San Bernardino Medicaid payments for National Codes Established for State Medicaid Agencies hit $110.4 million in 2024

San Bernardino Medicaid providers billed $110,416,615 in 2024 for services defined 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 13.7% increase from 2023, when claims for the same services reached $97,083,720.

Medicaid, a public insurance program managed by states and funded by both federal and state governments, serves low-income individuals, families, seniors, children and people with disabilities. It is a major segment of the U.S. health care system.

Since Medicaid is taxpayer-funded, shifts in billing volumes reflect changes in how community public health care resources are distributed.

The “National Codes Established for State Medicaid Agencies” grouping includes Medicaid-billed services defined by standardized HCPCS and CPT code classifications. This report assigned each billing code to a specific service group using consistent code letters and number ranges to analyze related services together, preventing duplication and helping to maintain accurate rankings over time.

While spending climbed across several service categories, National Codes Established for State Medicaid Agencies was the highest Medicaid payment category in San Bernardino for 2024.

At the state level, California also saw the National Codes Established for State Medicaid Agencies take the top spot for total Medicaid payments in 2024.

From 2020 to 2024, San Bernardino’s Medicaid payments in this category rose by $57,428,417, or 108.4%. Growth accelerated during some periods, including marked year-over-year increases in both 2023 and 2020.

Although funds were dispersed citywide, Medicaid payments in the National Codes Established for State Medicaid Agencies category were concentrated in just a handful of ZIP codes. In 2024, the largest totals appeared in ZIP code 92410 at $56,783,475, followed by 92415 with $29,506,905, and 92408 with $8,129,794. Combined, these three ZIP codes accounted for 85.5% of all Medicaid payments in this service category in San Bernardino.

A limited number of billing codes accounted for the majority of Medicaid payments within the National Codes Established for State Medicaid Agencies grouping.

To offer context, Medicaid payments for the National Codes Established for State Medicaid Agencies category in San Bernardino climbed 13.7% from 2023 to 2024, compared to a 15.7% growth across all claim categories in the city during that period.

According to the Centers for Medicare & Medicaid Services, nationwide federal and state Medicaid spending reached roughly $871.7 billion for fiscal year 2023, representing about 18% of total national health expenditures. This figure increased sharply from approximately $613.5 billion in 2019, before the COVID-19 pandemic.

The surge equals nearly 40% growth over a few years, primarily driven by an increase in enrollment and higher demand for services during the pandemic and its aftermath.

Recent federal budget acts under the Trump administration have included significant measures to decrease federal Medicaid funding and modify the program structure. The “One Big Beautiful Bill Act,” for instance, was signed into law in 2025, outlining more than $1 trillion in federal Medicaid cuts over 10 years and implementing policies such as work requirements and higher cost-sharing. These shifts could reduce program coverage and funding for certain members, shifting more costs to states and limiting future federal Medicaid growth, even as millions of Americans remain enrolled.

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.