Medicaid payments for National Codes Established for State Medicaid Agencies reach $321,409 in Palmetto for 2024

In 2024, Medicaid providers in Palmetto reported $321,409 in billings for services placed under the National Codes Established for State Medicaid Agencies category, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total marks a 2.2% increase over 2023, when $314,612 in claims were submitted for the same set of services.

Medicaid is a state-administered program funded through both federal and state contributions. It offers health coverage to qualifying low-income individuals, families, older adults, children, and those with disabilities and forms a significant part of the national health care system.

Shifts in Medicaid billing at the local level reveal how public health care funding is distributed among communities, since these expenditures are drawn from taxpayer dollars.

The “National Codes Established for State Medicaid Agencies” section groups certain Medicaid services based on care type, as determined by HCPCS and CPT coding structures. In this review, service categories were assigned using standardized code prefixes and number ranges so related care types could be tracked accurately and without duplication over time.

While total Medicaid disbursements rose for several categories, National Codes Established for State Medicaid Agencies recorded the highest overall payments in Palmetto in 2024.

Statewide in Louisiana, National Codes Established for State Medicaid Agencies placed second among all Medicaid payment categories that year.

From five years before 2024, Medicaid payments connected to this service category in Palmetto cumulatively increased by $321,409, an overall growth of 0%. Growth rates were higher during specific intervals, with significant year-on-year increases in 2023 and 2022.

The city’s Medicaid spending in this category was not evenly distributed, as most payments were concentrated in a few ZIP codes. In 2024, the 71358 ZIP posted $321,409 in Medicaid payments tied to this category, comprising 100% of such payments for Palmetto that year.

Payments were also focused among a small set of billing codes within the National Codes Established for State Medicaid Agencies group.

In Palmetto, Medicaid payments for this group of codes were up 2.2% from 2023 to 2024, while the aggregate increase across all Medicaid claims in the city during this period was 1.1%.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined for about $871.7 billion in fiscal 2023, making up around 18% of the nation’s total health expenditures—a substantial jump from roughly $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This reflects an estimated 40% growth within a few years, mainly fueled by more enrollees and increased service use during and after the pandemic.

Several federal budget laws enacted during the Trump administration introduced major changes to Medicaid. The “One Big Beautiful Bill Act,” signed in 2025, is forecast to trim federal Medicaid spending by over $1 trillion in the next decade, introducing new conditions such as work requirements and higher patient cost-sharing that may lower coverage and funding for certain groups. These adjustments are likely to increase state financial responsibility and curb the rate of federal Medicaid support, even as the program remains vital for tens of millions across the U.S.

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.