Folsom Medicaid claims for National Codes Established for State Medicaid Agencies reach $1.4M in 2024

In 2024, Medicaid providers in Folsom filed claims totaling $1,383,718 for services in the National Codes Established for State Medicaid Agencies category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 53% gain over 2023, when the amount reached $904,628 for the same service category.

Medicaid serves as a public health insurance program managed at the state level with joint federal and state funding, as explained by the Commonwealth Fund. It provides coverage for eligible low-income individuals and families, seniors, children, and people with disabilities—making it a core part of the nation’s health care sector.

Since Medicaid payments are made using taxpayer funding, tracking local billing patterns highlights the uses and distribution of public health care dollars within a community.

The National Codes Established for State Medicaid Agencies category covers a selection of Medicaid services organized according to the care provided, following standardized HCPCS and CPT code groupings. This analysis assigns each billing code to a specific category based on prefixes and numeric code ranges to avoid duplicating counts and to ensure consistent year-over-year analysis.

National Codes Established for State Medicaid Agencies ranked sixth among all Medicaid service categories in Folsom by total payment volume for 2024, even as overall Medicaid spending increased across categories.

Statewide, this category represented the top Medicaid payment category by total payments in California for 2024.

During the five years up to 2024, Folsom’s Medicaid payments tied to this category increased by $1,383,718, or 0%. Periodic spikes were recorded, with notable gains year-over-year noted in both 2023 and 2022.

Most spending in this Medicaid category was concentrated in specific ZIP codes within Folsom. In 2024, ZIP code 95630 accounted for $1,383,718 in Medicaid payments within this group, representing 100% of that year’s category total in the city.

Within the National Codes Established for State Medicaid Agencies category, a small number of individual billing codes represented most Medicaid payment volume.

Comparatively, Folsom saw Medicaid payments in this service category climb by 53% from 2023 to 2024, while all Medicaid claim categories in the city combined for a 58.6% increase during the same period.

Centers for Medicare & Medicaid Services data shows that federal and state Medicaid spending together totaled about $871.7 billion in fiscal year 2023, making up around 18% of total U.S. health expenditures—a significant rise from $613.5 billion in 2019, before the COVID-19 pandemic.

This jump reflects an increase of approximately 40% in just a few years, largely fueled by expanded Medicaid rolls and higher service utilization during and after the pandemic.

Key federal budget updates under the Trump administration include efforts to significantly curtail federal Medicaid support and reform the program. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and incorporates measures like work requirements and increased cost-sharing that could impact beneficiary numbers and program funding. The changes may drive states to shoulder more of the Medicaid funding responsibility as federal support slows, while coverage remains essential for millions of Americans.

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.