Palmetto Medicaid payments connected to National Codes Established for State Medicaid Agencies reach $523,326 in 2024

During 2024, Medicaid providers in Palmetto billed $523,326 for services classified under the National Codes Established for State Medicaid Agencies, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 127.8% rise compared with 2023, when $229,748 in claims were submitted for the same service category.

Medicaid is a joint federal-state public health insurance program administered by the states and funded through both federal and state governments. It serves low-income individuals, families, seniors, children, and disabled individuals, making it among the largest components of the U.S. health care system.

Shifts in local Medicaid billing demonstrate how taxpayer dollars are distributed for public health care services in each community.

The “National Codes Established for State Medicaid Agencies” category includes specific Medicaid-billed services defined by structured care types, based on established HCPCS and CPT code groupings. Each code in this analysis was categorized under a single service group, using systematic code prefixes and numbers to enable comparative analysis without duplicate counting and ensure accurate ongoing rankings.

National Codes Established for State Medicaid Agencies was the second largest Medicaid service category by payments in Palmetto during 2024, following increased Medicaid spending across service types.

Statewide, the National Codes Established for State Medicaid Agencies held the second position for total Medicaid payments in Florida in 2024.

Over the five-year period ending in 2024, Medicaid payments tied to this category in Palmetto grew by $523,326, or 0%. Some intervals showed greater spending increases, with particularly significant year-over-year rises observed in 2022 and 2022.

Though Medicaid spending in this category occurred throughout the city, payments largely concentrated in a few ZIP codes. Notably, ZIP code 34221 saw the highest payments at $523,326 in 2024. Combined, the top 1 ZIP codes contributed 100% of all Medicaid payments for this service category in Palmetto that year.

Within this service category, spending was focused on a relatively small number of individual billing codes.

Comparatively, Medicaid payments for the National Codes Established for State Medicaid Agencies in Palmetto climbed 127.8% from 2023 to 2024, whereas the change across all claim categories was 18.9% in the same timeframe.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined totaled approximately $871.7 billion in fiscal year 2023, covering about 18% of total U.S. health expenditures. This is a notable increase from the roughly $613.5 billion reported in 2019, prior to the COVID-19 pandemic.

This rise shows nearly 40% growth over a few years, primarily due to higher enrollment and utilization during and after the pandemic.

Recent federal budgeting under the Trump administration introduced significant measures to decrease federal Medicaid funding and restructure the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid spending by more than $1 trillion over the next decade. This law implements work requirements and additional cost-sharing, potentially reducing coverage and payments for some enrollees. These changes could result in states absorbing greater financial responsibility and slower federal Medicaid growth, while the program continues supporting millions across the country.

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.