In 2024, Medicaid providers in Marmet invoiced $180,667 for services filed under the National Codes Established for State Medicaid Agencies, based on U.S. Department of Health and Human Services Medicaid Provider Spending records. This represents an 8.1% uptick from 2023, which saw $167,184 in claims for these services.
Medicaid is a state-administered health coverage program jointly funded by both state and federal governments for qualifying Americans. It provides insurance for individuals and families with low income, as well as seniors, children, and those with disabilities, making it a major segment of the U.S. health system.
Because Medicaid relies on public funds, shifts in how much is billed locally demonstrate the allocation of health dollars within communities.
The “National Codes Established for State Medicaid Agencies” classification encompasses a set of Medicaid services defined by the care provided, structured around standard HCPCS and CPT code groupings. In this analysis, each billing code was affiliated with only one service category, using consistent prefixes and numeric intervals to organize related services, limit duplication, and accurately track rankings over time.
Although several Medicaid categories experienced higher spending, National Codes Established for State Medicaid Agencies generated the largest Medicaid payments in Marmet for 2024.
Statewide, West Virginia also saw the National Codes Established for State Medicaid Agencies category rank highest by overall Medicaid payment total in 2024.
Looking at the five years before 2024, Medicaid disbursements connected to this category in Marmet rose to $180,667, showing no percentage growth over the period. Growth periods were sharper in certain years, especially in 2023 and 2022, when year-over-year increases were significant.
While service payments in this category occurred throughout Marmet, the majority of funds came from just a few ZIP codes. In 2024, ZIP code 25315 saw $180,666 in claims, representing 100% of Medicaid payments for National Codes Established for State Medicaid Agencies in the city during that year.
Within this service group, most Medicaid funds were linked to just a handful of billing codes.
For context, both the payments and the rate of increase—8.1% between 2024 and 2023—mirrored the percentage change for all Medicaid service categories in the city during the same span.
According to the Centers for Medicare & Medicaid Services, collective federal and state Medicaid outlays reached nearly $871.7 billion for fiscal year 2023, estimating about 18% of the nation’s overall health costs—a substantial jump from $613.5 billion in 2019, prior to the COVID-19 pandemic.
The rise equals roughly 40% growth over just a few years, largely a result of higher enrollment and increased usage during and after the national public health emergency.
Recent Congressional budget measures during the Trump administration have brought major policy changes aiming to cut federal Medicaid spending and alter how the program works. The “One Big Beautiful Bill Act,” approved in 2025, is estimated to reduce federal Medicaid funding by over $1 trillion over the coming decade and imposes requirements such as mandatory work and more cost-sharing, with potential implications for coverage and financial support for some recipients. These shifts are likely to increase costs for states while limiting the growth of federal assistance, although Medicaid remains the source of health coverage for tens of millions of people in the United States.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2023 | $167,184 | – |
| 2024 | $180,666 | 8.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $180,666 | 99.9% |
| 2 | Evaluation and Management | $253 | 0.1% |
| 3 | Medicine Services and Procedures | $0 | <0.1% |
| 3 | Pathology and Laboratory Procedures | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $180,666 | 23 |
Note: HCPCS codes are provided for context within the broader category. Category-wide totals and rankings rely on standardized groupings, not individual billing codes.
The information referenced in this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data are accessible here.
