In 2024, Medicaid providers in Leesville billed $5,231,930 for services under the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented a 10.2% increase from 2023, when providers billed $4,749,081 in the same category.
Medicaid, a public health insurance program administered by states and funded by both federal and state governments, covers low-income individuals and families, children, seniors, and people with disabilities. It is a major part of the U.S. health care system.
Because Medicaid payments are funded by taxes, changes in local billing indicate how health care spending is allocated throughout the community.
The “National Codes Established for State Medicaid Agencies” category includes Medicaid-billed services defined by standard HCPCS and CPT code groupings, organized by type of care provided. In this report, each billing code was mapped to a single service category using consistent numeric ranges and code prefixes. This approach helps ensure related services are tracked accurately, prevents double counting, and maintains rankings over time.
Although Medicaid spending increased in several categories, National Codes Established for State Medicaid Agencies led Leesville by total Medicaid payments in 2024.
Statewide in Louisiana, the same category placed second by payments among all Medicaid service groups in 2024.
Between 2019 and 2024, Medicaid payments connected to the National Codes Established for State Medicaid Agencies category in Leesville grew by $3,541,811, an increase of 209.6%. Growth accelerated in some years, notably with significant year-over-year jumps in 2021 and 2020.
Spending for care in the National Codes Established for State Medicaid Agencies category occurred across Leesville, but was mostly concentrated in a few ZIP codes. In 2024, ZIP code 71446 represented $5,231,929 in Medicaid payments, accounting for 100% of claims in this category during the year.
Payments were also heavily focused among a small number of individual billing codes within the National Codes Established for State Medicaid Agencies category.
For context, Medicaid payments for the National Codes Established for State Medicaid Agencies category grew 10.2% between 2024 and 2023 in Leesville, while all Medicaid claim categories in the city combined increased 4.4% over that span.
The Centers for Medicare & Medicaid Services reports combined state and federal Medicaid costs reached about $871.7 billion in fiscal year 2023. That represented nearly 18% of total national health care expenditures—up significantly from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.
This change reflects an increase of about 40% over just a few years, largely the result of rising enrollment and greater service use during and after the pandemic.
Recent changes to the federal budget under the Trump administration have included major proposals to reduce federal Medicaid spending and rework the program. As an example, the “One Big Beautiful Bill Act,” passed in 2025, is forecast to trim federal Medicaid funding by more than $1 trillion during the next decade. The legislation also introduces work requirements and higher cost-sharing that may restrain coverage and payments for some recipients. These reforms are expected to shift additional costs to states and slow federal Medicaid growth, even while the program continues covering tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,690,118 | 49.2% |
| 2021 | $3,059,952 | 81% |
| 2022 | $3,624,662 | 18.5% |
| 2023 | $4,749,081 | 31% |
| 2024 | $5,231,929 | 10.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $5,231,929 | 37.8% |
| 2 | Evaluation and Management | $3,892,198 | 28.1% |
| 3 | Pathology and Laboratory Procedures | $1,346,874 | 9.7% |
| 4 | Medicine Services and Procedures | $1,265,280 | 9.1% |
| 5 | Radiology Procedures | $914,692 | 6.6% |
| 6 | Orthotic Procedures and services | $483,509 | 3.5% |
| 7 | Surgery | $259,460 | 1.9% |
| 8 | Alcohol and Drug Abuse Treatment | $193,877 | 1.4% |
| 9 | Procedures / Professional Services | $83,368 | 0.6% |
| 10 | Durable Medical Equipment | $52,746 | 0.4% |
| 11 | Medical And Surgical Supplies | $34,597 | 0.2% |
| 12 | Vision Services | $26,738 | 0.2% |
| 13 | Temporary Codes | $24,617 | 0.2% |
| 14 | Drugs Administered Other than Oral Method | $16,557 | 0.1% |
| 15 | Anesthesia | $14,533 | 0.1% |
| 16 | Outpatient PPS | $8,465 | 0.1% |
| 17 | Administrative, Miscellaneous and Investigational | $2,031 | <0.1% |
| 18 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $730 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $4,703,501 | 255 |
| T1019 | Personal care ser per 15 min | $462,893 | 12 |
| T2003 | N-et; encounter/trip | $65,534 | 12 |
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.


