Palmetto Medicaid payments for National Codes Established for State Medicaid Agencies rise 2.2% to $321,409 in 2024

In 2024, providers in Palmetto billed Medicaid for $321,409 in services classified under the National Codes Established for State Medicaid Agencies, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount represented a 2.2% bump compared with 2023, when providers billed $314,612 for the same category.

Medicaid operates as a public health insurance program under state management with funding from both federal and state governments. It provides coverage for low-income people and families, seniors, children, and individuals with disabilities, serving as one of the nation’s largest health care programs.

Since Medicaid is paid by taxpayers, fluctuations in billing reveal how community health funds are distributed at the local level.

The “National Codes Established for State Medicaid Agencies” category includes a range of Medicaid services categorized by care type, as defined through HCPCS and CPT code groupings. Codes were classified under a single service category using unified code prefixes and numeric ranges for this analysis, enabling related services to be tracked together without overlap and maintaining accurate category comparisons over time.

National Codes Established for State Medicaid Agencies held the top spot in Palmetto among Medicaid payment categories in 2024, unlike several other groups that also saw spending increases.

Statewide in Louisiana, this category ranked second for total Medicaid payments in 2024.

Over the five years ending in 2024, Palmetto’s Medicaid payments for this category increased by $321,409, equating to no overall percentage change. However, spending grew more rapidly in certain years, with notable annual gains in both 2023 and 2022.

While these Medicaid payments were distributed across Palmetto, they were primarily concentrated in a few ZIP codes. In 2024, ZIP code 71358 accounted for $321,409, representing all Medicaid payments for this category in Palmetto, making up 100% of the total.

Medicaid payments within this service category also focused on a small set of specific billing codes.

To compare, Palmetto’s Medicaid payments linked to National Codes Established for State Medicaid Agencies rose 2.2% from 2023 to 2024, contrasted with a 1.1% change among all service categories citywide in the same period.

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

This increase reflects about 40% growth over several years, largely driven by expanded Medicaid rolls and increased use of health services during and following the pandemic.

Recent federal budget laws under the Trump administration have featured substantial proposals to decrease federal Medicaid funding and revise the structure of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to cut over $1 trillion in Medicaid spending over 10 years and implement measures like work requirements and increased beneficiary cost-sharing. As a result, the law is expected to shift additional costs to states and restrict future federal Medicaid funding, even as tens of millions remain enrolled in the program.

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.