Clendenin Medicaid providers submitted $1,149,142 in claims for services falling under the National Codes Established for State Medicaid Agencies in 2024, U.S. Department of Health and Human Services Medicaid Provider Spending data shows. The figure represents a 4.3% uptick from 2023, when Medicaid billings for the same service category totaled $1,101,499.
Medicaid, a public health insurance effort operated by states and funded by both federal and state governments, serves low-income individuals and families, children, seniors, and people with disabilities and is one of the largest components of health care in the United States.
Because taxpayer dollars fund Medicaid, a community’s billing changes reflect how local public health care resources are distributed.
The “National Codes Established for State Medicaid Agencies” category encompasses various Medicaid services identified by care type, grouped using established HCPCS and CPT code ranges. For the analysis, each billing code was mapped to a single service group using systematic code prefixes and ranges, which enabled consistent evaluation of similar services and preserved accuracy in category rankings over time.
Medicaid spending grew across several service types; in 2024, National Codes Established for State Medicaid Agencies accounted for the largest share of total Medicaid payments in Clendenin.
In West Virginia overall, National Codes Established for State Medicaid Agencies was also the top category for Medicaid payments in 2024.
Across the five years before 2024, payments tied to this category in Clendenin rose by $228,799, or 24.9%. Some years saw sharper growth, with notable increases in 2020 and 2022.
Medicaid payments for these services were distributed throughout Clendenin but remained most concentrated within a small number of ZIP codes. In 2024, ZIP code 25045 alone represented $1,149,142 in these Medicaid payments, contributing all (100%) of related payments reported in the city for the year.
Within this service category, payments were also heavily focused among a handful of distinct billing codes.
Compared with the citywide total for 2024, Clendenin’s Medicaid payments tied to the National Codes Established for State Medicaid Agencies grew by 4.3% from 2023, matching the overall year-over-year change observed across all Medicaid claim categories within the city for that period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023, or about 18% of all U.S. health spending—an increase from $613.5 billion in 2019, before the COVID-19 pandemic.
This means Medicaid grew around 40% within several years, largely due to increased enrollment and greater utilization throughout and following the pandemic.
Recent federal budget laws from the Trump administration introduced major plans to reduce and restructure federal Medicaid funding. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion from federal Medicaid funding over 10 years and implement policies such as work requirements and more cost-sharing, which may affect coverage and funding for segments of the population. These measures are anticipated to shift financial responsibility to states and may limit the future growth of federal Medicaid funds while the program continues to aid millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $920,343 | 215.7% |
| 2021 | $936,214 | 1.7% |
| 2022 | $1,126,103 | 20.3% |
| 2023 | $1,101,498 | -2.2% |
| 2024 | $1,149,142 | 4.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $1,149,142 | 10<0.1% |
| 2 | Medicine Services and Procedures | $415 | <0.1% |
| 3 | Evaluation and Management | $0 | <0.1% |
| 3 | Pathology and Laboratory Procedures | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $1,149,142 | 75 |
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.
