Natchez Medicaid providers submitted $21,270,632 in billings for services in the National Codes Established for State Medicaid Agencies category in 2024, U.S. Department of Health and Human Services Medicaid Provider Spending data show. This amount reflects a 5% rise from 2023, when total claims for the same service type reached $20,254,170.
Medicaid operates as a public health insurance program, administered at the state level and funded in partnership by state and federal governments. The program supports low-income people and families, seniors, children and individuals with disabilities, and is among the largest components of the U.S. health care sector.
Because Medicaid relies on taxpayer funding, variations in local billing reflect shifts in the allocation of public health care monies within a community.
The “National Codes Established for State Medicaid Agencies” category describes a set of Medicaid-billed services defined by care type according to standardized HCPCS and CPT code classifications. Each code in this analysis was categorized by consistent prefixes and numeric ranges, enabling analysts to review related services together, preventing double-counting and maintaining accurate comparisons over different periods.
Medicaid spending increased across several service groups; among these, National Codes Established for State Medicaid Agencies led Natchez in total Medicaid payments for 2024.
Statewide in Mississippi, National Codes Established for State Medicaid Agencies also topped the list of payment categories by total dollar amount in 2024.
From 2019 to 2024, Medicaid payments linked to National Codes Established for State Medicaid Agencies in Natchez climbed by $11,792,865, or 124.4%. Growth accelerated in certain intervals, notably with larger annual increases in 2023 and 2022.
Though Medicaid funds for National Codes Established for State Medicaid Agencies were distributed across the city, the majority was focused within a small set of ZIP codes. In 2024, ZIP code 39120 accounted for $21,270,631—covering 100% of Medicaid payments in this category in Natchez for the year.
Within this category, most Medicaid payments concentrated around a limited set of service codes.
To compare, Medicaid payments for the National Codes Established for State Medicaid Agencies rose 5% in Natchez between 2024 and 2023, while overall Medicaid billing across all local categories posted a 1% change in the same timeframe.
The Centers for Medicare & Medicaid Services report that federal and state Medicaid spending reached roughly $871.7 billion in fiscal 2023, making up close to 18% of all national health care expenditures. This marked a rise from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth translates to an approximately 40% increase in just a few years, mainly attributed to higher enrollment and expanded service use during and after the pandemic.
Recent budget legislation during the Trump administration introduced major proposals to limit federal Medicaid contributions and modify the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over the coming decade and implements requirements such as workforce participation and higher cost-sharing, potentially limiting access and funding for certain beneficiaries. These changes are projected to shift additional financial responsibility onto states and may constrain future federal Medicaid growth, despite the program’s ongoing coverage of tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $9,477,767 | 10.9% |
| 2021 | $11,904,713 | 25.6% |
| 2022 | $15,163,292 | 27.4% |
| 2023 | $20,254,169 | 33.6% |
| 2024 | $21,270,631 | 5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $21,270,631 | 62.7% |
| 2 | Ambulance and Other Transport Services and Supplies | $4,838,809 | 14.3% |
| 3 | Temporary National Codes (Non-Medicare) | $2,564,552 | 7.6% |
| 4 | Evaluation and Management | $2,450,673 | 7.2% |
| 5 | Medicine Services and Procedures | $1,776,641 | 5.2% |
| 6 | Pathology and Laboratory Procedures | $326,869 | 1% |
| 7 | Radiology Procedures | $238,328 | 0.7% |
| 8 | Dental Services | $227,611 | 0.7% |
| 9 | Procedures / Professional Services | $69,639 | 0.2% |
| 10 | Durable Medical Equipment | $56,329 | 0.2% |
| 11 | Surgery | $50,435 | 0.1% |
| 12 | Vision Services | $30,439 | 0.1% |
| 13 | Administrative, Miscellaneous and Investigational | $8,022 | <0.1% |
| 14 | Anesthesia | $4,481 | <0.1% |
| 15 | Drugs Administered Other than Oral Method | $1,462 | <0.1% |
| 16 | Medical And Surgical Supplies | $1,073 | <0.1% |
| 17 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $858 | <0.1% |
| 18 | Chemotherapy Drugs | $515 | <0.1% |
| 19 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $17,112,989 | 22 |
| T2022 | Case management, per month | $4,153,525 | 11 |
| T1015 | Clinic service | $4,117 | 2 |
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.