Germanton Medicaid providers bill $84,846 for National Codes Established for State Medicaid Agencies in 2024

Providers in Germanton submitted $84,846 in Medicaid claims for services within the National Codes Established for State Medicaid Agencies category in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 5.2% rise over 2023, when $80,623 in claims were filed for the same service type.

Medicaid is a government health insurance program managed by states and funded by both federal and state governments. It provides coverage for low-income people and families, seniors, children, and individuals with disabilities, making it a key component of the U.S. health system.

Since Medicaid payments are funded by taxpayers, changes in local claims activity demonstrate how public healthcare funds are distributed in communities.

The “National Codes Established for State Medicaid Agencies” group covers Medicaid-billed services identified by specific care types, as determined by standardized HCPCS and CPT code groupings. For this report, each billing code was matched with one service category by using uniform code prefixes and numeric ranges, which allowed researchers to analyze similar services together without counting services multiple times and to maintain accurate rankings through the years.

While Medicaid expenses increased in several service groups, National Codes Established for State Medicaid Agencies was the second largest category for Medicaid payments in Germanton in 2024.

The National Codes Established for State Medicaid Agencies category ranked first statewide in North Carolina for total Medicaid payments that year.

Over the five years prior to 2024, Medicaid payments linked with the National Codes Established for State Medicaid Agencies category in Germanton rose by $7,062, or 7.7%. Some years saw more rapid increases, particularly in 2020 and 2021.

Although payments for this category were made across Germanton, they were heavily concentrated in select ZIP codes. In 2024, ZIP code 27019 accounted for $84,845 in Medicaid payments under the category. In total, the top ZIP code made up 100% of all Medicaid payments for this category in the city during that year.

Within the category, most Medicaid payments were tied to a small set of individual billing codes.

When compared, Medicaid payments in Germanton for this category grew by 5.2% from 2023 to 2024, while all Medicaid claim categories in Germanton combined saw an 8.4% change over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached about $871.7 billion during fiscal 2023, accounting for roughly 18% of all national health spending—up significantly from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This represents about 40% growth in a few years, largely due to expanded enrollment and increased service use during and after the pandemic period.

Recent federal budget measures under the Trump administration proposed substantial reductions in federal Medicaid funds and changes to the program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to cut more than $1 trillion in federal Medicaid spending over 10 years while introducing work requirements and higher cost-sharing, measures expected to reduce coverage and funding for some enrollees. These reforms are likely to place more financial responsibility on states and slow federal Medicaid program growth, even as it continues to serve 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.