Medicaid payments for state agency codes in Harrisonburg rise 12.2% in 2024

In 2024, providers in Harrisonburg submitted $414,501 in Medicaid claims for services grouped under the National Codes Established for State Medicaid Agencies, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 12.2% jump from 2023, when such claims reached $369,293.

Medicaid operates as a public insurance program managed by the states and receives joint funding from federal and state governments. It insures low-income people and families, older adults, children, and individuals with disabilities, positioning it as a critical component of the U.S. health system.

Because funding for Medicaid is sourced from taxpayers, fluctuations in local billing offer insight into how public health spending is distributed in specific areas.

The “National Codes Established for State Medicaid Agencies” category encompasses a standardized set of Medicaid-billed services based on HCPCS and CPT code groupings. In this review, every billing code appears in a single service category using consistent code prefixes and ranges, ensuring related services are analyzed together, double-counting is avoided, and rankings are accurately tracked over time.

Although Medicaid outlays went up in several service areas, the National Codes Established for State Medicaid Agencies category held the top spot by payment total in Harrisonburg during 2024.

By comparison, these codes ranked second for total statewide Medicaid payments in Louisiana in 2024.

During the five years before 2024, Medicaid spending for services in the National Codes Established for State Medicaid Agencies category in Harrisonburg increased by $411,491, equaling a rise of 13,670.8%. This growth was faster in certain stretches, with particularly strong increases recorded in 2021 and 2022.

Even though these services were provided throughout the city, Medicaid payments in this category were mostly concentrated within a handful of ZIP codes. In 2024, ZIP code 71340 reported the bulk of these Medicaid payments at $414,500; this single ZIP code accounted for all Medicaid funds distributed for this service category in Harrisonburg for the year.

Payments within the National Codes Established for State Medicaid Agencies category focused on several primary billing codes as well.

To put this in perspective, Medicaid payments for the category in Harrisonburg increased by 12.2% between 2024 and 2023, while all Medicaid claim categories together posted a 9.8% change in the city for that period.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid expenditures were about $871.7 billion for fiscal 2023, accounting for roughly 18% of the national health system’s spending. That figure is up sharply from approximately $613.5 billion in 2019, the year before the COVID-19 pandemic.

This increase marks roughly a 40% climb in only a few years, largely attributed to expanded enrollment and more frequent utilization during and following the pandemic.

Recent federal budget laws passed during the Trump administration contain numerous initiatives to lower federal Medicaid funding and adjust the program’s design. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to eliminate more than $1 trillion in federal Medicaid support over the next decade, imposing measures such as work requirements and heightened cost-sharing. These policy changes may reduce coverage for some recipients and shift additional expenses to states, which are likely to see limited federal Medicaid growth despite the program serving millions of people nationwide.

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.