Tylertown Medicaid payments for National Codes Established for State Medicaid Agencies reach $7,188,327 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Tylertown Medicaid providers received $7,188,327 in 2024 for services falling under the National Codes Established for State Medicaid Agencies, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount marked a 27.4% increase over 2023, when $5,642,551 was billed for the same services.

Medicaid, a public insurance program managed by states and funded jointly by federal and state governments, covers low-income people, children, seniors, and individuals with disabilities. It remains one of the largest components of the U.S. health care system.

Because Medicaid is funded by taxpayers, shifts in local billing levels demonstrate how public health care resources are distributed throughout a community.

The “National Codes Established for State Medicaid Agencies” group consists of a range of Medicaid-billed services defined by care type, built on standardized HCPCS and CPT code sets. For this report, billing codes were placed into service categories by matching code prefixes and number ranges, allowing a unified review of services while preventing double counting and ensuring accurate year-to-year comparisons.

In 2024, National Codes Established for State Medicaid Agencies led all other service categories in total Medicaid payments in Tylertown as Medicaid spending rose across several categories.

On a statewide level, this service group also ranked first in Mississippi by total Medicaid payments for the year.

Over the five years through 2024, Medicaid payments for these codes in Tylertown climbed by $3,893,809, an increase of 118.2%. Growth accelerated in certain years, with especially large annual jumps seen in 2023 and 2021.

While payments for this service category were distributed citywide, the funding was focused within a small number of ZIP codes. In 2024, ZIP code 39667 had Medicaid payments totaling $7,188,326 for this category, making up 100% of such payments in Tylertown during that year.

Payments within the National Codes Established for State Medicaid Agencies category were further concentrated among a select group of billing codes.

Comparing Tylertown’s Medicaid payments for this category, there was a 27.4% increase from 2023 to 2024, while the overall rise across all Medicaid claim categories in the city was 15.5% for the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached about $871.7 billion in fiscal year 2023, making up roughly 18% of national health spending, and up sharply from $613.5 billion in 2019, before the COVID-19 pandemic.

This represents a roughly 40% increase in just a few years, with most of the growth attributed to heightened enrollment and increased use of services during and after the pandemic.

Recent federal budget laws passed during the Trump administration have featured significant proposals for scaling back federal Medicaid funding and restructuring the system. For example, the “One Big Beautiful Bill Act,” signed in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and includes measures such as work requirements and higher cost-sharing, which could lower coverage and funding for certain recipients. These adjustments are anticipated to move additional costs to states and to restrict the growth of federal Medicaid funding, even as the program continues to assist tens of millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $3,294,518 4.4%
2021 $3,798,529 15.3%
2022 $4,295,409 13.1%
2023 $5,642,550 31.4%
2024 $7,188,326 27.4%
Top Categories by Medicaid Payments in Tylertown, Mississippi, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $7,188,326 89.4%
2 Evaluation and Management $458,229 5.7%
3 Medicine Services and Procedures $165,694 2.1%
4 Pathology and Laboratory Procedures $130,419 1.6%
5 Radiology Procedures $63,087 0.8%
6 Coronavirus Diagnostic Panel $26,142 0.3%
7 Surgery $3,179 <0.1%
8 Procedures / Professional Services $1,387 <0.1%
9 Drugs Administered Other than Oral Method $210 <0.1%
10 Temporary National Codes (Non-Medicare) $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Tylertown, Mississippi, 2024

HCPCS Code Description Medicaid Payments Claims
T1019 Personal care ser per 15 min $7,188,326 49

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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