Medicaid payments for National Codes Established for State Medicaid Agencies category surge 876.9% in Aliso Viejo in 2024

Medicaid providers in Aliso Viejo billed a total of $628,483 for services under the National Codes Established for State Medicaid Agencies category in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents an increase of 876.9% from 2023, when providers claimed $64,333 for the same services.

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

Because Medicaid is funded by taxpayers, shifts in local billing levels demonstrate how public dollars for health care are distributed in a community.

The “National Codes Established for State Medicaid Agencies” category includes a collection of Medicaid-billed services identified by the type of care provided, organized by standardized HCPCS and CPT code groupings. For this analysis, each billing code was allocated to a distinct service category using set code prefixes and numeric ranges, grouping related services and ensuring accurate counting and rankings over time.

Overall Medicaid payments increased in various service categories, with National Codes Established for State Medicaid Agencies ranking fourth in Aliso Viejo for total Medicaid payments in 2024.

In California, this category ranked first across the state by total Medicaid payments in 2024.

During the five-year period leading up to 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Aliso Viejo rose by $290,319, or 85.9%. Spending growth picked up in specific years, with significant annual increases noted in 2020 and 2021.

Spending for services within this category was distributed throughout Aliso Viejo, but payments were heavily concentrated in a small number of ZIP codes. In 2024, ZIP code 92656 accounted for $628,482 in Medicaid payments for this category. The top 1 ZIP code made up 100% of Medicaid payments related to this category in Aliso Viejo during the year.

Medicaid payments within the National Codes Established for State Medicaid Agencies category were also focused within a small group of individual billing codes.

For additional context, Medicaid payments in this category in Aliso Viejo saw a 876.9% increase between 2024 and 2023, in contrast to a 12.7% change across all Medicaid claim categories in the city for the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached about $871.7 billion in fiscal 2023, representing around 18% of overall national health expenditures, a notable increase from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase reflects approximately 40% growth within a few years, driven primarily by higher enrollment and utilization during and after the pandemic.

Recent federal budget measures enacted under the Trump administration have presented significant plans to reduce federal Medicaid funding and alter how it operates. The “One Big Beautiful Bill Act,” signed in 2025, is expected to cut over $1 trillion in federal Medicaid funding over the next 10 years and implements policies including work requirements and increased cost-sharing, which could limit coverage and funding for some recipients. These adjustments are anticipated to shift more costs to state governments and restrict the growth of federal Medicaid contributions as the program continues serving millions nationwide.

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.