Monticello Medicaid providers submitted $2,137,266 in claims for services within 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 35.8% increase compared to 2023, when providers billed $1,573,873 for the same services.
Medicaid, a public insurance program operated by states and funded jointly by the federal and state governments, offers coverage for low-income individuals, families, seniors, children, and people with disabilities, making up a significant portion of the nation’s health care system.
Because Medicaid funding is generated from taxpayers, adjustments in local billing indicate changes in the allocation of public health care resources within a community.
The “National Codes Established for State Medicaid Agencies” category groups Medicaid-billed services by the type of care, using standardized HCPCS and CPT code ranges. For this report, each billing code was categorized into a single service group using code prefixes and numeric ranges, ensuring related services are examined together, avoiding duplicate counts, and maintaining accurate rankings over time.
While multiple service categories saw increased Medicaid spending, National Codes Established for State Medicaid Agencies represented the highest total Medicaid payments in Monticello in 2024.
Statewide, the National Codes Established for State Medicaid Agencies category also led all other categories in total payments in Mississippi during 2024.
From five years prior to 2024, payments for the National Codes Established for State Medicaid Agencies category in Monticello grew by $2,137,266, or 0%. Notable increases occurred in some years, especially with significant year-over-year growth reported in 2022 and 2023.
Medicaid payments for this category in Monticello were distributed throughout the city, though the majority were concentrated in only a few ZIP codes. In 2024, ZIP code 39654 accounted for $2,137,265, making up 100% of related Medicaid payments during the year.
Within this category, the majority of Medicaid payments were linked to a small group of specific billing codes.
Comparatively, National Codes Established for State Medicaid Agencies category payments in Monticello increased by 35.8% between 2024 and 2023, while overall Medicaid claim categories in the city saw a 15.8% change in the same period.
Centers for Medicare & Medicaid Services data indicates that total federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, representing around 18% of total national health spending—a significant rise from $613.5 billion in 2019, before the COVID-19 public health emergency.
This growth reflects an increase of roughly 40% over several years, mainly due to higher enrollment and service usage during and after the pandemic.
Recent federal budget legislation under the Trump administration included major proposals to trim federal Medicaid funding and alter the program’s structure. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid spending by over $1 trillion over the next decade. It also brings in policies such as work requirements and more cost-sharing, potentially reducing coverage and funding for some recipients. These changes are expected to shift more Medicaid funding responsibilities to states and limit the federal government’s contribution, even as the program continues to serve tens of millions of people nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2021 | $17,975 | – |
| 2022 | $669,354 | 3623.8% |
| 2023 | $1,573,873 | 135.1% |
| 2024 | $2,137,265 | 35.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $2,137,265 | 64.1% |
| 2 | Evaluation and Management | $751,730 | 22.6% |
| 3 | Temporary National Codes (Non-Medicare) | $228,854 | 6.9% |
| 4 | Medicine Services and Procedures | $86,979 | 2.6% |
| 5 | Pathology and Laboratory Procedures | $65,206 | 2% |
| 6 | Radiology Procedures | $29,528 | 0.9% |
| 7 | Durable Medical Equipment | $25,446 | 0.8% |
| 8 | Surgery | $4,749 | 0.1% |
| 9 | Temporary Codes | $1,063 | <0.1% |
| 10 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $1,052 | <0.1% |
| 11 | Dental Services | $631 | <0.1% |
| 12 | Procedures / Professional Services | $543 | <0.1% |
| 13 | Drugs Administered Other than Oral Method | $77 | <0.1% |
| 14 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $2,137,265 | 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.
