Kettleman City Medicaid payments for National Codes Established for State Medicaid Agencies reach $321,513 in 2024

In 2024, Medicaid providers in Kettleman City submitted $321,513 in claims for services covered by 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 represented a 3.4% rise over 2023, when $311,014 was billed for the same service category.

Medicaid, a public health insurance program administered by states with joint funding from federal and state governments, provides coverage to low-income individuals and families, seniors, children, and people with disabilities. The program is one of the largest elements of the U.S. health care system. More information is available at this link.

Since Medicaid is funded by taxpayers, shifts in local billing levels illustrate how health care resources are distributed within communities.

The “National Codes Established for State Medicaid Agencies” group includes services distinguished by care type and defined by standardized HCPCS and CPT code sets. For this report, each billing code was placed into a single service category according to its code prefixes and numeric intervals. This method allows for analyzing related services together without duplicate counts and ensures an accurate view of rankings through time.

Medicaid spending rose among several categories, but National Codes Established for State Medicaid Agencies had the highest total Medicaid payments in Kettleman City for 2024.

Across California, the National Codes Established for State Medicaid Agencies service category also had the largest total Medicaid payments in 2024.

During the five years up to 2024, Medicaid payments linked to the National Codes Established for State Medicaid Agencies in Kettleman City rose by $111,040, or 52.8%. In some years, like 2023 and 2021, the pace of growth accelerated with notable annual increases.

Although spending for these services occurred throughout Kettleman City, the majority of payments were grouped in a few ZIP codes. In 2024, ZIP code 93239 made up $321,513 in Medicaid payments—representing 100% of all payments for this service category in the city during the year.

Within this service group, Medicaid spending was consolidated among a small set of billing codes.

Comparatively, Medicaid payments for these services in Kettleman City increased by 3.4% between 2024 and 2023, while all Medicaid claim categories in the city saw a 4.1% change over the same interval.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures were about $871.7 billion in fiscal 2023, which accounted for around 18% of U.S. national health outlays. This is a significant increase from approximately $613.5 billion in 2019, prior to the COVID-19 emergency.

This growth amounts to about 40% in just a few years, largely influenced by expanded enrollment and higher service utilization during and following the pandemic.

Recent federal budget measures under the Trump administration have put forward large-scale proposals reducing federal Medicaid support and altering the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid funding by over $1 trillion over the next decade, adding requirements such as work mandates and more cost-sharing that could limit coverage and funds for some enrollees. These changes are forecasted to shift additional costs to states and moderate federal Medicaid growth, despite the program continuing to support tens of millions across the country.

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.