In 2024, Medicaid providers in Point Reyes Station billed $1,494,083 for services grouped under the National Codes Established for State Medicaid Agencies category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 26% increase over 2023, when providers submitted $1,185,642 in claims for the same category.
Medicaid is a public health insurance initiative managed by states and financed jointly by state and federal governments. It provides coverage for individuals and families with low income, the elderly, children, and people with disabilities, making it a significant component of the U.S. health care system.
Since Medicaid funding is derived from taxpayers, fluctuations in local billing levels highlight how public health funding is distributed within a community.
The “National Codes Established for State Medicaid Agencies” category includes a range of Medicaid-billed services defined by standardized HCPCS and CPT code groupings. To support this analysis, each billing code was placed into a single service category using unified code prefixes and number ranges, allowing related services to be reviewed collectively while eliminating double counting and maintaining consistency in rankings across years.
Although overall Medicaid spending increased in several service categories, National Codes Established for State Medicaid Agencies held the top spot in Point Reyes Station by overall Medicaid payments in 2024.
Statewide in California, the National Codes Established for State Medicaid Agencies category was also the leading category for total Medicaid payments in 2024.
From 2019 through 2024, Medicaid payments linked to the National Codes Established for State Medicaid Agencies category in Point Reyes Station grew by $858,954, or 135.2%. Spending grew more rapidly during some years, with notable annual increases seen in 2022 and 2023.
While Medicaid spending for this category occurred throughout the city, the payments mainly concentrated within a few ZIP codes. In 2024, ZIP code 94956 recorded $1,494,082 in Medicaid payments for this category. The top ZIP code was responsible for 100% of Medicaid payments associated with this category in Point Reyes Station for the year.
Within the National Codes Established for State Medicaid Agencies category itself, Medicaid payments focused on a select set of individual billing codes.
To compare, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Point Reyes Station increased by 26% from 2023 to 2024, while all Medicaid claim categories grew by 24% citywide in the same timeframe.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, representing about 18% of all national health spending, up significantly from the roughly $613.5 billion reported in 2019, prior to the COVID-19 pandemic.
This surge equals nearly 40% growth over a few years, which has been driven primarily by increased enrollment and higher usage of services during and after the pandemic.
Recent federal budget policy enacted during the Trump administration contains major proposals to cut federal Medicaid support and revise the structure of the program. As an example, the “One Big Beautiful Bill Act,” enacted in 2025, targets more than $1 trillion in federal Medicaid spending reductions over the next 10 years and sets out measures such as work requirements and changes to cost-sharing that may decrease both coverage and funding for some who benefit from the program. These policy shifts are expected to increase financial responsibilities for states and slow the growth of federal Medicaid support, even as the program continues to provide coverage to tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $635,128 | 22.2% |
| 2021 | $704,461 | 10.9% |
| 2022 | $915,331 | 29.9% |
| 2023 | $1,185,641 | 29.5% |
| 2024 | $1,494,082 | 26% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $1,494,082 | 91.4% |
| 2 | Evaluation and Management | $123,270 | 7.5% |
| 3 | Medicine Services and Procedures | $16,531 | 1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $1,494,082 | 111 |
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.