 ZIP code recorded the highest payments—$2,452,061—accounting for 100% of payments attributed to the category across the city in 2024.
A limited set of individual billing codes accounted for most Medicaid payments within this category in Imperial Beach.
When compared, the 67.2% increase in Medicaid payments tied to the National Codes Established for State Medicaid Agencies in Imperial Beach between 2024 and 2023 exceeded the 37.2% increase across all claim categories citywide during the same period.
Centers for Medicare & Medicaid Services data show combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal 2023, making up around 18% of nationwide health costs, compared with $613.5 billion in 2019 before the onset of the COVID-19 pandemic.
This indicates an increase of about 40% in a few years, driven mainly by higher enrollment and utilization throughout and following the pandemic.
Recent federal legislative changes enacted during the Trump administration have introduced notable attempts to reshape Medicaid by reducing federal funding. The “One Big Beautiful Bill Act,” signed in 2025, is projected to cut over $1 trillion from federal Medicaid outlays in the next decade, adding policies such as work requirements and greater cost-sharing. These could limit coverage and available funding for some enrollees, shifting more of the financial burden to states while federal support plateaus, despite the program’s coverage of tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $895,806 | 9.7% |
| 2021 | $947,661 | 5.8% |
| 2022 | $724,871 | -23.5% |
| 2023 | $1,466,289 | 102.3% |
| 2024 | $2,452,061 | 67.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $2,452,061 | 89.1% |
| 2 | Procedures / Professional Services | $172,447 | 6.3% |
| 3 | Medicine Services and Procedures | $112,875 | 4.1% |
| 4 | Dental Services | $7,792 | 0.3% |
| 5 | Evaluation and Management | $6,402 | 0.2% |
| 6 | Vision Services | $1,661 | 0.1% |
| 7 | Pathology and Laboratory Procedures | $176 | <0.1% |
| 8 | Alcohol and Drug Abuse Treatment | $0 | <0.1% |
| 8 | Temporary National Codes (Non-Medicare) | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $2,452,061 | 159 |
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.
