Jayton sees 38% rise in 2024 Medicaid payments for services under National Codes category

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Jayton Medicaid providers billed $4,322 for services categorized 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. This amount represents a 38% increase compared with 2023, when $3,133 in claims were submitted for the same category.

Medicaid, operated by states and funded jointly by federal and state governments, provides coverage for low-income individuals and families, seniors, children and those with disabilities, making it a central component of the U.S. health care landscape.

Shifts in Medicaid billing at the local level reflect how public health care resources are distributed within a community, since these payments are taxpayer-funded.

The “National Codes Established for State Medicaid Agencies” group includes Medicaid-billed services identified by the type of care provided and is based on standardized HCPCS and CPT code groupings. For this review, each billing code was placed into a single service category using uniform code prefixes and number ranges, ensuring related services are assessed together while maintaining unique counts and accurate rankings.

National Codes Established for State Medicaid Agencies led all service categories in Jayton by total Medicaid payments for 2024, with spending rising across several service areas.

Statewide, the National Codes Established for State Medicaid Agencies ranked second in Texas by total Medicaid payments in 2024.

From 2019 to 2024, Medicaid payments connected to the National Codes Established for State Medicaid Agencies category in Jayton rose by $4,322, or 0%. Certain years saw especially strong growth, with year-over-year gains notably recorded in 2022 and 2022.

Although Medicaid payments in the National Codes Established for State Medicaid Agencies category were distributed citywide, most were concentrated in a small number of ZIP codes. In 2024, ZIP code 79528 accounted for $4,322, with the top ZIP code representing 100% of Medicaid payments in this category in Jayton that year.

Payments in the National Codes Established for State Medicaid Agencies category in Jayton primarily stemmed from a limited set of billing codes.

Comparing 2024 and 2023, Jayton’s Medicaid payments for this service group increased by 38%, mirroring the 38% change seen for all Medicaid claim categories in the city during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, representing about 18% of total national health costs, up significantly from $613.5 billion in 2019, before the COVID-19 pandemic.

This change amounts to about 40% growth over several years, largely due to increasing enrollment and greater utilization throughout and after the pandemic.

Recent federal budget measures during the Trump administration have contained major proposals to reduce federal Medicaid spending and overhaul the program’s structure. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is forecast to cut more than $1 trillion in federal Medicaid funding over a decade and implement policies like work requirements and higher cost-sharing, changes that could lead to reduced coverage and funding for some recipients. These measures are set to shift more expenses to states and place additional limits on federal Medicaid growth, even as the program continues to serve tens of millions of Americans.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Jayton, Texas Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2021 $2,426
2022 $9,423 288.3%
2023 $3,132 -66.8%
2024 $4,322 38%
Top Categories by Medicaid Payments in Jayton, Texas, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $4,322 10<0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Jayton, Texas, 2024

HCPCS Code Description Medicaid Payments Claims
T1015 Clinic service $4,322 2

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.



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