Dobson’s Medicaid spending on national agency codes hits $4.6 million in 2024

Dobson Medicaid providers submitted $4,612,364 in claims for services under the National Codes Established for State Medicaid Agencies in 2024. This information comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The figure reflects a 45.9% increase compared to 2023, when $3,161,691 in claims were filed for the same group of services.

Medicaid is a state-run public health insurance program jointly funded by federal and state governments. It covers low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the U.S. health care system. For an overview of funding, see the Commonwealth Fund explainer.

Medicaid disbursements derive from taxpayer dollars, so shifts in local billing amounts reflect changing patterns in how public health care resources are distributed within the community.

The National Codes Established for State Medicaid Agencies represent a set of Medicaid-billed services identified according to the care provided, standardized through HCPCS and CPT code groupings. In this analysis, each billing code was matched to a single service group using consistent prefixes and numeric ranges. This approach enables aggregation of related services for trend analysis while avoiding double counting and maintaining accurate rankings over time.

Medicaid spending rose in several service groups, with the National Codes Established for State Medicaid Agencies leading Dobson as the top Medicaid payment category in 2024.

Statewide, North Carolina also saw the National Codes Established for State Medicaid Agencies category rank highest by total Medicaid payments in 2024.

Between 2019 and 2024, Dobson saw Medicaid payments for the National Codes Established for State Medicaid Agencies jump by $3,334,146, or 260.8%. Growth was especially strong in selected years, notably in 2023 and 2020.

Although expenditures for care under the National Codes Established for State Medicaid Agencies occurred citywide, the majority of payments were concentrated within a small number of ZIP codes. In 2024, ZIP code 27017 reported $4,612,363 in related Medicaid payments. This ZIP code alone represented 100% of Dobson’s Medicaid payments for this service group that year.

Within the National Codes Established for State Medicaid Agencies category, a handful of individual billing codes accounted for the bulk of Medicaid spending.

For reference, Dobson saw a 45.9% increase in Medicaid payments for the National Codes Established for State Medicaid Agencies from 2023 to 2024, compared to a 3.1% uptick across all Medicaid claim categories in the city during that span.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditure reached about $871.7 billion in fiscal year 2023, making up close to 18% of overall U.S. health spending. That’s a substantial rise from approximately $613.5 billion in 2019, before the COVID-19 pandemic began.

This increase amounts to roughly 40% growth over several years and is largely attributed to higher enrollment and greater service use during and after COVID-19.

Recent federal budget legislation during the Trump administration included major proposals to cut federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over a decade while introducing work requirements and increased cost-sharing—changes that could limit coverage and funding for some groups. States may need to absorb a greater share of costs and handle constraints on future federal Medicaid funding even as the program continues to serve millions.

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.