Marksville Medicaid payments for state-established national codes climb to $7.1 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Marksville Medicaid providers submitted $7,103,051 in claims for services within the National Codes Established for State Medicaid Agencies category in 2024, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 5.2% rise over 2023, when providers filed $6,750,751 in claims for the same classification.

Medicaid, a state-administered health insurance program funded by both federal and state governments, serves low-income people and families, seniors, children, and those with disabilities. It is one of the largest pillars of the U.S. health care system.

Since Medicaid funding is sourced from taxpayers, any changes in local billing figures reflect shifts in how public health care resources are distributed within a community.

The “National Codes Established for State Medicaid Agencies” group identifies a range of Medicaid-billed services categorized by the type of care, utilizing standard HCPCS and CPT code groupings. For this report, each billing code was assigned to a service category using uniform code prefixes and number ranges, supporting grouped service analysis and avoiding duplicated counts to ensure reliable year-on-year comparisons.

Across multiple service groupings, Medicaid spending rose, with National Codes Established for State Medicaid Agencies topping the list by payments in Marksville for 2024.

Statewide in Louisiana, this category ranked as the second highest by total Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments for this category in Marksville went up by $2,937,023, or 70.5%. The rate of spending accelerated over some years, with significant increases noted for 2023 and 2022.

Although payments for this care category occurred citywide, most funds were concentrated in a small set of ZIP codes. In 2024, ZIP code 71351 led with a total of $7,103,051. The top 1 ZIP codes made up 100% of the Medicaid payments for the category in Marksville that year.

Within the National Codes Established for State Medicaid Agencies category, a small number of billing codes accounted for the majority of Medicaid payments.

Comparing year-over-year trends, Medicaid payments linked to this category increased 5.2% between 2024 and 2023. Across all claim types in Marksville during that period, the overall change was 6.4%.

According to the Centers for Medicare & Medicaid Services, national federal and state Medicaid spending was about $871.7 billion in fiscal 2023, about 18% of total U.S. health spending, up sharply from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

This nearly 40% increase over several years resulted largely from broader enrollment and higher service usage amid and following the pandemic.

Recent federal budget actions from the Trump administration included substantial proposals for reducing federal Medicaid funding and restructuring the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and introduces policies such as work requirements and increased cost-sharing, which could mean less funding and reduced coverage for certain enrollees. As a result, states may bear more costs and face constrained federal Medicaid financing, even as the program continues to assist tens of millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $4,166,027 -4.8%
2021 $4,766,162 14.4%
2022 $5,577,289 17%
2023 $6,750,750 21%
2024 $7,103,051 5.2%
Top Categories by Medicaid Payments in Marksville, Louisiana, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $7,103,051 43.2%
2 Temporary National Codes (Non-Medicare) $5,120,886 31.2%
3 Alcohol and Drug Abuse Treatment $2,405,196 14.6%
4 Evaluation and Management $1,187,457 7.2%
5 Medicine Services and Procedures $317,192 1.9%
6 Pathology and Laboratory Procedures $146,844 0.9%
7 Radiology Procedures $119,022 0.7%
8 Procedures / Professional Services $17,283 0.1%
9 Durable Medical Equipment $8,207 <0.1%
10 Drugs Administered Other than Oral Method $5,282 <0.1%
11 Anesthesia $3,969 <0.1%
12 Surgery $1,415 <0.1%
13 Outpatient PPS $344 <0.1%
14 Temporary Codes $161 <0.1%
15 Medical And Surgical Supplies $67 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Marksville, Louisiana, 2024

HCPCS Code Description Medicaid Payments Claims
T1015 Clinic service $3,845,613 257
T1019 Personal care ser per 15 min $2,643,276 24
T2021 Day habil waiver per 15 min $324,581 12
T1001 Nursing assessment/evaluatn $147,170 11
T2002 N-et; per diem $98,280 12
T2003 N-et; encounter/trip $41,840 11
T1502 Medication admin visit $2,290 2

Note: HCPCS codes appear here for additional context. The rankings and category totals presented use standardized service groupings, not individual billing codes.

This article relies on the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data is available here.



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