In 2024, Medicaid providers in Hayward billed a total of $10,591,078 for services under the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 12.3% rise compared to 2023, when $9,428,397 was reported for the same service type.
Medicaid is a public health insurance initiative operated by state governments and funded through both federal and state contributions. It provides coverage for low-income groups, seniors, children, and people with disabilities, making it a significant component of the U.S. health care system.
Since Medicaid relies on taxpayer funding, adjustments in local billing reflect how public health resources are distributed within a community.
The “National Codes Established for State Medicaid Agencies” category encompasses a collection of services defined by the type of medical care provided, identified through specific HCPCS and CPT code groupings. For this analysis, each billing code was mapped to a single service category using consistent code prefixes and numeric boundaries. This approach ensured related services could be evaluated jointly without duplication and with accurate rankings over time.
While Medicaid expenditures increased across various service categories, payments associated with National Codes Established for State Medicaid Agencies were the second-highest among categories in Hayward for 2024.
Across California overall, the National Codes Established for State Medicaid Agencies ranked as the top category for Medicaid payments in 2024.
Over the five years ending in 2024, Medicaid payments in Hayward linked to the National Codes Established for State Medicaid Agencies grew by $1,636,174, representing an 18.3% increase. Periods such as 2023 and 2020 saw especially strong year-over-year spending growth.
Though spending for this category reached across Hayward, payments were concentrated in a few ZIP codes. In 2024, those included 94545 ($6,395,404), 94541 ($3,358,023), and 94544 ($837,650). These 3 ZIP codes combined made up 100% of Medicaid payments for the category in the city that year.
Payments within the National Codes Established for State Medicaid Agencies category were further concentrated among a select number of billing codes.
To compare, payments under this category in Hayward rose by 12.3% from 2023 to 2024, whereas total Medicaid claims across all categories in Hayward increased by 2.6% in the same timeframe.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending collectively was around $871.7 billion in fiscal year 2023, making up roughly 18% of overall U.S. health spending. This amount represented an increase from about $613.5 billion in 2019, before COVID-19.
The rise in expenditures equates to approximately 40% growth during several years, mainly due to higher enrollment and increased service use during and after the pandemic.
Recent congressional budget measures during the Trump administration have featured major proposals to scale back federal Medicaid funding and change the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is forecast to slash federal Medicaid spending by more than $1 trillion over 10 years and implement policies such as work requirements and expanded cost-sharing, potentially reducing eligibility and funds for some recipients. These measures are anticipated to impose greater cost burdens on states and curb growth in federal Medicaid support, although the program will still cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $8,954,903 | 12.5% |
| 2021 | $9,727,931 | 8.6% |
| 2022 | $7,401,992 | -23.9% |
| 2023 | $9,428,397 | 27.4% |
| 2024 | $10,591,077 | 12.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Ambulance and Other Transport Services and Supplies | $12,703,080 | 24.9% |
| 2 | National Codes Established for State Medicaid Agencies | $10,591,077 | 20.8% |
| 3 | Procedures / Professional Services | $8,728,818 | 17.1% |
| 4 | Medicine Services and Procedures | $7,832,151 | 15.4% |
| 5 | Pathology and Laboratory Procedures | $3,687,383 | 7.2% |
| 6 | Evaluation and Management | $2,385,297 | 4.7% |
| 7 | Dental Services | $1,931,139 | 3.8% |
| 8 | Temporary National Codes (Non-Medicare) | $1,274,627 | 2.5% |
| 9 | Surgery | $363,081 | 0.7% |
| 10 | Radiology Procedures | $338,103 | 0.7% |
| 11 | Drugs Administered Other than Oral Method | $329,992 | 0.6% |
| 12 | Anesthesia | $252,857 | 0.5% |
| 13 | Medical And Surgical Supplies | $195,836 | 0.4% |
| 14 | Enteral and Parenteral Therapy | $174,414 | 0.3% |
| 15 | Durable Medical Equipment | $123,674 | 0.2% |
| 16 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $73,201 | 0.1% |
| 17 | Chemotherapy Drugs | $7,379 | <0.1% |
| 18 | Temporary Codes | $6,226 | <0.1% |
| 19 | Alcohol and Drug Abuse Treatment | $1,996 | <0.1% |
| 20 | Administrative, Miscellaneous and Investigational | $96 | <0.1% |
| 21 | Vision Services | $75 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $9,522,111 | 575 |
| T2031 | Assist living waiver/diem | $1,045,208 | 13 |
| T1001 | Nursing assessment/evaluatn | $23,758 | 8 |
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.
