Providers participated in Lemoore’s Medicaid program by billing $3,421,612 for services included under the National Codes Established for State Medicaid Agencies in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 0.9% rise compared with 2023, when $3,390,336 worth of claims were submitted for this set of services.
Medicaid is administered by states in collaboration with federal funding, jointly financed by federal and state governments. Beneficiaries include seniors, children, people with disabilities, and low-income families, making program expenditures a major share of health care spending in the United States.
Because Medicaid relies on taxpayer funding, shifting billing amounts at the local level spotlight how these public health care resources are distributed within the Lemoore community.
The “National Codes Established for State Medicaid Agencies” group encompasses Medicaid-billed services defined by the type of care delivered, using standardized HCPCS and CPT codes. For this report, each code was matched to one service category by similar code series and numeric groupings, aiming to analyze comparable services together and ensure accurate annual rankings without duplicating figures.
While Medicaid expenses rose across multiple categories, National Codes Established for State Medicaid Agencies represented Lemoore’s top category for total Medicaid payments in 2024.
Among statewide data, National Codes Established for State Medicaid Agencies was also California’s leading category for Medicaid payments in 2024.
During the five years prior to 2024, Medicaid payments connected to National Codes Established for State Medicaid Agencies in Lemoore increased by $2,717,742, marking growth of 44.3%. Payment levels rose especially fast in certain years, with significant increases seen in 2020 and 2023.
Spending for National Codes Established for State Medicaid Agencies was distributed citywide in Lemoore, but payments largely originated from a small set of ZIP codes. In 2024, ZIP code 93245 submitted claims totaling $3,421,612, making up all of the Medicaid payments tied to this category in Lemoore that year.
Additionally, Medicaid payments in this category were concentrated among just a handful of individual billing codes.
Looking at year-over-year trends, Medicaid payments associated with the National Codes Established for State Medicaid Agencies in Lemoore increased by 0.9% between 2024 and 2023, while all Medicaid service categories in the city combined experienced a 5.6% change in the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenses reached about $871.7 billion in fiscal year 2023, roughly 18% of total national health care spending, a substantial increase from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.
This reflects an approximately 40% growth within a few years, as rising enrollment and greater health care utilization contributed to increased program costs throughout and after the pandemic.
Recent federal legislation during the Trump administration introduced notable measures to decrease federal Medicaid funding and restructure the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to cut more than $1 trillion in federal Medicaid expenditures over the next decade. It will also put in place policies such as work requirements and heightened cost-sharing, which could limit Medicaid coverage and funding for some recipients. The consequences are anticipated to shift additional costs to states and potentially reduce the rate of federal funding growth, although the program continues serving tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $6,139,353 | 35.6% |
| 2021 | $4,548,976 | -25.9% |
| 2022 | $2,581,105 | -43.3% |
| 2023 | $3,390,335 | 31.4% |
| 2024 | $3,421,612 | 0.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $3,421,612 | 75.5% |
| 2 | Medicine Services and Procedures | $391,135 | 8.6% |
| 3 | Procedures / Professional Services | $346,481 | 7.6% |
| 4 | Evaluation and Management | $281,792 | 6.2% |
| 5 | Pathology and Laboratory Procedures | $42,403 | 0.9% |
| 6 | Alcohol and Drug Abuse Treatment | $36,556 | 0.8% |
| 7 | Dental Services | $5,546 | 0.1% |
| 8 | Medical And Surgical Supplies | $2,846 | 0.1% |
| 9 | Anesthesia | $1,208 | <0.1% |
| 10 | Temporary National Codes (Non-Medicare) | $437 | <0.1% |
| 11 | Screening Procedures | $245 | <0.1% |
| 12 | Surgery | $183 | <0.1% |
| 13 | Drugs Administered Other than Oral Method | $126 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $3,419,432 | 124 |
| T1001 | Nursing assessment/evaluatn | $2,179 | 2 |
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.