Medicaid payments for national-state Medicaid agency codes reach $1,864,801 in Mammoth Lakes for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Mammoth Lakes Medicaid providers submitted $1,864,801 in claims for services under the National Codes Established for State Medicaid Agencies in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This reflects a 1.4% rise compared to 2023, when total claims for the same category reached $1,839,330.

Medicaid, a state-run public health insurance program funded jointly by state and federal governments, serves low-income individuals, seniors, children, and people with disabilities, maintaining its status as a cornerstone of the U.S. health care system.

As Medicaid dollars originate from taxpayers, shifts in local spending demonstrate how public health care resources are distributed in the area.

The “National Codes Established for State Medicaid Agencies” grouping includes a range of billed Medicaid services, defined by care type through standardized HCPCS and CPT codes. For this report, each billing code was sorted into a single category using established prefixes and number ranges, allowing for clearer service comparison and avoiding duplicate counts to maintain data integrity over time.

Medicaid spending in Mammoth Lakes rose in several service areas, with National Codes Established for State Medicaid Agencies accounting for the highest Medicaid payment total in 2024.

Statewide, California also saw the National Codes Established for State Medicaid Agencies lead all categories in total Medicaid payments in 2024.

Reviewing the five years prior to 2024, Mammoth Lakes experienced an increase of $44,188—or 2.3%—in Medicaid payments tied to this category. Growth was especially concentrated in some years, with notable year-over-year gains during 2021 and 2020.

Though care costs in this category occurred throughout Mammoth Lakes, a small number of ZIP codes saw the majority of payments. In 2024, ZIP code 93546 was responsible for $1,864,801 in Medicaid payments for this category, amounting to 100% of the related Medicaid payments made in the area during the year.

A limited set of individual billing codes received the bulk of Medicaid spending within the National Codes Established for State Medicaid Agencies category.

Between 2023 and 2024, Medicaid payments in Mammoth Lakes for this category rose 1.4%, compared to a 2.4% change across all Medicaid claim categories in the city for the same period.

According to the Centers for Medicare & Medicaid Services, Medicaid spending from both federal and state sources reached approximately $871.7 billion in fiscal year 2023, representing about 18% of the nation’s total health expenditures. This is a significant increase from roughly $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This growth—about 40% in a few years—was largely driven by increased enrollment and service utilization during and after the pandemic.

Federal budget measures during the Trump administration introduced major proposals to decrease federal Medicaid funding and restructure the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over the next decade and enforces requirements like work documentation and greater cost-sharing, potentially reducing access and financial support for certain populations. These changes could increase state-level financial responsibility and constrain federal support growth, even as the program continues to serve millions across the country.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Mammoth Lakes, California Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $1,908,988 8%
2021 $2,441,954 27.9%
2022 $1,805,382 -26.1%
2023 $1,839,329 1.9%
2024 $1,864,801 1.4%
Top Categories by Medicaid Payments in Mammoth Lakes, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $1,864,801 63.9%
2 Medicine Services and Procedures $525,160 18%
3 Evaluation and Management $368,278 12.6%
4 Pathology and Laboratory Procedures $53,238 1.8%
5 Alcohol and Drug Abuse Treatment $41,397 1.4%
6 Anesthesia $39,956 1.4%
7 Radiology Procedures $11,398 0.4%
8 Procedures / Professional Services $9,398 0.3%
9 Drugs Administered Other than Oral Method $3,767 0.1%
10 Surgery $183 <0.1%
11 Temporary Codes $154 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Mammoth Lakes, California, 2024

HCPCS Code Description Medicaid Payments Claims
T1015 Clinic service $1,672,472 177
T1017 Targeted case management $192,328 10

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.



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