Medicaid payments for National Codes Established for State Medicaid Agencies climb 13.4% to $80,469 in Menard for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Menard billed a total of $80,469 for services grouped under the National Codes Established for State Medicaid Agencies, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 13.4% rise from 2023, when claims related to this service category amounted to $70,967.

Medicaid operates as a public health coverage system administered at the state level and funded in partnership by state and federal governments. It provides insurance for low-income people and families, seniors, children, and those with disabilities, making it a major component of health care in the United States.

Because Medicaid is financed by taxpayers, local shifts in billing volumes highlight how community health resources are distributed.

The “National Codes Established for State Medicaid Agencies” category encompasses Medicaid-billed services identified by type of care, using standardized HCPCS and CPT code sets. This analysis assigns each billing code to a single service group by code prefixes and number ranges, so related services can be looked at collectively, helping avoid overlap and maintain correct rankings year to year.

While Medicaid spending was up in a variety of service groupings, the National Codes Established for State Medicaid Agencies was the top category for total Medicaid spending in Menard in 2024.

Statewide in Texas, this same category ranked second for total Medicaid payments in 2024.

Looking at the five years leading up to 2024, Medicaid expenditures associated with the National Codes Established for State Medicaid Agencies rose by $78,214 in Menard, marking a 3468.3% gain. The data show especially rapid annual increases in 2021 and 2023.

Although care under this category was provided throughout Menard, a small set of ZIP codes saw the bulk of those Medicaid payments. In 2024, ZIP code 76859 registered $80,469, making up 100% of all payments in this category for the city that year.

A handful of specific Medicaid billing codes within the National Codes Established for State Medicaid Agencies category accounted for most payments.

Comparing growth, the category’s 13.4% payment increase in Menard from 2023 to 2024 was above the city’s 6.2% growth rate across all Medicaid claim types over the same timeframe.

The Centers for Medicare & Medicaid Services notes that total state and federal Medicaid spending hit about $871.7 billion for fiscal 2023, representing around 18% of national health spending, a steep rise from approximately $613.5 billion in 2019 prior to the COVID-19 emergency.

This roughly 40% jump over several years was mainly the result of expanded program enrollment and increasing use due to and following the pandemic.

Recent federal budget law passed during the Trump administration includes key proposals to cut federal Medicaid funding and overhaul the program. The “One Big Beautiful Bill Act,” signed in 2025, is set to reduce federal Medicaid spending by more than $1 trillion over 10 years, bringing new requirements for work and increasing cost-sharing, which may reduce benefits and funding for some recipients. As a result, states are likely to face more funding responsibility, even as Medicaid continues to cover millions nationwide.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Menard, Texas Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $2,255
2021 $32,436 1338.4%
2022 $47,111 45.2%
2023 $70,966 50.6%
2024 $80,469 13.4%
Top Categories by Medicaid Payments in Menard, Texas, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $80,469 84.2%
2 Evaluation and Management $10,468 10.9%
3 Procedures / Professional Services $3,172 3.3%
4 Medicine Services and Procedures $1,481 1.5%
5 Pathology and Laboratory Procedures $30 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Menard, Texas, 2024

HCPCS Code Description Medicaid Payments Claims
T1015 Clinic service $80,469 12

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.



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