Oroville Medicaid billing for National Codes Established for State Medicaid Agencies reaches $752,776 in 2024

In 2024, Medicaid providers in Oroville filed $752,776 in claims for services under the National Codes Established for State Medicaid Agencies, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount represented a 43.9% increase from 2023, when claims for these services totaled $522,953.

Medicaid, a public health insurance program administered by states and funded cooperatively by federal and state governments, covers low-income people, seniors, children, and individuals with disabilities. This makes it a major component of the U.S. health care system.

Because Medicaid relies on taxpayer dollars, community-level billing changes reveal how health care resources are dispersed locally.

The “National Codes Established for State Medicaid Agencies” category includes a range of Medicaid-reimbursed services identified by care type using set HCPCS and CPT code groupings. For the purposes of this story, categories were defined by consistent code prefixes and numeric ranges, enabling related services to be analyzed together and accurately ranked over time, without overlapping or double counting.

Although there was growth across several Medicaid service categories, National Codes Established for State Medicaid Agencies was the leading category by payment amount in Oroville for 2024.

Statewide in Washington, the National Codes Established for State Medicaid Agencies category also ranked first by total Medicaid payments in 2024.

Medicaid payments for this group of services in Oroville climbed by $341,341—or 83%—in the five years preceding 2024. Some of the largest annual increases were recorded in 2023 and 2021.

Within Oroville, spending for the National Codes Established for State Medicaid Agencies category was distributed throughout the city, although most payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 98844 recorded $752,776—the entire amount billed for this category in Oroville that year. This one ZIP code accounted for all National Codes Established for State Medicaid Agencies Medicaid payments in the city for 2024.

Spending within this category was similarly focused on a few specific billing codes.

Comparatively, payments for the Oroville category increased by 43.9% between 2024 and 2023, while all Medicaid categories combined saw a 34.7% rise in that time span within the city.

According to the Centers for Medicare & Medicaid Services, overall federal and state Medicaid spending hit roughly $871.7 billion in the 2023 fiscal year, accounting for nearly 18% of national health care expenditures, up significantly from $613.5 billion in 2019, the year before the COVID-19 pandemic.

This reflects about 40% growth over a few years, largely due to expanded enrollment and increased service use during and following the pandemic.

Recent federal budget laws introduced during the Trump administration included sizable efforts to scale back federal Medicaid investment and overhaul the program. The “One Big Beautiful Bill Act,” approved in 2025, is forecast to cut federal Medicaid outlays by more than $1 trillion over the decade ahead and imposes policies such as work requirements and higher cost-sharing, potentially reducing access and funding for certain recipients. These shifts are poised to transfer more of the financial responsibility for Medicaid to states and create limits on federal support, even as the program helps tens of 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.