Victorville Medicaid providers reported billing $12,972,970 for services within the National Codes Established for State Medicaid Agencies category for 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was an increase of 216.8% compared to 2023, when $4,095,061 was billed for the same category of service.
Medicaid is a public health benefits program operated by the states and funded cooperatively by state and federal governments. The program offers coverage for low-income residents, seniors, children, and those with disabilities, and is a major part of the nation’s health care system.
Because taxpayer dollars fund Medicaid, fluctuations in local billing reflect how health care resources are used within a particular area.
The “National Codes Established for State Medicaid Agencies” category encompasses medical services identified by standardized HCPCS and CPT code sets, grouped by care type. The analysis categorized each billing code to a specific service group using standardized code prefixes and number ranges. This approach ensured comparability while preventing duplication and supporting consistent rankings over time.
National Codes Established for State Medicaid Agencies was the third-highest Medicaid payment category in Victorville for 2024, as spending rose among several service categories overall.
For all of California, the National Codes Established for State Medicaid Agencies category was ranked first in total Medicaid payments in 2024.
From 2020 through 2024, Medicaid payments linked to National Codes Established for State Medicaid Agencies in Victorville rose by $12,878,375, or 13,614.2%. Spending accelerated during selected periods, with sharp year-over-year gains seen in both 2021 and 2023.
Although spending under the National Codes Established for State Medicaid Agencies umbrella was reported citywide, it was heavily concentrated within a few ZIP codes. In 2024, ZIP code 92395 accounted for $12,759,294, while 92392 reported $213,675 in payments. Combined, these ZIP codes represented 100% of all spending for this category in Victorville during the year.
Medicaid payments for this category were also concentrated among a small selection of specific billing codes.
For additional context, payments for the National Codes Established for State Medicaid Agencies category in Victorville increased 216.8% from 2023 to 2024, compared to a 10.6% change across all Medicaid claim categories in the same period for the city.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached approximately $871.7 billion for fiscal year 2023, which made up around 18% of the nation’s total health expenditures. This was a considerable rise from $613.5 billion in 2019, preceding the onset of COVID-19.
This rise represents approximately 40% growth in several years, mainly attributed to expanded enrollment and greater utilization during and after the pandemic.
Recent budget legislation enacted under the Trump administration brought major federal Medicaid changes, including proposals to cut federal funding and restructure the program. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is estimated to reduce federal Medicaid spending by over $1 trillion over 10 years, adding work requirements and higher cost-sharing. These changes are expected to reduce coverage and federal support for some beneficiaries, shift more costs to the states, and slow future federal Medicaid growth, even as millions continue to rely on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $94,595 | -98.2% |
| 2021 | $1,099,376 | 1062.2% |
| 2022 | $1,824,214 | 65.9% |
| 2023 | $4,095,061 | 124.5% |
| 2024 | $12,972,969 | 216.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $22,140,576 | 26.9% |
| 2 | Evaluation and Management | $16,669,098 | 20.2% |
| 3 | National Codes Established for State Medicaid Agencies | $12,972,969 | 15.7% |
| 4 | Procedures / Professional Services | $8,429,896 | 10.2% |
| 5 | Dental Services | $5,384,606 | 6.5% |
| 6 | Ambulance and Other Transport Services and Supplies | $3,925,154 | 4.8% |
| 7 | Radiology Procedures | $3,787,905 | 4.6% |
| 8 | Surgery | $3,071,128 | 3.7% |
| 9 | Pathology and Laboratory Procedures | $2,142,558 | 2.6% |
| 10 | Alcohol and Drug Abuse Treatment | $1,346,172 | 1.6% |
| 11 | Durable Medical Equipment | $595,772 | 0.7% |
| 12 | Temporary National Codes (Non-Medicare) | $459,500 | 0.6% |
| 13 | Medical And Surgical Supplies | $317,282 | 0.4% |
| 14 | Anesthesia | $260,655 | 0.3% |
| 15 | Temporary Codes | $221,737 | 0.3% |
| 16 | Administrative, Miscellaneous and Investigational | $173,095 | 0.2% |
| 17 | Vision Services | $163,836 | 0.2% |
| 18 | Drugs Administered Other than Oral Method | $159,861 | 0.2% |
| 19 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $104,005 | 0.1% |
| 20 | Prosthetic Procedures | $70,424 | 0.1% |
| 21 | Orthotic Procedures and services | $53,038 | 0.1% |
| 22 | Chemotherapy Drugs | $844 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $10,125,278 | 378 |
| T2033 | Res, nos waiver per diem | $2,592,672 | 11 |
| T2001 | N-et; patient attend/escort | $213,675 | 22 |
| T2003 | N-et; encounter/trip | $25,084 | 5 |
| T1001 | Nursing assessment/evaluatn | $15,676 | 4 |
| T1013 | Sign lang/oral interpreter | $582 | 3 |
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.