Fayette Medicaid payments for National Codes Established for State Medicaid Agencies rise 18.3% to $2,348,129 in 2024

In 2024, Medicaid providers in Fayette billed $2,348,129 for services categorized under the National Codes Established for State Medicaid Agencies, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects an 18.3% rise from 2023, when providers submitted $1,985,454 in claims for these services.

Medicaid is a state-administered public health insurance program funded by both federal and state governments. It provides coverage for low-income residents, families, seniors, children and individuals with disabilities, forming one of the core segments of the nation’s health care system.

Given Medicaid’s reliance on taxpayer funding, shifts in local billing demonstrate how health care resources are allocated within communities.

The “National Codes Established for State Medicaid Agencies” category covers a set of Medicaid-billed services outlined by the care type, based on standardized HCPCS and CPT code ranges. For reporting, each code is placed in a single service category using determined code prefixes and numerical groupings, which allows related services to be surveyed together while avoiding double counting and keeping rankings accurate year to year.

While spending increased in a variety of Medicaid service categories, National Codes Established for State Medicaid Agencies represented the top Medicaid payment category in Fayette for 2024.

Statewide in Mississippi, National Codes Established for State Medicaid Agencies was also the leading category in total Medicaid payments in 2024.

Over the five-year period ending in 2024, Medicaid payments connected to the National Codes Established for State Medicaid Agencies category in Fayette grew by $1,319,573, or 128.3%. Periods of faster growth were observed, particularly with marked year-over-year increases in 2021 and 2023.

Though spending for care under this category extended throughout the city, payments were concentrated in a small group of ZIP codes. For 2024, ZIP code 39069 reported $2,348,129 in Medicaid payments categorized this way, with this ZIP code accounting for 100% of all Medicaid payments for the National Codes Established for State Medicaid Agencies category in Fayette during the year.

Within this category, Medicaid payments were similarly focused on a small number of individual billing codes.

To compare, the 18.3% increase in Medicaid payments tied to the National Codes Established for State Medicaid Agencies category in Fayette between 2024 and 2023 stands against a 0.1% change in overall Medicaid claim categories in the city for the same period.

According to the Centers for Medicare & Medicaid Services, state and federal Medicaid spending totaled about $871.7 billion in fiscal year 2023, which made up roughly 18% of the nation’s total health spending—a significant increase from $613.5 billion in 2019, just before the onset of the COVID-19 pandemic.

This jump represents an increase of about 40% over a several-year span, mainly fueled by enrollment growth and a higher use of services during and after the pandemic era.

Federal budget measures enacted during the Trump administration have brought forward major proposals to reduce federal Medicaid funding and change the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is projected to cut federal Medicaid spending by over $1 trillion over 10 years and establishes work requirements and higher cost-sharing, potentially reducing access and funding for some recipients. These modifications are set to place more financial responsibility on states and slow federal Medicaid support growth, while the program continues serving tens of millions of Americans.

Note: HCPCS codes are presented for context within the category. Category totals and rankings discussed above are based on standardized service groupings, not specific billing codes.

Data in this article originates from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The underlying data is available here.