In 2024, Medicaid providers in Alexandria submitted $14,529,799 in billing for services categorized under National Codes Established for State Medicaid Agencies, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represented a 7.2% rise from 2023, when providers filed claims amounting to $13,554,680 for these services.
Medicaid is a joint federal-state health insurance initiative operated by states and financed together by federal and state governments. It covers low-income people and families, children, seniors, and people with disabilities and is one of the nation’s largest health care funding programs.
As Medicaid spending reflects taxpayer funding, shifts in billing levels locally reveal how public health care dollars are apportioned across a region.
The “National Codes Established for State Medicaid Agencies” label designates a group of Medicaid-billable services defined by care type, grouped based on standardized HCPCS and CPT codes. For this study, each billing code was assigned a single service category using established code prefixes and number ranges. This method allowed for comparability among related services, helped prevent double counting, and maintained consistent rankings through time.
While multiple Medicaid service categories saw spending increases, National Codes Established for State Medicaid Agencies placed third among all Medicaid payment categories in Alexandria during 2024.
Statewide in Louisiana, National Codes Established for State Medicaid Agencies ranked as the second largest Medicaid payment category in 2024.
Across the five years preceding 2024, Medicaid payments for National Codes Established for State Medicaid Agencies in Alexandria increased by $9,049,400—a jump of 165.1%. Certain years, including 2022 and 2023, experienced notable year-over-year growth.
Spending may have been distributed citywide; however, payments were primarily headlined by specific ZIP codes. The three highest totals in 2024 were ZIP code 71301 with $8,624,754, ZIP code 71303 at $3,807,533, and ZIP code 71302 showing $2,097,510. Collectively, these top 3 ZIP codes comprised 100% of Alexandria’s Medicaid spending under this category for the year.
Payments in the National Codes Established for State Medicaid Agencies category were commonly concentrated in a few principal billing codes.
By way of comparison, Medicaid spending for this category in Alexandria increased by 7.2% between 2024 and 2023, matching the 7.2% rise seen across all Medicaid claim categories in the city over the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending collectively amounted to approximately $871.7 billion in fiscal 2023, which represented about 18% of all health care expenditures nationally, and was a marked jump from $613.5 billion in 2019 before the COVID-19 pandemic.
This growth equates to a rise of about 40% over several years, fueled mainly by higher enrollments and greater utilization in and after the pandemic period.
Recent federal budget legislation passed under the Trump administration contained major proposals to decrease federal Medicaid spending and modify the structure of the program. Details in the “One Big Beautiful Bill Act,” enacted in 2025, forecast over $1 trillion in federal Medicaid funding cuts during the next 10 years, and introduced policies such as work mandates and greater cost sharing that may curb coverage or funding for certain recipients. These policies are projected to pass additional costs to states and could restrain the pace of federal Medicaid growth while the program continues to provide for tens of millions of participants.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $5,480,398 | -37.2% |
| 2021 | $6,757,310 | 23.3% |
| 2022 | $9,867,004 | 46% |
| 2023 | $13,554,679 | 37.4% |
| 2024 | $14,529,798 | 7.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $16,446,242 | 22.3% |
| 2 | Alcohol and Drug Abuse Treatment | $14,874,021 | 20.2% |
| 3 | National Codes Established for State Medicaid Agencies | $14,529,798 | 19.7% |
| 4 | Temporary National Codes (Non-Medicare) | $11,518,461 | 15.6% |
| 5 | Medicine Services and Procedures | $5,957,868 | 8.1% |
| 6 | Radiology Procedures | $3,766,720 | 5.1% |
| 7 | Surgery | $1,839,929 | 2.5% |
| 8 | Pathology and Laboratory Procedures | $1,685,644 | 2.3% |
| 9 | Dental Services | $531,331 | 0.7% |
| 10 | Durable Medical Equipment | $520,234 | 0.7% |
| 11 | Ambulance and Other Transport Services and Supplies | $489,428 | 0.7% |
| 12 | Drugs Administered Other than Oral Method | $448,305 | 0.6% |
| 13 | Procedures / Professional Services | $409,517 | 0.6% |
| 14 | Medical And Surgical Supplies | $312,268 | 0.4% |
| 15 | Vision Services | $99,265 | 0.1% |
| 16 | Diagnostic Radiology Services | $98,077 | 0.1% |
| 17 | Anesthesia | $63,420 | 0.1% |
| 18 | Temporary Codes | $40,212 | 0.1% |
| 19 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $21,042 | <0.1% |
| 20 | Chemotherapy Drugs | $18,714 | <0.1% |
| 21 | Enteral and Parenteral Therapy | $16,391 | <0.1% |
| 22 | Administrative, Miscellaneous and Investigational | $11,397 | <0.1% |
| 23 | Prosthetic Procedures | $1,927 | <0.1% |
| 24 | Other Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $4,472,928 | 256 |
| T2003 | N-et; encounter/trip | $3,304,076 | 80 |
| T1025 | Ped compr care pkg, per diem | $2,149,531 | 24 |
| T1019 | Personal care ser per 15 min | $1,410,882 | 42 |
| T2023 | Targeted case mgmt per month | $942,028 | 41 |
| T2021 | Day habil waiver per 15 min | $699,284 | 12 |
| T2022 | Case management, per month | $554,213 | 22 |
| T2002 | N-et; per diem | $437,606 | 24 |
| T1026 | Ped compr care pkg, per hour | $201,229 | 16 |
| T2016 | Habil res waiver per diem | $147,840 | 21 |
| T1016 | Case management | $134,006 | 11 |
| T1001 | Nursing assessment/evaluatn | $57,730 | 11 |
| T1002 | Rn services up to 15 minutes | $18,440 | 10 |
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.
