National Medicaid codes drive $554,724 in Dublin spending for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Dublin Medicaid providers billed $554,724 for services under the National Codes Established for State Medicaid Agencies in 2024, a review of the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount is a 24620.3% rise from 2023, when providers submitted $2,244 in claims for those services.

Medicaid is a public health insurance program managed by states and funded jointly by the federal and state governments. Serving low-income individuals and families, seniors, children, and people with disabilities, it is among the largest components of the U.S. health care system.

Because Medicaid funding comes from taxpayer dollars, fluctuations in local billing reflect how public health care resources are distributed within a community.

The “National Codes Established for State Medicaid Agencies” category encompasses a set of Medicaid-billed services identified by care type, using standard HCPCS and CPT code groupings. For analysis, each billing code was placed into a single service category based on code prefixes and numeric patterns, allowing grouped services to be tracked together and avoiding duplicate counts, which maintains ranking accuracy over time.

Medicaid spending increased in several service categories, with National Codes Established for State Medicaid Agencies ranking second by total Medicaid payments in Dublin for 2024.

Statewide in California, the National Codes Established for State Medicaid Agencies category was the top-ranked service category for total Medicaid payments in 2024.

Reviewing the five-year period through 2024, Medicaid payments tied to the National Codes Established for State Medicaid Agencies category in Dublin rose by $554,724, or 0%. There were periods of faster growth, with significant gains noted in both 2023 and 2022 on a year-over-year basis.

While Medicaid spending for this category was distributed across Dublin, most payments were concentrated in just a few ZIP codes. In 2024, ZIP code 94568 accounted for $554,724, representing 100% of all Medicaid payments for the category in Dublin during the year.

The majority of payments within this category were focused on a small set of specific billing codes.

Comparatively, Medicaid payments associated with the National Codes Established for State Medicaid Agencies category in Dublin increased by 24620.3% from 2023 to 2024, while all Medicaid claim categories in the city saw a 167.9% change over the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending was about $871.7 billion in the 2023 fiscal year. This made up approximately 18% of national health expenditures, rising sharply from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth represents an increase of about 40% in only a few years, primarily due to expanded enrollment and greater utilization during and following the pandemic period.

Recent federal budget measures enacted during the Trump administration have put forward substantial reductions to federal Medicaid funding and adjustments to the program. For example, the “One Big Beautiful Bill Act,” signed in 2025, is expected to cut over $1 trillion in federal Medicaid expenditures over the next decade. The law also introduces work requirements and increased cost-sharing, policies that may result in reduced coverage and funding for certain beneficiaries. These changes are likely to move greater costs to states and could restrict the growth of federal Medicaid support as the program continues serving millions of Americans.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Dublin, California Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2023 $2,244 -9.5%
2024 $554,724 24620.3%
Top Categories by Medicaid Payments in Dublin, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $998,508 52.9%
2 National Codes Established for State Medicaid Agencies $554,724 29.4%
3 Dental Services $141,955 7.5%
4 Procedures / Professional Services $126,282 6.7%
5 Medicine Services and Procedures $39,371 2.1%
6 Evaluation and Management $23,639 1.3%
7 Temporary National Codes (Non-Medicare) $2,400 0.1%
8 Vision Services $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Dublin, California, 2024

HCPCS Code Description Medicaid Payments Claims
T1019 Personal care ser per 15 min $554,724 11

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.



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