Hale Center Medicaid spending on National Codes Established for State Medicaid Agencies climbs 15.2% in 2024

In 2024, Medicaid providers in Hale Center billed $188,979 for services categorized under National Codes Established for State Medicaid Agencies, shows data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 15.2% rise over 2023, when providers billed $164,080 for the same services.

Medicaid, a major component of America’s health care system, is a government insurance program managed by states and co-funded by federal and state governments. It serves low-income families and individuals, seniors, children, and those with disabilities.

With Medicaid being funded by taxpayers, shifts in billing locally highlight how community health care dollars are distributed.

The “National Codes Established for State Medicaid Agencies” group includes Medicaid-billed services classified according to the care delivered, based on standard HCPCS and CPT code groupings. This analysis assigned each billing code to a single service area, using standard code prefixes and numeric ranges to group related services for comparison and prevent double counting or ranking errors over time.

Although Medicaid outlays increased in several service groups, National Codes Established for State Medicaid Agencies held the top spot in Hale Center by Medicaid payment totals in 2024.

Statewide, this category was the second-highest statewide by total Medicaid payments during 2024.

In the five years leading up to 2024, Hale Center’s Medicaid payments for this category grew by $188,979, reflecting no percentage change. In some years, however, spending accelerated, with the largest annual increases happening in 2023 and 2022.

Spending for National Codes Established for State Medicaid Agencies services was distributed throughout Hale Center, but expenditures were heavily concentrated in only a few ZIP codes. In 2024, ZIP code 79041 accounted for $188,978—the entire total. The top 1 ZIP code made up 100% of Medicaid payments for this service group in Hale Center during the year.

Most Medicaid payments in this service category were associated with relatively few billing codes.

When compared, National Codes Established for State Medicaid Agencies in Hale Center saw Medicaid payments jump 15.2% between 2024 and 2023, while citywide Medicaid claim categories as a whole posted a 16.3% change across the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal 2023, representing roughly 18% of the nation’s health care spending. That’s up from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This rise marks nearly 40% growth in just a few years, largely attributed to increased enrollment and greater use of services during and after the pandemic period.

Recent federal budget laws enacted under the Trump administration feature major proposals for reducing federal Medicaid funding and changing the program structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut over $1 trillion from federal Medicaid outlays over 10 years. It also introduces elements such as work requirements and higher cost-sharing, which could reduce benefits and funds for some recipients. These changes are likely to increase states’ responsibilities and cap future federal support, even as Medicaid remains essential for millions of Americans.

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.