Lamar Medicaid billing for National Codes Established for State Medicaid Agencies reaches $1.8 million in 2024

Lamar Medicaid providers billed $1,799,281 for services categorized under the National Codes Established for State Medicaid Agencies in 2024, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 59.7% jump from 2023, when $1,126,860 was billed for the same category.

Medicaid is a public health coverage program managed by states and funded through both federal and state sources. It serves low-income individuals and families, seniors, children, and people with disabilities, making it a significant component of the U.S. health care landscape.

As Medicaid is tax-funded, changes in billing levels at the local level reveal how public health care resources are spent within the community.

The “National Codes Established for State Medicaid Agencies” category encompasses a range of Medicaid-billed services determined by the type of care, using established HCPCS and CPT code groupings. For this analysis, each code was mapped to a single service type using defined prefixes and numeric intervals, allowing for accurate rankings and preventing double counting of services over time.

Spending in multiple Medicaid service categories increased, and National Codes Established for State Medicaid Agencies placed second in Lamar for total Medicaid payments in 2024.

Statewide in Colorado, the National Codes Established for State Medicaid Agencies category accounted for the highest total Medicaid payments in 2024.

From 2020 to 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies in Lamar grew by $1,185,832, or 193.3%. The growth rate was particularly high during certain years, with notable increases in both 2023 and 2022.

Although Medicaid spending for these services occurred throughout the city, most of the payments were concentrated in a few ZIP codes. In 2024, ZIP code 81052 alone recorded $1,799,280 in Medicaid payments for services in this category. These top ZIP codes represented 100% of the local Medicaid payments tied to National Codes Established for State Medicaid Agencies in Lamar during the year.

Payments under the National Codes Established for State Medicaid Agencies group were also clustered within a handful of specific billing codes.

Medicaid payments for this category in Lamar grew by 59.7% from 2023 to 2024, while all Medicaid claim categories combined saw a 20.1% increase in the city over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled approximately $871.7 billion in fiscal 2023, accounting for about 18% of total national health outlays. That figure rose sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This change reflects approximately 40% growth in a few years, largely attributed to greater enrollment and service utilization during and after the pandemic period.

Recent federal budget policies under the Trump administration have put forward major changes to reduce federal Medicaid funding and alter program structures. For example, the “One Big Beautiful Bill Act,” which became law in 2025, is expected to cut over $1 trillion in federal Medicaid expenditures across the next decade and brings in requirements such as work participation and increased sharing of costs, measures that could curtail benefits and funding for some Medicaid recipients. As a result, states may take on more responsibility as federal support is set to grow at a slower pace, even as the program continues to cover tens of millions of Americans.

Note: HCPCS codes are provided for reference within the category. Totals and rankings cited in this article are based on grouped service categories, not on individual billing codes.

The information in this article was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.