Bolinas sees $466,821 in Medicaid payments for National Codes Established for State Medicaid Agencies in 2024

Bolinas Medicaid providers billed $466,821 in 2024 for services grouped under the National Codes Established for State Medicaid Agencies, using data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflects a 9.6% bump from the prior year, when local providers filed $426,066 in claims under the same category.

Medicaid is a public insurance program operated by individual states and supported with funding from both federal and state governments. The program insures low-income residents, older adults, children and individuals with disabilities, making it a key element of the U.S. healthcare system.

Because Medicaid funding is drawn from taxpayers, fluctuations in local claim amounts show how public health budgets are distributed in specific regions.

The “National Codes Established for State Medicaid Agencies” category represents a selection of medically billed services grouped by care type, following standardized HCPCS and CPT service code groupings. To conduct this analysis, each billing code was categorized under a matching service category according to established code sequences and ranges, which kept comparable services together and maintained consistent trends across years.

Medicaid spending grew in various service groupings, but National Codes Established for State Medicaid Agencies ranked as the top category by dollar amount in Bolinas for 2024.

Statewide in California, National Codes Established for State Medicaid Agencies also reported the highest total Medicaid payments for the year.

Reviewing the last five years leading up to 2024, Medicaid payments associated with National Codes Established for State Medicaid Agencies in Bolinas went up by $414,179, reflecting a rise of 786.8%. There were some periods, particularly in 2021 and 2022, where the annual increases were especially pronounced.

Although spending took place throughout Bolinas, the highest Medicaid payments in this category were isolated in certain ZIP codes. In 2024, ZIP code 94924 accounted for $466,821 in Medicaid payments related to National Codes Established for State Medicaid Agencies. In fact, this ZIP represented the entirety—100%—of all such Medicaid payments in Bolinas during 2024.

Within this category, the bulk of Medicaid payments focused on only a handful of individual billing codes.

For perspective, Medicaid payments tied to the National Codes Established for State Medicaid Agencies in Bolinas increased by 9.6% between 2024 and 2023, while payments across all Medicaid service categories in the city changed by 8.7% during the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, making up roughly 18% of total U.S. health spending. That’s up significantly from approximately $613.5 billion in 2019, before the COVID-19 pandemic began.

This growth amounts to about a 40% increase over just a few years, primarily due to expanded program enrollment and greater usage throughout and after the pandemic.

Major budget legislation at the federal level under the Trump administration introduced substantial plans to decrease federal Medicaid funding and make structural changes to the program. For example, the “One Big Beautiful Bill Act,” signed in 2025, is expected to cut more than $1 trillion from federal Medicaid outlays over the next 10 years and includes new regulations such as work requirements and larger patient cost shares. These measures could limit growth in federal support, shift more expenses toward states, and potentially reduce coverage for some beneficiaries, even as millions remain enrolled.

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.