Catawba Medicaid payments for National Codes Established for State Medicaid Agencies reach $83,451 in 2024

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Medicaid providers in Catawba submitted $83,451 in claims for services under the National Codes Established for State Medicaid Agencies in 2024. This amount represents an increase of 52.5% compared to 2023, when claims for this service type totaled $54,711.

Medicaid is a state-administered public health insurance program, funded jointly by federal and state governments. The program covers low-income individuals and families, seniors, children, and people with disabilities, and makes up a major component of the U.S. health care system.

Since Medicaid payments are taxpayer-funded, changes in local billing trends highlight how public health care funds are distributed within a community.

The “National Codes Established for State Medicaid Agencies” grouping includes a range of services defined by type of care, grouped using standard HCPCS and CPT code prefixes and number ranges. For this analysis, each billing code was assigned to a unique service category, facilitating a consistent review of related services while minimizing double counting and ensuring accurate rankings across years.

Total Medicaid spending rose across multiple categories in Catawba, but National Codes Established for State Medicaid Agencies led all categories by payment totals in 2024.

Statewide in North Carolina, National Codes Established for State Medicaid Agencies also held the top spot for Medicaid payments in 2024.

Looking at the five-year period preceding 2024, Medicaid payments in Catawba attributed to National Codes Established for State Medicaid Agencies rose by $83,451, or 0%. The pace of spending increased during select periods, with significant year-over-year gains reported in 2022 and 2022.

While payments for these services were made in several areas of the city, a limited number of ZIP codes accounted for the majority of 2024 spending. Specifically, ZIP code 28609 recorded $83,451, making up 100% of all Medicaid payments for this category in Catawba for the year.

Within the National Codes Established for State Medicaid Agencies group, Medicaid reimbursement was concentrated among a small subset of billing codes.

From 2023 to 2024, Medicaid payments for National Codes Established for State Medicaid Agencies in Catawba climbed 52.5%, compared with a citywide increase of 24.8% across all Medicaid claim categories during the same timeframe.

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

This represents an increase of around 40% over the past few years, attributed primarily to expanded enrollment and increased service use during and following the pandemic.

Federal budget legislation during the Trump administration introduced major proposals to reduce federal Medicaid funding and restructure program provisions. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to decrease federal Medicaid spending by more than $1 trillion over 10 years and adds requirements like work mandates and more cost-sharing. These shifts may reduce coverage and funding for certain beneficiaries, shifting more financial responsibility to states and potentially constraining federal Medicaid growth while the program continues to assist 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.