King sees $269,877 in Medicaid payments for National Codes Established for State Medicaid Agencies in 2024

Providers billing Medicaid in King reported $269,877 in payments for services under the National Codes Established for State Medicaid Agencies group in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 22.6% increase from 2023, when claims in the same category totaled $220,088.

Medicaid is a state-administered public health insurance program with funding from both federal and state governments. It serves low-income residents, families, children, seniors, and those with disabilities, making it one of the largest elements of the national health care system. Learn more at this resource.

Because Medicaid funding is sourced from taxpayers, local shifts in Medicaid billing indicate how these public dollars are used within the community.

The “National Codes Established for State Medicaid Agencies” group comprises services identified by specific care types, based on standardized HCPCS and CPT codes. For this report, each billing code was classified into a single service group using consistent prefixes and number ranges, permitting analysis of related services while avoiding double counting and maintaining accurate trends.

Despite broad increases in Medicaid spending, the National Codes Established for State Medicaid Agencies group ranked second by total Medicaid payments in King for 2024.

Statewide in North Carolina, this group was the top category by total Medicaid payments in 2024.

Over the five years preceding 2024, Medicaid payments tied to the National Codes Established for State Medicaid Agencies group in King grew by $252,207, or 1427.3%. This growth accelerated during selected years, particularly in 2023 and 2022.

While this group’s Medicaid payments were spread citywide, most were tied to a limited set of ZIP codes. In 2024, the highest total for this group was seen in ZIP code 27021 at $269,876. Altogether, the top 1 ZIP codes represented 100% of Medicaid payments in this group in King for the year.

Within the group, Medicaid payments were particularly concentrated within a small subset of billing codes.

Comparing the increase, Medicaid payments for the National Codes Established for State Medicaid Agencies group in King climbed 22.6% from 2023 to 2024, whereas the change across all Medicaid claim categories in the city was 38.7% during the same time.

The Centers for Medicare & Medicaid Services reports that federal and state Medicaid expenditures totaled approximately $871.7 billion in fiscal 2023, comprising about 18% of total national health spending—rising from around $613.5 billion in 2019, prior to the COVID-19 pandemic.

This jump marks a roughly 40% increase in a few years, largely attributed to higher utilization and expanded enrollment throughout and after the pandemic.

Recent federal budget packages under the Trump administration have put forward major plans to reduce federal Medicaid funding and update program structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over 10 years and introduces changes like new work requirements and greater beneficiary cost-sharing, which could impact coverage and funding. These policy adjustments may transfer increased financial burden to states and restrain the rate of federal Medicaid funding growth, even 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.