Simmesport Medicaid payments for national state codes reach $800,566 in 2024

Simmesport Medicaid providers billed $800,566 for services under the National Codes Established for State Medicaid Agencies category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 47.8% increase from 2023, when claims for this service type totaled $541,668.

Medicaid, operated by individual states and jointly funded by state and federal governments, offers health insurance to low-income families and individuals, children, seniors, and people with disabilities. It is one of the largest components of the American health care system.

Because Medicaid is taxpayer-funded, fluctuations in local billing indicate how public health care resources are allocated within communities.

The “National Codes Established for State Medicaid Agencies” category includes Medicaid-billed services grouped by the type of care, using standardized HCPCS and CPT code ranges. For this analysis, each code was assigned exclusively to a single service category using consistently applied prefixes and ranges, enabling like services to be compared without duplication while preserving historical accuracy in rankings.

While Medicaid expenditures grew in several service areas, National Codes Established for State Medicaid Agencies saw the highest payment total in 2024 among all categories in Simmesport.

Statewide in Louisiana, this category ranked second by overall Medicaid payment volume for 2024.

Between 2019 and 2024, Simmesport recorded an increase of $465,428—138.9%—in Medicaid payments associated with the National Codes Established for State Medicaid Agencies category. There were marked year-over-year increases especially in 2023 and 2022 that contributed to this growth.

Although payments covered care citywide, the majority concentrated within a small selection of ZIP codes. In 2024, ZIP code 71369 accounted for $800,565 in Medicaid payments for this service category, making up 100% of Simmesport’s total in this area.

A limited number of individual billing codes were responsible for the highest concentrations within the National Codes Established for State Medicaid Agencies grouping.

From 2023 to 2024, Simmesport’s Medicaid payments in this category jumped 47.8%, in contrast with a 39.5% change across all Medicaid claim types citywide during the same time frame.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays reached approximately $871.7 billion in fiscal 2023, about 18% of all national health spending, up from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase amounts to growth of about 40% over several years, largely driven by expanded program enrollment and higher service utilization during and after the pandemic.

Recent federal budget legislation enacted under the Trump administration includes provisions intended to trim federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” signed into law for 2025, is expected to reduce federal Medicaid spending by over $1 trillion over the coming decade and institute changes such as work requirements and increased cost-sharing. These policies could reduce benefits and funding for some recipients while shifting more of the financial responsibility to states as the program continues to serve millions 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.