National Codes Established for State Medicaid Agencies claims in Moncure total $406,717 for 2024

In 2024, Moncure Medicaid providers submitted $406,717 in claims for services under the National Codes Established for State Medicaid Agencies category, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount was a 426.4% rise from the $77,258 billed for comparable services in 2023.

Medicaid is a state-administered public health insurance program with funding shared between federal and state governments. The program insures low-income residents, seniors, children, and people with disabilities, making it a significant element of the U.S. health care system.

Since taxpayer resources fund Medicaid, changes in billing amounts locally reflect the distribution of public health care spending in the community.

The “National Codes Established for State Medicaid Agencies” grouping covers a set of Medicaid-billed services identified by care type using standardized HCPCS and CPT code groupings. This report assigned each billing code to a single service grouping with standardized code prefixes and number ranges. This method ensures related services are grouped appropriately, avoids double counting, and keeps rankings accurate over time.

Alongside other service areas that saw increased Medicaid spending, National Codes Established for State Medicaid Agencies ranked first in Moncure by total Medicaid payments for 2024.

Statewide, this category was also ranked first in North Carolina by Medicaid payment totals for 2024.

In Moncure, Medicaid payments for the National Codes Established for State Medicaid Agencies category grew by $87,663, or 17.7%, over the five years before 2024. Some years saw especially rapid growth, with significant annual increases in 2023 and 2022.

Spending for Medicaid services in this category was present throughout the city but was primarily located within a small set of ZIP codes. In 2024, ZIP code 27559 accounted for $406,716 in Medicaid payments tied to the category. Altogether, the top 1 ZIP code represented 100% of National Codes Established for State Medicaid Agencies Medicaid spending in Moncure for the year.

Payments within this service category were focused among a relatively small group of individual billing codes.

Comparatively, Medicaid payments tied to this category in Moncure increased by 426.4% between 2024 and 2023, compared to a 129.6% change among all Medicaid claim categories citywide during the same timeframe.

According to the Centers for Medicare & Medicaid Services, total state and federal Medicaid spending was about $871.7 billion in fiscal 2023, representing almost 18% of all U.S. health spending. That number rose sharply from $613.5 billion in 2019, before the COVID-19 pandemic.

This jump marks an increase of about 40% over several years, driven by increased enrollment and greater usage during and after the pandemic.

Recent federal budget measures under the Trump administration have included large suggested reductions to federal Medicaid support and changes to the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over 10 years and includes new requirements like work obligations and greater cost-sharing that could impact beneficiaries’ coverage and funding. These modifications are projected to increase costs for states and restrict federal Medicaid funding growth, even as the program continues serving tens of millions nationwide.

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.