Medicaid payments in La Puente for state agency service codes reach $1.57 million in 2024

La Puente Medicaid providers reported $1,571,082 in billed services under National Codes Established for State Medicaid Agencies for 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. Providers submitted $1,561,988 in claims for this category in 2023, resulting in a 0.6% growth year over year.

Medicaid, a public insurance program administered by states and funded both federally and by states, provides health coverage to low-income residents, children, seniors and people with disabilities, making it one of the largest spending areas in the U.S. health system.

Because Medicaid funding comes from taxpayers, changes in billing amounts locally show how public dollars are used within a community’s health care system.

The National Codes Established for State Medicaid Agencies category encompasses types of Medicaid-billed care as defined by established HCPCS and CPT code groupings. In this assessment, each billing code was included in only one service group based on code prefixes and number ranges to group similar services together, eliminate duplicates, and assure historical accuracy in rankings.

Even as Medicaid outlays rose in several categories, National Codes Established for State Medicaid Agencies ranked as the second-largest Medicaid payment category in La Puente in 2024.

Statewide in California, this category represented the largest total Medicaid payment group in 2024.

Looking at the five years preceding 2024, La Puente’s Medicaid payments tied to this category climbed $554,265, an increase of 54.5%. Spending gains were especially evident in some years, with more pronounced jumps during 2023 and 2022 compared with earlier periods.

While this care category’s spending occurred throughout the city, payments were primarily concentrated in select ZIP codes. For 2024, ZIP code 91744 logged $999,542 and 91746 recorded $571,539 in Medicaid payments for this service type; together, these 2 ZIP codes represented the entirety of Medicaid payments tied to this category in La Puente for the year.

Within the National Codes Established for State Medicaid Agencies classification, Medicaid spending was heavily concentrated on just a few individual billing codes.

Between 2024 and 2023, La Puente saw payments to this category rise 0.6%, while Medicaid payouts for all claim categories combined in the city increased 15.5% over the same period.

According to the Centers for Medicare & Medicaid Services, fiscal year 2023 federal and state Medicaid spending totaled almost $871.7 billion, accounting for approximately 18% of national health spending—up from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase marked about 40% growth in several years, driven largely by higher enrollment and increased service use during and following the pandemic.

Recent federal budget measures enacted under the Trump administration involve significant plans to trim federal Medicaid funding and realign the program. One such law, the “One Big Beautiful Bill Act,” passed in 2025, is forecasted to reduce federal Medicaid outlays by more than $1 trillion over the coming decade, introducing rules such as work requirements and higher cost-sharing that are expected to affect some beneficiaries’ coverage and eligibility. These shifts are anticipated to transfer more funding responsibility to states and restrict growth in federal support, yet Medicaid remains a primary source of coverage for 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.