Providers in Urania billed Medicaid $3,272,030 for services within the National Codes Established for State Medicaid Agencies category during 2024, according to U.S. Department of Health and Human Services Medicaid Provider Spending data. In the previous year, providers billed $2,759,080 in this category, marking an 18.6% increase in total claims.
Medicaid, a state-administered public health insurance program funded in partnership by federal and state governments, assists low-income families and individuals, children, seniors, and people with disabilities, making it one of the largest programs in the national health care landscape.
Taxpayer dollars fund Medicaid payments, so shifts in local billing illustrate how public health care funds are distributed at the community level.
The “National Codes Established for State Medicaid Agencies” category includes Medicaid-billed care classified according to standardized HCPCS and CPT code groupings. Each billing code for this report was assigned to a specific service category using uniform code prefixes and numeric ranges, enabling analysis of related services together, avoiding double counting, and maintaining ranking accuracy over time.
While several Medicaid service categories saw greater spending, National Codes Established for State Medicaid Agencies had the highest overall Medicaid payment total in Urania for 2024.
Statewide, the National Codes Established for State Medicaid Agencies was the second-largest Medicaid payment category in Louisiana in 2024.
Medicaid payments linked to the National Codes Established for State Medicaid Agencies in Urania rose by $1,912,644 over the five years preceding 2024, a 140.7% increase. This growth included significant year-over-year upticks in both 2020 and 2023.
Payments tied to this category were spread across Urania, but a small number of ZIP codes received most of the spending. In 2024, ZIP code 71480 saw the highest Medicaid payments in this category, totaling $3,272,029. Altogether, the top 1 ZIP code accounted for 100% of all local Medicaid payments in the category that year.
Within the category, payments were similarly concentrated in a limited set of specific billing codes.
Looking at all Medicaid claim types in Urania, National Codes Established for State Medicaid Agencies mirrored the city’s 18.6% increase in spending for this service group from 2023 to 2024.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid outlays reached about $871.7 billion in fiscal 2023. This represented nearly 18% of overall U.S. health expenditures, a marked increase from $613.5 billion in 2019, prior to the COVID-19 health emergency.
This represents about 40% growth over a few years, primarily attributed to higher enrollment and increased service use during and after the pandemic.
Federal budget policy enacted during the Trump administration included substantial proposals to reduce Medicaid funding from Washington and change the structure of the program. The “One Big Beautiful Bill Act,” signed in 2025, is projected to decrease federal Medicaid funding by over $1 trillion over the next 10 years and introduces requirements such as work rules and more cost-sharing—measures that may reduce coverage and pass more costs to states, limiting federal Medicaid funding growth despite rising enrollment.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,359,386 | 653.2% |
| 2021 | $1,861,464 | 36.9% |
| 2022 | $1,951,047 | 4.8% |
| 2023 | $2,759,080 | 41.4% |
| 2024 | $3,272,029 | 18.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $3,272,029 | 10<0.1% |
| 2 | Drugs Administered Other than Oral Method | $0 | <0.1% |
| 2 | Evaluation and Management | $0 | <0.1% |
| 2 | Medicine Services and Procedures | $0 | <0.1% |
| 2 | Pathology and Laboratory Procedures | $0 | <0.1% |
| 2 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $3,272,029 | 157 |
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.


