Comfort Medicaid spending on national codes climbs to $197,943 in 2024

In 2024, Medicaid providers in Comfort billed $197,943 for services categorized under the National Codes Established for State Medicaid Agencies, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That total represented a 51.2% increase over 2023, when claims in this service category reached $130,929.

Medicaid is a state-administered public health insurance system funded by both federal and state governments. The program serves low-income residents, seniors, children, and people with disabilities and remains among the largest aspects of the U.S. health care system.

Since Medicaid relies on taxpayer funding, changes in local billing reflect how public health care dollars are distributed in a particular area.

The “National Codes Established for State Medicaid Agencies” category encompasses a set of services identified by the type of care, using standardized HCPCS and CPT code groupings. For this report, each billing code was assigned to a single service category using standardized code prefixes and number ranges, which allowed for grouped analysis of related services and prevented double counting or misrankings over time.

While Medicaid spending rose across a range of service categories, National Codes Established for State Medicaid Agencies ranked as the second-largest by total Medicaid payments in Comfort for 2024.

Statewide, in West Virginia, the National Codes Established for State Medicaid Agencies category topped the list by total Medicaid payments in 2024.

Looking at the five years through 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies in Comfort increased by $197,943, or 0%. Growth rates fluctuated, with sizable year-over-year increases recorded in both 2023 and 2022.

Spending within the National Codes Established for State Medicaid Agencies category was spread throughout the city, but payments were concentrated within a few ZIP codes. In 2024, ZIP code 25049 recorded $197,943 in Medicaid payments for this category, representing 100% of the city’s total in this group for the year.

Within this service category, the majority of Medicaid payments were linked to just a few individual billing codes.

Comparing local trends, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Comfort grew by 51.2% from 2023 to 2024. By contrast, all Medicaid claim categories in the city combined saw a 0.9% change in the same span.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached approximately $871.7 billion for fiscal year 2023. That figure made up about 18% of all national health expenditures, up sharply from roughly $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This rise reflects nearly 40% growth in only a few years, attributed primarily to expanded enrollment and increased service use during and after the pandemic.

Recent federal budget legislation under the Trump administration has featured significant initiatives to decrease federal Medicaid contributions and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to slash more than $1 trillion in federal Medicaid funding over 10 years. The law also adds work requirements and higher cost-sharing, potentially reducing benefits and funding for certain enrollees. These changes may raise states’ financial responsibilities and slow future federal Medicaid growth, though the program still serves tens of millions of people.

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.