Medicaid payments for National Codes Established for State Medicaid Agencies in Maiden up 88.5% in 2024

Maiden Medicaid providers submitted $570,197 in billings for services categorized within 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. The amount reflected an 88.5% increase compared with 2023, when $302,453 was billed for the same group of services.

Medicaid, a public insurance program operated by each state and funded jointly by federal and state governments, covers low-income people and families, older adults, children, and individuals with disabilities. The program is a major component of the U.S. health system.

Since Medicaid is supported by taxpayers, shifts in billing amounts reflect how public health care spending is distributed within a community.

The National Codes Established for State Medicaid Agencies group represents Medicaid services defined by care type, following standardized HCPCS and CPT code groupings. For this report, each code was mapped to a single service category using consistent prefixes and numerical ranges, ensuring related services were analyzed together, double counting was avoided, and historical rankings remained accurate.

Medicaid spending increased across multiple categories, but in 2024, National Codes Established for State Medicaid Agencies led all other service groups by total Medicaid payments in Maiden.

Statewide in North Carolina, the National Codes Established for State Medicaid Agencies also ranked highest by total Medicaid payments in 2024.

Over the five years leading up to 2024, Medicaid payments to the National Codes Established for State Medicaid Agencies in Maiden climbed $344,302, or 152.4%. Certain periods saw notable year-over-year growth, particularly in 2020 and 2021.

Although services in this category were used throughout Maiden, a small number of ZIP codes saw the majority of payments. In 2024, ZIP code 28650 accounted for $570,197 in Medicaid payments tied to this category. The single top ZIP code represented 100% of Medicaid spending for these services in the city during the year.

Payments for the National Codes Established for State Medicaid Agencies group were also mostly distributed among a few individual billing codes.

Between 2024 and 2023, Medicaid payments in Maiden for National Codes Established for State Medicaid Agencies rose 88.5%. In comparison, payments across all Medicaid claim categories citywide increased 71.8% during that time.

The Centers for Medicare & Medicaid Services reports that federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, making up nearly 18% of all U.S. health spending, a significant jump from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

That increase amounts to growth of around 40% over a few years, primarily due to expanded enrollment and greater use of services during and after the pandemic.

Recent federal budget bills signed during the Trump administration included major proposals to reduce federal Medicaid support and change the program’s structure. One example is the “One Big Beautiful Bill Act,” enacted in 2025, which is expected to cut more than $1 trillion in federal Medicaid spending over 10 years. The law introduces measures such as work requirements and higher cost-sharing, which may reduce coverage or funding for certain beneficiaries. These provisions are likely to shift a greater cost burden to states and slow federal Medicaid spending growth, even as enrollment remains high 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.