In 2024, Medicaid providers in Vicksburg billed $3,839,239 for services under the National Codes Established for State Medicaid Agencies category, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This was a 1.5% uptick from 2023, when claims for this category totaled $3,782,451.
Medicaid, a public health insurance initiative managed by each state and funded by federal and state governments together, provides coverage for low-income residents, seniors, children, and those with disabilities. As one of the largest components of the U.S. health care system, its role is far-reaching.
Because Medicaid funding depends on taxpayer contributions, shifts in local billing volumes indicate how health care dollars are allocated in the area.
The “National Codes Established for State Medicaid Agencies” group represents a set of Medicaid-billed services determined by the care type, using standardized HCPCS and CPT code groupings. Each billing code for this review was assigned to one service category based on consistent code prefixes and numeric ranges, allowing related services to be analyzed collectively and ensuring accurate rankings and no double counting.
While expenditures increased across several services, National Codes Established for State Medicaid Agencies stood as the third largest Medicaid payment category in Vicksburg for 2024.
Statewide in Mississippi, this category ranked first by total Medicaid payments for the same year.
From 2019 to 2024, payments for the National Codes Established for State Medicaid Agencies category in Vicksburg grew by $1,400,109, or 57.4%. The growth rate picked up pace in some years, including notable increases in 2021 and 2023.
Despite widespread use across the city, Medicaid payments in this category were mostly concentrated in a few ZIP codes. In 2024, ZIP code 39180 received $3,821,727, while 39183 reached $17,511. These two ZIP codes together made up 100% of Medicaid payments in this Vicksburg category for the year.
Additionally, most Medicaid payments within this category were tied to a select set of billing codes.
By way of comparison, Medicaid payments under the National Codes Established for State Medicaid Agencies category in Vicksburg rose 1.5% between 2024 and 2023, while all Medicaid claim categories citywide experienced an 11% change for the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached about $871.7 billion for fiscal year 2023. This accounted for roughly 18% of total national health spending, rising substantially from $613.5 billion in 2019, before the COVID-19 pandemic began.
The jump represents nearly 40% growth over several years, mainly due to higher enrollment and increased utilization during and after the pandemic.
Recent federal budget actions under the Trump administration have introduced major proposals affecting Medicaid funding and structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is set to cut over $1 trillion in federal Medicaid expenditures over the next decade and adds work requirements and greater cost-sharing, potentially reducing both coverage and funding for some. These changes are expected to push more financial responsibility to states and restrain federal support growth, even as Medicaid remains vital to tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,439,130 | -7.9% |
| 2021 | $3,025,607 | 24% |
| 2022 | $3,325,823 | 9.9% |
| 2023 | $3,782,451 | 13.7% |
| 2024 | $3,839,239 | 1.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $6,458,621 | 32% |
| 2 | Medicine Services and Procedures | $4,422,677 | 21.9% |
| 3 | National Codes Established for State Medicaid Agencies | $3,839,239 | 19.1% |
| 4 | Alcohol and Drug Abuse Treatment | $3,317,682 | 16.5% |
| 5 | Pathology and Laboratory Procedures | $554,643 | 2.8% |
| 6 | Radiology Procedures | $364,847 | 1.8% |
| 7 | Procedures / Professional Services | $329,034 | 1.6% |
| 8 | Ambulance and Other Transport Services and Supplies | $254,261 | 1.3% |
| 9 | Dental Services | $252,729 | 1.3% |
| 10 | Surgery | $109,403 | 0.5% |
| 11 | Temporary National Codes (Non-Medicare) | $92,970 | 0.5% |
| 12 | Durable Medical Equipment | $69,496 | 0.3% |
| 13 | Vision Services | $47,930 | 0.2% |
| 14 | Medical And Surgical Supplies | $35,033 | 0.2% |
| 15 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $2,938 | <0.1% |
| 16 | Drugs Administered Other than Oral Method | $1,706 | <0.1% |
| 17 | Temporary Codes | $14 | <0.1% |
| 18 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 18 | Outpatient PPS | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $2,103,558 | 22 |
| T1025 | Ped compr care pkg, per diem | $958,169 | 12 |
| T2047 | Hab prevo waiver per 15 | $483,624 | 22 |
| T1017 | Targeted case management | $183,063 | 25 |
| T1002 | Rn services up to 15 minutes | $53,500 | 24 |
| T2002 | N-et; per diem | $45,724 | 9 |
| T1502 | Medication admin visit | $11,599 | 16 |
Note: HCPCS codes are provided for context within the category. Category totals and rankings are calculated based on standardized service groupings, not individual billing codes.
Information in this story is drawn from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data is accessible here.
