In 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Hayward Medicaid providers billed $10,591,078 for services classified under the National Codes Established for State Medicaid Agencies category. This represented a 12.3% rise from 2023, when providers claimed $9,428,397 for similar services.
Medicaid, a state-operated and federally and state-funded public health insurance program, provides coverage for low-income individuals and families, seniors, children, and those with disabilities. This positions Medicaid as a major component of the American health care landscape.
Because Medicaid funding comes directly from taxpayers, shifts in how services are billed locally reflect the distribution of public health spending within different communities.
The “National Codes Established for State Medicaid Agencies” group includes Medicaid services specified by care type, categorized through standardized HCPCS and CPT code assignments. For this report, billing codes were linked to a dedicated service group based on consistent code sequences and ranges, which helps analyze trends in related services, maintain distinct counts, and assure accuracy across annual comparisons.
Even as overall Medicaid spending rose across several categories, National Codes Established for State Medicaid Agencies finished as the second-largest category in Hayward by total Medicaid payments for 2024.
On a state level in California, this category topped the list for total Medicaid payments in 2024.
Between 2019 and 2024, Hayward Medicaid payments linked to the National Codes Established for State Medicaid Agencies grew by $1,636,174, or 18.3%. Specific periods, such as 2023 and 2020, saw notable spikes in annual spending.
Care provided under the National Codes Established for State Medicaid Agencies was billed citywide, but payment concentrations appeared in select ZIP codes. In 2024, these included ZIP code 94545 with $6,395,404, 94541 with $3,358,023, and 94544 with $837,650. Together, these top 3 ZIP codes made up the totality of Medicaid spending tied to this service category in Hayward that year.
Within the National Codes Established for State Medicaid Agencies, Medicaid payments were focused among a small selection of individual billing codes.
By comparison, while Hayward’s Medicaid payments for this category rose 12.3% year over year from 2023 to 2024, the aggregate increase for all Medicaid claim categories in the city during this period was 2.6%.
According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenditures reached roughly $871.7 billion in fiscal year 2023, comprising about 18% of total health care costs in the U.S., up sharply from an estimated $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This reflects an increase of nearly 40% in several years, mostly resulting from expanded program enrollment and higher use of services during and following the pandemic.
Federal budget policy under the Trump administration enacted major proposals to reduce federal Medicaid support and modify the program’s structure. For instance, the “One Big Beautiful Bill Act,” passed into law in 2025, is expected to trim more than $1 trillion in federal Medicaid spending over 10 years and add requirements such as mandatory work obligations and higher cost sharing, potentially limiting certain coverage and funding for some participants. These changes could increase the financial burden on states while restricting federal Medicaid growth, even as program enrollment continues to cover tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $8,954,903 | 12.5% |
| 2021 | $9,727,931 | 8.6% |
| 2022 | $7,401,992 | -23.9% |
| 2023 | $9,428,397 | 27.4% |
| 2024 | $10,591,077 | 12.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Ambulance and Other Transport Services and Supplies | $12,703,080 | 24.9% |
| 2 | National Codes Established for State Medicaid Agencies | $10,591,077 | 20.8% |
| 3 | Procedures / Professional Services | $8,728,818 | 17.1% |
| 4 | Medicine Services and Procedures | $7,832,151 | 15.4% |
| 5 | Pathology and Laboratory Procedures | $3,687,383 | 7.2% |
| 6 | Evaluation and Management | $2,385,297 | 4.7% |
| 7 | Dental Services | $1,931,139 | 3.8% |
| 8 | Temporary National Codes (Non-Medicare) | $1,274,627 | 2.5% |
| 9 | Surgery | $363,081 | 0.7% |
| 10 | Radiology Procedures | $338,103 | 0.7% |
| 11 | Drugs Administered Other than Oral Method | $329,992 | 0.6% |
| 12 | Anesthesia | $252,857 | 0.5% |
| 13 | Medical And Surgical Supplies | $195,836 | 0.4% |
| 14 | Enteral and Parenteral Therapy | $174,414 | 0.3% |
| 15 | Durable Medical Equipment | $123,674 | 0.2% |
| 16 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $73,201 | 0.1% |
| 17 | Chemotherapy Drugs | $7,379 | <0.1% |
| 18 | Temporary Codes | $6,226 | <0.1% |
| 19 | Alcohol and Drug Abuse Treatment | $1,996 | <0.1% |
| 20 | Administrative, Miscellaneous and Investigational | $96 | <0.1% |
| 21 | Vision Services | $75 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $9,522,111 | 575 |
| T2031 | Assist living waiver/diem | $1,045,208 | 13 |
| T1001 | Nursing assessment/evaluatn | $23,758 | 8 |
Note: HCPCS codes are included to provide context within the broad category. Article totals and rankings are based on these grouped service categories rather than on single billing codes.
Data for this report was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Primary source data is available here.
