Medicaid spending for National Codes Established for State Medicaid Agencies climbs 10.3% in Elizabeth City in 2024

In 2024, Medicaid providers in Elizabeth City submitted $2,103,239 in claims for services within the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 10.3% rise from 2023, when providers filed $1,906,131 in claims for these services.

Medicaid, the state-run public health insurance program jointly funded by federal and state governments, provides health coverage for low-income people and families, seniors, children and individuals with disabilities. It is a major component of the U.S. health care system.

As taxpayer funds support Medicaid payments, changes in the volume of local billing highlight how public health dollars are distributed in a community.

The “National Codes Established for State Medicaid Agencies” grouping encompasses Medicaid-billed services defined by the specific care type using standardized HCPCS and CPT code groupings. In this analysis, billing codes were placed into a single service category using consistent code prefixes and numeric ranges. This approach allowed related services to be grouped while preventing double counting and supporting clearer ranking trends.

Though spending increased in numerous Medicaid service categories, the National Codes Established for State Medicaid Agencies was the third-highest Medicaid payment category in Elizabeth City for 2024.

Statewide in North Carolina, National Codes Established for State Medicaid Agencies was first among all categories by total Medicaid payments in 2024.

From 2019 through 2024, Medicaid payments linked to this category in Elizabeth City grew by $582,645, or 38.3%. The pace of spending accelerated during certain intervals, with sizable year-over-year increases documented in 2023 and 2022.

Spending for National Codes Established for State Medicaid Agencies care in Elizabeth City was concentrated geographically, with most payments attributed to a limited selection of ZIP codes. In 2024, ZIP code 27909 alone accounted for $2,103,238, making up 100% of the city’s Medicaid payments for this category.

Within the category, Medicaid payments were heavily distributed among a relatively small subset of individual billing codes.

Payments for services in this category in Elizabeth City grew by 10.3% from 2023 to 2024, compared to a 13.8% rise across all Medicaid claim categories in the city for the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures stood at about $871.7 billion for fiscal year 2023, making up around 18% of total U.S. national health expenses. This is a significant jump from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

The current growth marks an increase of around 40% over several years, due mainly to expanded enrollment and higher service use during and following the pandemic.

Recent federal budget actions under the Trump administration have featured major proposals aimed at cutting federal Medicaid funds and revising the program structure. The “One Big Beautiful Bill Act,” signed in 2025, is expected to decrease federal Medicaid spending by more than $1 trillion over the next 10 years and implement policies such as work requirements and higher cost-sharing that could reduce coverage or resources for certain Medicaid beneficiaries. As a result, states will likely bear a greater share of program costs and face stricter limits on federal assistance, even while Medicaid continues to cover tens of millions of Americans.

Note: HCPCS codes are provided for context within the category. The totals and rankings discussed in this article are based on standardized service groupings, not individual billing codes.

Article information was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data is available here.