Glendale Medicaid payments for National Codes Established for State Medicaid Agencies rise to $42,352,153 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Glendale reported $42,352,153 in billings for services under the National Codes Established for State Medicaid Agencies category, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 3.9% rise from the prior year, when claims totaled $40,744,372 for the same service category.

Medicaid is a publicly funded health insurance program managed by state governments with financial support from both federal and state sources. It provides coverage to low-income families, seniors, children, and individuals with disabilities, and is a major component of the U.S. health care system.

Because public funds sustain Medicaid, fluctuations in local billing reflect how health care resources are distributed within a community.

The “National Codes Established for State Medicaid Agencies” group includes services defined by consistent HCPCS and CPT code groupings according to the type of care delivered. Codes were assigned to a single service category in this review, using set prefixes and numeric ranges to organize related services together, ensuring distinct rankings over time and no overlap in counts.

National Codes Established for State Medicaid Agencies received the highest amount of Medicaid payments by category in Glendale in 2024 as spending grew across several service areas.

Statewide, this same category also led in total Medicaid payments throughout California in 2024.

Looking at a five-year period ending in 2024, Medicaid payments in Glendale for the National Codes Established for State Medicaid Agencies category increased by $10,291,720, or 32.1%. The growth was especially notable in 2023 and 2020 due to elevated year-over-year spending.

Though Medicaid expenditures for this category were dispersed citywide, the majority of payments were reported in a small number of ZIP codes. In 2024, ZIP code 91205 saw $24,174,325, ZIP code 91204 saw $13,826,491, and ZIP code 91203 saw $2,286,371 in Medicaid payments, making up 95.1% of the total for the category in Glendale that year.

Spending within the National Codes Established for State Medicaid Agencies category was also focused on a small subset of billing codes.

Glendale Medicaid payments for this category grew by 3.9% from 2023 to 2024, while the overall payments across all Medicaid claim categories in the city changed by 6.6% during the same period.

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

This represents an increase of around 40% in the span of a few years, mainly due to greater enrollment and increased health care usage during and after the pandemic.

Recent federal budget measures signed under the Trump administration introduced large policy shifts designed to decrease federal Medicaid spending and alter the structure of the program. Legislation like the “One Big Beautiful Bill Act,” signed into law in 2025, is set to reduce federal Medicaid funding by more than $1 trillion over the following decade. The act also implements measures such as work requirements and higher cost-sharing that may result in less coverage and funding for certain groups, transferring greater funding responsibility to states and capping federal program growth as Medicaid continues to support millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $32,060,433 14.2%
2021 $33,988,309 6%
2022 $29,990,838 -11.8%
2023 $40,744,371 35.9%
2024 $42,352,152 3.9%
Top Categories by Medicaid Payments in Glendale, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $42,352,152 26%
2 Temporary National Codes (Non-Medicare) $28,580,272 17.5%
3 Anesthesia $21,827,705 13.4%
4 Medicine Services and Procedures $12,402,615 7.6%
5 Durable Medical Equipment $10,056,880 6.2%
6 Evaluation and Management $9,467,297 5.8%
7 Radiology Procedures $7,099,454 4.4%
8 Medical And Surgical Supplies $4,681,473 2.9%
9 Alcohol and Drug Abuse Treatment $4,382,852 2.7%
10 Procedures / Professional Services $4,161,224 2.6%
11 Pathology and Laboratory Procedures $3,589,704 2.2%
12 Dental Services $3,355,088 2.1%
13 Ambulance and Other Transport Services and Supplies $3,078,876 1.9%
14 Surgery $1,754,680 1.1%
15 Enteral and Parenteral Therapy $1,620,249 1%
16 Durable medical equipment (DME) Medicare administrative contractors (MACs) $1,342,269 0.8%
17 Drugs Administered Other than Oral Method $1,191,792 0.7%
18 Temporary Codes $764,365 0.5%
19 Hearing Services $578,456 0.4%
20 Administrative, Miscellaneous and Investigational $211,839 0.1%
21 Vision Services $194,860 0.1%
22 Diagnostic Radiology Services $134,168 0.1%
23 Orthotic Procedures and services $84,192 0.1%
24 Chemotherapy Drugs $11,378 <0.1%
25 Pathology and Laboratory Services $7,062 <0.1%
26 Prosthetic Procedures $777 <0.1%
27 Coronavirus Diagnostic Panel $71 <0.1%
28 Other Services $0 <0.1%
28 Outpatient PPS $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Glendale, California, 2024

HCPCS Code Description Medicaid Payments Claims
T2031 Assist living waiver/diem $14,267,115 80
T1015 Clinic service $12,611,411 530
T4541 Large disposable underpad $3,204,924 123
T2017 Habil res waiver 15 min $2,405,322 11
T4535 Disposable liner/shield/pad $1,792,168 122
T2005 N-et; stretcher van $1,232,310 24
T4527 Adult size pull-on lg $930,633 99
T1031 Lpn home care per diem $813,687 19
T1030 Rn home care per diem $683,311 34
T4534 Youth size pull-on $661,889 46
T4526 Adult size pull-on med $640,243 94
T4523 Adult size brief/diaper lg $632,419 92
T4528 Adult size pull-on xl $545,209 67
T4522 Adult size brief/diaper med $419,310 68
T4524 Adult size brief/diaper xl $373,378 48
T4530 Ped size brief/diaper lg $240,847 35
T4536 Reusable pull-on any size $162,650 67
T4525 Adult size pull-on sm $119,736 65
T5999 Supply, nos $113,132 11
T4537 Reusable underpad bed size $112,853 58

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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