Forest Hill sees 79.3% rise in Medicaid payments for National Codes Established category in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows providers in Forest Hill billed $237,592 in 2024 for services marked under the National Codes Established for State Medicaid Agencies classification. That figure reflects a 79.3% increase from 2023, when claims for those services amounted to $132,475.

Medicaid is a government-run health coverage program administered by states and funded jointly by federal and state governments. It serves low-income families and individuals, seniors, children, and those with disabilities, making up a substantial segment of America’s health care system.

Since Medicaid funding derives from taxpayers, local changes in billing represent shifts in nearby allocation of public health care resources.

The “National Codes Established for State Medicaid Agencies” group covers a range of Medicaid-coded services that are identified by the type of care, based on standardized HCPCS and CPT code sets. For this analysis, the categorization process assigned each billing code to an individual group by persistent code stems and relevant numeral ranges, ensuring grouped services were analyzed together without duplicate counting or misrankings.

Even though Medicaid outlays rose in different categories, National Codes Established for State Medicaid Agencies accounted for the largest share of Medicaid billings by category in Forest Hill for 2024.

Statewide, this category held the number two spot in Louisiana for total Medicaid payments during 2024.

Between 2020 and 2024, Medicaid payments in Forest Hill linked to the National Codes Established for State Medicaid Agencies group climbed by $237,592, amounting to a 0% cumulative change. Segments of faster growth were observed in certain years, with significant yearly gains posted in 2023 and 2022.

Medicaid service payments within this category were spread throughout the city, though most of the funds were concentrated in few ZIP codes. In 2024, the ZIP code with the largest Medicaid billings for National Codes Established for State Medicaid Agencies was 71430 at $237,591, and this ZIP code comprised 100% of Medicaid disbursements in that category for Forest Hill over the year.

Individual HCPCS billing codes within this service group further concentrated Medicaid payments for 2024.

Examining growth trends, Forest Hill’s Medicaid payments for this service category expanded by 79.3% from 2023 to 2024, significantly outpacing the 29.1% gain seen across all Medicaid claims in the city during that timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, totaling around 18% of all national health spending, up significantly from about $613.5 billion in 2019 prior to COVID-19’s onset.

This upswing marks roughly 40% program growth within a few years, driven by broader enrollment and higher service usage through and after the pandemic period.

Recent budget legislation signed during the Trump administration included major proposals to lower federal Medicaid funding and alter program design. Provisions from the “One Big Beautiful Bill Act,” effective 2025, are projected to reduce federal Medicaid expenditures by more than $1 trillion over the next 10 years, presenting work mandates and increased cost-sharing measures potentially lowering benefits and coverage for certain populations. As a result, states could assume a greater portion of costs while federal funding growth becomes more limited, even as Medicaid continues to cover tens of millions across the country.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Forest Hill, Louisiana Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2022 $56,736
2023 $132,475 133.5%
2024 $237,591 79.3%
Top Categories by Medicaid Payments in Forest Hill, Louisiana, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $237,591 97.4%
2 Evaluation and Management $5,752 2.4%
3 Medicine Services and Procedures $536 0.2%
4 Pathology and Laboratory Procedures $0 <0.1%
4 Procedures / Professional Services $0 <0.1%
4 Surgery $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Forest Hill, Louisiana, 2024

HCPCS Code Description Medicaid Payments Claims
T1015 Clinic service $237,591 20

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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