Dixon Medicaid payments for National Codes Established for State Medicaid Agencies climb 53.5% in 2024

Dixon Medicaid providers billed $1,924,682 in 2024 for services falling 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. That total represents a 53.5% increase versus 2023, when $1,253,830 was billed for the same category of service.

Medicaid is a public health coverage program managed by states and funded through combined federal and state resources. The program serves low-income people, families, seniors, children and those with disabilities, making it among the largest parts of the U.S. health system.

Since taxpayer dollars fund Medicaid payments, changes in community-level billing show how public health spending is distributed locally.

The “National Codes Established for State Medicaid Agencies” grouping covers a collection of Medicaid-billed services defined under standardized HCPCS and CPT codes. This analysis assigned each billing code to a single service group by consistent code prefixes and ranges, in order to review grouped services without double counting and to accurately compare rankings over time.

Medicaid spending in Dixon rose across several categories, but National Codes Established for State Medicaid Agencies ranked highest for total Medicaid payments in 2024.

Statewide in California, the National Codes Established for State Medicaid Agencies classification also secured the top position for total Medicaid payments in 2024.

From five years before 2024 through 2024, Dixon’s Medicaid payments for this category rose $632,858, or 49%. Growth accelerated in certain years, notably with significant gains in 2023 and 2022.

Although spending in this category reached multiple areas of Dixon, most payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 95620 recorded $1,924,681 in payments for these services. This top ZIP code alone accounted for 100% of Dixon’s Medicaid payments for this category during the year.

Within the National Codes Established for State Medicaid Agencies grouping, Medicaid payments were especially focused on a few individual billing codes.

By comparison, Medicaid payments for this group grew by 53.5% from 2023 to 2024 in Dixon, while overall Medicaid claims rose by 18.3% citywide during the same period.

Centers for Medicare & Medicaid Services data show that total federal and state Medicaid expenditures hit approximately $871.7 billion for fiscal 2023. That represents about 18% of nationwide health spending, up from $613.5 billion in 2019 prior to the COVID-19 pandemic.

This marks an increase of roughly 40% in a few years, largely driven by more individuals enrolling in Medicaid and higher use of services during and after the pandemic.

Recent federal budget legislation established during the Trump administration included notable plans to reduce federal Medicaid funding and change the program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion in federal Medicaid spending over the coming decade. It also implements measures such as work requirements and increased cost-sharing, which could lead to reduced coverage and funding for some participants. These moves are expected to transfer greater costs to states and constrain growth in federal Medicaid contributions, while the program continues to support millions across the country.

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.