Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Indianola providers submitted $6,590,396 in Medicaid claims for services grouped under the National Codes Established for State Medicaid Agencies category in 2024. That amount represented a 22.8% rise from 2023, when total claims in the same group were $5,365,881.
Medicaid is a government health insurance program administered by states and funded by both federal and state governments. The program covers low-income families and individuals, older adults, children, and people with disabilities, forming one of the largest sectors of the nation’s health system.
Changes in local Medicaid billings reflect shifts in how taxpayer-funded health care dollars are distributed within communities.
The “National Codes Established for State Medicaid Agencies” category includes certain Medicaid-billed services that are standardized under HCPCS and CPT code systems. Each code was categorized consistently for this analysis to review related services together, prevent double counting and maintain reliability in rankings over time.
National Codes Established for State Medicaid Agencies topped all Medicaid payment categories in Indianola for 2024.
Statewide, this category also ranked first for total Medicaid payments in Mississippi during 2024.
Between five years leading up to 2024, Indianola experienced a $3,843,704, or 139.9%, increase in Medicaid payments for this category. Growth accelerated in periods such as 2023 and 2020, which saw substantial increases year over year.
Though this category covered a range of services citywide, Medicaid payments were heavily concentrated in just a few ZIP codes. In 2024, ZIP code 38751 accounted for the full $6,590,396 in Medicaid payments, representing 100% for the National Codes Established for State Medicaid Agencies category in Indianola that year.
Within the category, a relatively small set of billing codes made up most of the Medicaid payments.
Comparing all Medicaid claim categories for Indianola, payments for National Codes Established for State Medicaid Agencies grew by 22.8% between 2024 and 2023, while overall Medicaid claims increased by 2.6% citywide during the same span.
According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenditures were about $871.7 billion for fiscal year 2023, comprising around 18% of total U.S. health spending, and increasing substantially from approximately $613.5 billion in 2019, before the COVID-19 pandemic.
This reflects an increase of roughly 40% in a few years, with expanded enrollment and greater use of services during and after the pandemic as key factors.
Federal budget measures enacted during the Trump administration included major proposals to limit federal Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act,” which became law in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over 10 years and introduces requirements such as work policies and increased cost-sharing—changes that may decrease funding or coverage for some recipients. These adjustments are likely to increase state-level responsibilities and restrain federal Medicaid growth, even as the program remains central to coverage for millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,746,691 | 31.4% |
| 2021 | $3,283,197 | 19.5% |
| 2022 | $3,904,090 | 18.9% |
| 2023 | $5,365,880 | 37.4% |
| 2024 | $6,590,396 | 22.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $6,590,396 | 73.4% |
| 2 | Evaluation and Management | $961,649 | 10.7% |
| 3 | Medicine Services and Procedures | $725,904 | 8.1% |
| 4 | Temporary National Codes (Non-Medicare) | $372,153 | 4.1% |
| 5 | Procedures / Professional Services | $93,076 | 1% |
| 6 | Vision Services | $87,460 | 1% |
| 7 | Radiology Procedures | $66,287 | 0.7% |
| 8 | Pathology and Laboratory Procedures | $53,954 | 0.6% |
| 9 | Dental Services | $11,986 | 0.1% |
| 10 | Durable Medical Equipment | $6,793 | 0.1% |
| 11 | Medical And Surgical Supplies | $2,796 | <0.1% |
| 12 | Drugs Administered Other than Oral Method | $1,738 | <0.1% |
| 13 | Surgery | $34 | <0.1% |
| 14 | Alcohol and Drug Abuse Treatment | $0 | <0.1% |
| 14 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $6,540,681 | 36 |
| T1020 | Personal care ser per diem | $49,714 | 2 |
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.
