Medicaid payments for state-designated codes up 24% in Dorris in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Medicaid providers in Dorris submitted $1,788,832 in claims for services under the National Codes Established for State Medicaid Agencies category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 24% rise from 2023, when the same service category saw $1,442,993 in payments.

Medicaid is a public health insurance program operated by the states with joint state and federal funding, as outlined by the federal and state governments. The program covers individuals and families with low incomes, seniors, children, and people with disabilities and remains one of the nation’s largest health care payers.

Since Medicaid payment funding is sourced from taxpayers, fluctuations in billing at the local level illustrate how health care dollars are distributed across the community.

The “National Codes Established for State Medicaid Agencies” category groups Medicaid-billed services by care type using standardized HCPCS and CPT code clusters. For this analysis, each billing code was exclusively categorized based on code prefixes and numerical groupings to allow similar services to be tracked collectively, reducing double counting and maintaining effective historical rankings.

Despite increases in other Medicaid service groups, National Codes Established for State Medicaid Agencies collected the largest total payments in Dorris for 2024.

Statewide in California, this same category led all others in Medicaid reimbursements in 2024.

In the five years before 2024, Medicaid payments tied to the National Codes Established for State Medicaid Agencies in Dorris grew by $1,181,034, or 194.3%. Certain years, such as 2021 and 2023, saw notable year-over-year jumps that contributed to this growth trend.

Within Dorris, spending for services in this Medicaid category spanned the city, but payments were most robust in a small selection of ZIP codes. During 2024, ZIP code 96023 alone recorded $1,788,832 in Medicaid payments for this group of services. Altogether, the top 1 ZIP code accounted for 100% of these Medicaid payments in the city that year.

Additionally, Medicaid disbursements within the National Codes Established for State Medicaid Agencies category in Dorris were particularly focused in a limited number of individual service codes.

Comparatively, Medicaid payments for this group in Dorris grew 24% from 2023 to 2024, aligning with a 24.3% increase for all Medicaid categories across the city in the same timeframe.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023, or around 18% of all U.S. health expenditures. This is a substantial increase from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth represents about a 40% rise over several years, largely attributed to more enrollment and greater service use during and following the pandemic.

Recent federal budget legislation under the Trump administration introduced various proposed reductions in Medicaid funding and would change the program’s structure. The “One Big Beautiful Bill Act,” which became law in 2025, is set to cut over $1 trillion in federal Medicaid spending in the next decade and add requirements such as work conditions and increased patient cost-sharing. This could reduce program coverage and federal funding while shifting more financial responsibility to states, even as Medicaid continues to serve tens of millions of people nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $607,798 -1.8%
2021 $1,006,824 65.7%
2022 $1,073,639 6.6%
2023 $1,442,992 34.4%
2024 $1,788,832 24%
Top Categories by Medicaid Payments in Dorris, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $1,788,832 97.6%
2 Evaluation and Management $38,309 2.1%
3 Medicine Services and Procedures $5,814 0.3%
4 Pathology and Laboratory Procedures $102 <0.1%
5 Procedures / Professional Services $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Dorris, California, 2024

HCPCS Code Description Medicaid Payments Claims
T1015 Clinic service $1,788,832 175

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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