Granite Falls Medicaid payments for national codes jump 181% in 2024

In 2024, Medicaid providers in Granite Falls billed $2,486,377 for services listed under the National Codes Established for State Medicaid Agencies, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That total represents a 181% rise from 2023, when billings for these services reached $884,771.

Medicaid, which is funded jointly by federal and state governments and managed by individual states, insures low-income people, children, seniors, and those with disabilities, making it one of the largest health care payers in the U.S.

Shifts in local Medicaid billing patterns highlight how taxpayer resources are distributed for health care in each community.

The “National Codes Established for State Medicaid Agencies” group encompasses Medicaid-billed services defined by care type and is based on standardized HCPCS and CPT code groupings. This analysis assigned each billing code to a single service category using consistent code prefixes and number ranges, so related services are grouped for trend and rank comparisons over time without duplicate counts.

Among all service categories, National Codes Established for State Medicaid Agencies had the highest total Medicaid payment amount in Granite Falls in 2024.

Statewide in North Carolina, National Codes Established for State Medicaid Agencies also ranked as the top category for Medicaid payments in 2024.

Over the five years prior to 2024, Granite Falls saw Medicaid payments in this category grow by $396,639, equating to a 13.8% increase. Some of the most substantial gains occurred in 2020 and 2022.

Within the city, Medicaid payments for these services were not evenly distributed but were instead concentrated in a small number of ZIP codes. In 2024, the highest payments went to ZIP code 28630, which alone accounted for $2,486,377. Overall, the top ZIP code made up 100% of all Medicaid payments in this category in Granite Falls for the year.

Medicaid payments in the National Codes Established for State Medicaid Agencies category were focused among a select group of individual billing codes.

When compared with all Medicaid claim categories in Granite Falls, payments linked to National Codes Established for State Medicaid Agencies grew by 181% from 2023 to 2024, versus an 18.5% rise across all categories for the city.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, representing about 18% of the nation’s total health expenditures, a substantial jump from $613.5 billion in 2019, before the COVID-19 pandemic.

This increase is about 40% over several years, primarily caused by expanded program enrollment and greater service use during and following the pandemic period.

Recent federal budget measures signed under the Trump administration included major proposals to scale back federal Medicaid funding and reform the system. The “One Big Beautiful Bill Act,” passed in 2025, is expected to cut federal Medicaid funding by more than $1 trillion over 10 years and add new policies such as work requirements and higher cost-sharing, potentially reducing access and support for some enrollees. This is likely to require states to bear more costs and may limit federal Medicaid growth, even as the program continues to cover 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.