Jonesville sees 428.4% jump in Medicaid payments for National Codes Established for State Medicaid Agencies in 2024

In 2024, Medicaid providers in Jonesville billed $168,660 for services listed under the National Codes Established for State Medicaid Agencies category, as recorded in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 428.4% increase over 2023, when $31,922 in Medicaid claims were submitted for this service type.

Medicaid is a public health insurance program managed by the states with joint funding from federal and state governments. It provides coverage for low-income people, the elderly, children and individuals with disabilities, making it one of the largest segments of the U.S. health care system. Find out more at the Commonwealth Fund.

As Medicaid spending uses taxpayer funds, shifts in local billing reflect how public health resources are directed in a given area.

The “National Codes Established for State Medicaid Agencies” category comprises services billed through specific HCPCS and CPT codes. For this analysis, each billing code was matched to a single service group using standardized prefixes and code ranges, so similar services could be reviewed together, eliminating double counts and preserving ranking accuracy over time.

In 2024, despite broader growth across categories, National Codes Established for State Medicaid Agencies had the largest total Medicaid payments in Jonesville.

The category also led in total Medicaid payments statewide in North Carolina in 2024.

Over the five years preceding 2024, Medicaid spending in Jonesville for National Codes Established for State Medicaid Agencies rose by $168,660, or 0%. Spending grew at a faster pace during certain periods, with notable increases year-over-year in 2023 and 2022.

Although these payments were distributed across the city, a limited number of ZIP codes accounted for the bulk. In 2024, ZIP code 28642 recorded $168,660, representing 100% of Medicaid funds for this category in Jonesville that year.

Within this service grouping, Medicaid payments mainly focused on a small subset of individual billing codes.

In comparison, Medicaid payments for National Codes Established for State Medicaid Agencies in Jonesville increased by 428.4% between 2024 and 2023, while all categories combined rose 50.3% in the city during that period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending topped about $871.7 billion in fiscal 2023, making up approximately 18% of total U.S. health care expenses. This is up sharply from nearly $613.5 billion in 2019, prior to the COVID-19 pandemic.

The jump marks an increase of about 40% over a few years, mainly as a result of higher enrollment and increased demand during and after the pandemic.

Recent budget legislation enacted during the Trump administration included major proposals to cut federal Medicaid funding and restructure the program. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to reduce federal Medicaid funding by over $1 trillion in the next decade. It introduces measures like work requirements and higher cost-sharing, which could limit coverage and reduce funding for certain recipients. These changes are expected to place more financial responsibility on states and restrict the federal Medicaid funding growth, though the program will continue serving 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.