Brookhaven health care providers received $3,302,439 in Medicaid reimbursements for services billed to 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 reflects a 36.2% increase compared with 2023, when claims for the same services totaled $2,425,331.
Medicaid is a state-administered health insurance program supported by both federal and state governments. It serves low-income individuals and families, seniors, children, and people with disabilities, making it one of the largest components of the U.S. health care system.
Since Medicaid payments use taxpayer funds, variations in local billing patterns demonstrate how public health care resources are distributed within each community.
The “National Codes Established for State Medicaid Agencies” classification groups several types of Medicaid services according to standardized HCPCS and CPT code ranges. Each code in the analysis was assigned to a single service group based on set prefixes and number order, which allowed analysts to review similar services together without duplicate counting and enabled consistent year-over-year comparisons.
National Codes Established for State Medicaid Agencies was the highest Medicaid payment category in Brookhaven in 2024, even as spending rose across multiple categories.
At the state level in Mississippi, the National Codes Established for State Medicaid Agencies category also led all other categories in total payments in 2024.
Looking at the five-year period before 2024, payments associated with National Codes Established for State Medicaid Agencies in Brookhaven grew by $659,997, or 25%. The most notable annual increases were in 2020 and 2023.
While these Medicaid expenditures were distributed citywide, payments were highly concentrated in a handful of ZIP codes. In 2024, the 39601 ZIP alone accounted for $3,302,439 in National Codes Established for State Medicaid Agencies-related services, representing 100% of all such Medicaid payments in Brookhaven that year.
A small set of individual billing codes within the category accounted for the bulk of Medicaid payments.
For context, Medicaid spending under this category in Brookhaven climbed 36.2% between 2023 and 2024, noticeably outpacing the 7.5% overall increase across all Medicaid claim types in the city for the same span.
According to the Centers for Medicare & Medicaid Services, total state and federal Medicaid expenditures reached approximately $871.7 billion during fiscal 2023, or about 18% of national health care spending—significantly higher than 2019’s $613.5 billion, prior to the COVID-19 pandemic.
This increase equates to about 40% growth in a few years, primarily fueled by greater enrollment and use during the pandemic and beyond.
Recent federal budget laws enacted during the Trump administration contain major Medicaid spending cut proposals and funding redesigns. For example, the “One Big Beautiful Bill Act,” passed in 2025, is set to trim over $1 trillion from federal Medicaid funding in the next decade and implements changes like work requirements and increased cost-sharing that could affect both funding levels and coverage for some enrollees. These measures are likely to push additional costs to states and limit future federal Medicaid expansion, despite the program’s continued role for tens of millions of beneficiaries.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,642,442 | 41.1% |
| 2021 | $2,395,859 | -9.3% |
| 2022 | $2,032,735 | -15.2% |
| 2023 | $2,425,331 | 19.3% |
| 2024 | $3,302,439 | 36.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $3,302,439 | 32.9% |
| 2 | Evaluation and Management | $2,558,250 | 25.5% |
| 3 | Medicine Services and Procedures | $1,890,248 | 18.8% |
| 4 | Pathology and Laboratory Procedures | $385,539 | 3.8% |
| 5 | Temporary National Codes (Non-Medicare) | $332,568 | 3.3% |
| 6 | Radiology Procedures | $309,398 | 3.1% |
| 7 | Ambulance and Other Transport Services and Supplies | $307,955 | 3.1% |
| 8 | Surgery | $261,169 | 2.6% |
| 9 | Durable Medical Equipment | $258,319 | 2.6% |
| 10 | Procedures / Professional Services | $201,257 | 2% |
| 11 | Dental Services | $133,818 | 1.3% |
| 12 | Anesthesia | $66,608 | 0.7% |
| 13 | Medical And Surgical Supplies | $13,151 | 0.1% |
| 14 | Drugs Administered Other than Oral Method | $12,966 | 0.1% |
| 15 | Vision Services | $10,251 | 0.1% |
| 16 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $115 | <0.1% |
| 17 | Outpatient PPS | $0 | <0.1% |
| 17 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $3,302,439 | 24 |
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.