Danville Medicaid providers accounted for $1,189,034 in billing for services in the National Codes Established for State Medicaid Agencies category during 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This total marks a 188% rise compared to 2023, when $412,821 in claims were submitted for the same service type.
Medicaid is a public insurance program overseen by state governments and funded collectively at the federal and state levels. The program provides coverage for children, seniors, low-income adults and families, as well as people living with disabilities, making it a significant component of the nation’s health system.
Local Medicaid billing trends are indicative of how taxpayer-funded health care dollars are used in specific communities.
The “National Codes Established for State Medicaid Agencies” grouping includes Medicaid-reported services identified by type of care, with consistent groupings by HCPCS and CPT codes. For purposes of this report, each billing code was categorized using recognized code prefixes and number series, to facilitate analysis of related services while avoiding both double counting and ranking errors over multiple years.
Across all Medicaid categories in Danville for 2024, National Codes Established for State Medicaid Agencies represented the largest share of total Medicaid payments.
On a statewide level in West Virginia, National Codes Established for State Medicaid Agencies also held the top spot for Medicaid payment categories in 2024.
The last five-year period prior to 2024 saw National Codes Established for State Medicaid Agencies-related payments rise $796,967 (203.3%) in Danville. Particular periods, such as 2020 and 2021, registered notable year-over-year growth rates within that timespan.
The distribution of spending in this category was citywide, yet billing was heavily concentrated in select ZIP codes. In 2024, the 25053 ZIP code made up $1,189,034 in Medicaid payments, accounting for 100% of the total spent under this code category in Danville that year.
Payments were further consolidated among a subset of individual billing codes falling within the National Codes Established for State Medicaid Agencies classification.
Comparatively, Medicaid claims classified as National Codes Established for State Medicaid Agencies grew by 188% in Danville between 2024 and 2023, versus a 95.3% change observed in all Medicaid claim types across the city for the same period.
Centers for Medicare & Medicaid Services data show that combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, making up approximately 18% of total national health care spending, up considerably from nearly $613.5 billion in 2019, before the onset of COVID-19.
This ongoing increase reflects nearly 40% growth within a few years, primarily attributable to expanded Medicaid rolls and increased service utilization during and after the pandemic.
Recent federal budget measures initiated during the Trump administration have introduced major proposals aimed at cutting federal support for Medicaid and altering its funding structure. The “One Big Beautiful Bill Act”, enacted in 2025, is estimated to decrease federal Medicaid spending by more than $1 trillion in the coming decade and establish requirements such as work obligations and higher beneficiary cost-sharing. These policies are expected to lead states to absorb greater costs and may restrict increases in federal Medicaid contributions, though the program remains a key safety net for millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $392,066 | 13.5% |
| 2021 | $426,073 | 8.7% |
| 2022 | $416,633 | -2.2% |
| 2023 | $412,821 | -0.9% |
| 2024 | $1,189,034 | 188% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $1,189,034 | 93.4% |
| 2 | Evaluation and Management | $83,613 | 6.6% |
| 3 | Medicine Services and Procedures | $631 | <0.1% |
| 4 | Surgery | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $1,181,921 | 99 |
| T1002 | Rn services up to 15 minutes | $7,112 | 22 |
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.
