Summit Medicaid providers report $1,056,484 in National Codes Established for State Medicaid Agencies payments in 2024

In 2024, Medicaid providers in Summit billed $1,056,484 for services categorized under National Codes Established for State Medicaid Agencies, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an 87% rise over 2023, when providers submitted $565,071 in claims for similar services.

Medicaid functions as a public health insurance program administered by the states with joint federal and state funding, as explained by the Commonwealth Fund. The program 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 dollars originate from taxpayers, shifts in local billing provide a look into how community health care resources are distributed.

The “National Codes Established for State Medicaid Agencies” label signifies a set of Medicaid-billed services determined by the type of care and structured using standardized HCPCS and CPT code groupings. For this report, each billing code was classified into a unique service category using uniform code prefixes and number ranges, which helps examine similar services together, prevents double-counting, and ensures accurate ranking over time.

Medicaid spending grew across multiple service areas, but National Codes Established for State Medicaid Agencies emerged as the top-ranked service by total Medicaid payments in Summit for 2024.

Statewide in Mississippi, the National Codes Established for State Medicaid Agencies category led all others by total payments for 2024.

Over the five years up to 2024, Summit’s Medicaid payments related to National Codes Established for State Medicaid Agencies grew by $1,056,484, or 0%. Notable annual growth was seen during certain periods, especially in 2023 and 2022.

Although payments for this category were dispersed throughout Summit, they were heavily concentrated in a small number of ZIP codes. In 2024, ZIP code 39666 accounted for $1,056,483 in Medicaid payments, making up 100% of category payments in Summit for that year.

Within the National Codes Established for State Medicaid Agencies category, Medicaid payments were also heavily focused on a limited set of billing codes.

Looking at overall claim growth, Medicaid payments for this category in Summit increased by 87% from 2023 to 2024, compared to a 51.5% change across all Medicaid claim categories in the city over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023, representing about 18% of total national health expenditures. This reflects a sharp rise from roughly $613.5 billion in 2019 before the COVID-19 pandemic.

The jump amounts to nearly 40% growth over a few years, largely driven by expanded enrollment and greater service use during and after the pandemic.

Recent federal budget measures signed during the Trump administration proposed major reductions in federal Medicaid funding and changes to its structure. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to cut more than $1 trillion in federal Medicaid funds over the next decade and includes policies such as work requirements and higher cost-sharing that may limit funding and reduce coverage for some eligible individuals. These changes are expected to increase state responsibility for Medicaid expenses and restrain the growth of federal support, even as the program continues covering tens of millions of Americans.

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.