Crystal Springs Medicaid payments for national code services reach $2,393,606 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Crystal Springs billed $2,393,606 for services under the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This represents a 2% increase compared with 2023, when $2,347,543 in claims were filed for the same services.

Medicaid, a public health insurance program administered by states and funded jointly by federal and state governments, provides coverage to low-income individuals, families, seniors, children, and people with disabilities, making it a major component of the U.S. health care landscape.

Because taxpayer dollars support Medicaid, shifts in local billing levels reflect how community health care funds are distributed.

The “National Codes Established for State Medicaid Agencies” grouping includes Medicaid-billed services organized by type of care, defined using standardized HCPCS and CPT code ranges. For analysis, each billing code was classified into a single service group by code prefix and numeric interval, which allows for comparable tracking of related services over time and prevents double counting.

Although Medicaid outlays rose across multiple categories, National Codes Established for State Medicaid Agencies led all service types in Crystal Springs by total payments for 2024.

At the state level, the National Codes Established for State Medicaid Agencies category also ranked first in Mississippi for total Medicaid payments in 2024.

From five years before 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Crystal Springs grew by $419,332, or 21.2%. The rate of spending growth accelerated during select years, with notable gains reported in 2022 and 2023.

Within the city, Medicaid spending in the National Codes Established for State Medicaid Agencies category was distributed throughout Crystal Springs but heavily concentrated in a single ZIP code for 2024. ZIP code 39059 accounted for $2,393,605 in total payments, making up 100% of Medicaid payments tied to this category in the city during the year.

Medicaid payments within the National Codes Established for State Medicaid Agencies category were also focused among a small number of billing codes.

Comparatively, Medicaid payments for this category in Crystal Springs increased by 2% between 2024 and 2023, while all Medicaid claim categories in the city saw a 0.4% change in the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, comprising about 18% of all national health spending — a substantial jump from $613.5 billion in 2019, before the COVID-19 pandemic.

This jump represents about 40% growth over several years, mainly driven by higher enrollment and increased use of services during and following the pandemic period.

Federal budget legislation enacted during the Trump administration included major measures aimed at reducing federal Medicaid support and restructuring the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and add policies such as work requirements and greater cost-sharing, which could diminish funding and coverage for some beneficiaries. The legislation is likely to transfer more financial responsibility to states and limit federal Medicaid growth, even as the program continues to serve millions of Americans.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Crystal Springs, Mississippi Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $1,974,274 3.1%
2021 $1,936,951 -1.9%
2022 $2,158,239 11.4%
2023 $2,347,542 8.8%
2024 $2,393,605 2%
Top Categories by Medicaid Payments in Crystal Springs, Mississippi, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $2,393,605 72.3%
2 Temporary National Codes (Non-Medicare) $312,064 9.4%
3 Medical And Surgical Supplies $306,812 9.3%
4 Evaluation and Management $199,306 6%
5 Medicine Services and Procedures $85,753 2.6%
6 Pathology and Laboratory Procedures $13,053 0.4%
7 Drugs Administered Other than Oral Method $211 <0.1%
8 Surgery $150 <0.1%
9 Procedures / Professional Services $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Crystal Springs, Mississippi, 2024

HCPCS Code Description Medicaid Payments Claims
T1019 Personal care ser per 15 min $911,434 12
T4527 Adult size pull-on lg $441,377 12
T4528 Adult size pull-on xl $375,750 12
T4526 Adult size pull-on med $221,539 12
T4544 Adlt disp und/pull on abv xl $194,633 12
T4524 Adult size brief/diaper xl $84,823 12
T4543 Adult disp brief/diap abv xl $69,906 12
T4523 Adult size brief/diaper lg $50,623 12
T4525 Adult size pull-on sm $21,909 12
T4522 Adult size brief/diaper med $21,607 12

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.



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