Providers in Greenville billed a total of $7,017,301 to Medicaid for services categorized under National Codes Established for State Medicaid Agencies in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This represented a 7.1% rise from 2023, when billing for the same group of services totaled $6,551,084.
Medicaid, a health insurance program operated by states and funded by both federal and state governments, covers people with low incomes, older adults, children, and individuals with disabilities, making it a major component of the American health care system.
Since Medicaid is supported by taxpayers, fluctuations in local billing reflect how public health funds are distributed within communities.
The “National Codes Established for State Medicaid Agencies” category includes a set of Medicaid services organized by care type based on standardized HCPCS and CPT code groups. For this report, each billing code was placed in a single service category using consistent code prefixes and number spans. This approach grouped related services together, ensured clarity in comparisons, and prevented overcounting.
While Medicaid spending rose in several service categories, National Codes Established for State Medicaid Agencies ranked as Greenville’s top category for total Medicaid payment in 2024.
Statewide, National Codes Established for State Medicaid Agencies also led all categories in total Medicaid payments in Mississippi for 2024.
Between 2019 and 2024, Medicaid payments attributed to this category in Greenville rose by $593,555, or 9.2%. The pace of spending picked up in certain years, particularly in 2021 and 2022.
Although spending within this category was distributed around Greenville, most payments originated from a handful of ZIP codes. In 2024, ZIP code 38701 accounted for $6,030,717 and 38703 for $986,584. Together, these 2 ZIP codes made up 100% of Medicaid payments tied to the category in Greenville that year.
Payments within the National Codes Established for State Medicaid Agencies category were also concentrated among a small number of billing codes.
Looking at the period between 2023 and 2024, Greenville saw a 7.1% rise in Medicaid spending for the category, compared with a 0.5% increase for all Medicaid claim categories citywide.
The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid spending reached around $871.7 billion for the 2023 fiscal year, comprising nearly 18% of national health expenditures. This is a considerable jump from the roughly $613.5 billion recorded in 2019, prior to the COVID-19 pandemic.
This change reflects about 40% growth over several years, largely due to increased enrollment and greater service use during and after the pandemic.
Recent federal budget measures under the Trump administration have put forward substantial reductions in federal Medicaid support and proposed program changes. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, aims to decrease federal Medicaid outlays by over $1 trillion in the coming decade and brings in work requirements and higher cost-sharing, potentially narrowing coverage and funding for some enrollees. These policy adjustments could push more financial responsibility onto states and restrain the growth of federal Medicaid funding at a time when the program still serves tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $6,423,746 | -4.1% |
| 2021 | $7,116,109 | 10.8% |
| 2022 | $7,074,816 | -0.6% |
| 2023 | $6,551,083 | -7.4% |
| 2024 | $7,017,301 | 7.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $7,017,301 | 32.9% |
| 2 | Evaluation and Management | $3,967,912 | 18.6% |
| 3 | Temporary National Codes (Non-Medicare) | $3,429,556 | 16.1% |
| 4 | Medicine Services and Procedures | $2,553,910 | 12% |
| 5 | Alcohol and Drug Abuse Treatment | $1,478,447 | 6.9% |
| 6 | Pathology and Laboratory Procedures | $976,454 | 4.6% |
| 7 | Radiology Procedures | $488,068 | 2.3% |
| 8 | Dental Services | $367,325 | 1.7% |
| 9 | Procedures / Professional Services | $312,678 | 1.5% |
| 10 | Durable Medical Equipment | $300,866 | 1.4% |
| 11 | Surgery | $157,057 | 0.7% |
| 12 | Drugs Administered Other than Oral Method | $135,905 | 0.6% |
| 13 | Enteral and Parenteral Therapy | $80,548 | 0.4% |
| 14 | Vision Services | $37,283 | 0.2% |
| 15 | Pathology and Laboratory Services | $16,958 | 0.1% |
| 16 | Coronavirus Diagnostic Panel | $14,774 | 0.1% |
| 17 | Medical And Surgical Supplies | $12,620 | 0.1% |
| 18 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $1,756 | <0.1% |
| 19 | Administrative, Miscellaneous and Investigational | $359 | <0.1% |
| 20 | Temporary Codes | $84 | <0.1% |
| 21 | Outpatient PPS | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2022 | Case management, per month | $4,056,308 | 11 |
| T1019 | Personal care ser per 15 min | $1,899,116 | 40 |
| T1025 | Ped compr care pkg, per diem | $773,928 | 12 |
| T1017 | Targeted case management | $141,103 | 12 |
| T1002 | Rn services up to 15 minutes | $87,475 | 11 |
| T2002 | N-et; per diem | $59,368 | 11 |
Note: HCPCS codes are provided for reference within the service category. Totals and rankings in this article are based on aggregated service classifications, rather than on specific billing codes.
The data in this article are from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source information can be found here.