Medicaid providers in Sissonville received $760,747 for National Codes Established for State Medicaid Agencies services in 2024

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Sissonville charged $760,747 in 2024 for services classified under the National Codes Established for State Medicaid Agencies category. This amount reflects a 4.1% increase from 2023, when providers filed $730,922 for the same services.

Medicaid is a government health insurance program funded by both federal and state governments and administered by the states. It supports low-income people, seniors, children, and those with disabilities, representing a major segment of the U.S. health care system.

Since taxpayer revenue supports Medicaid payments, shifts in local claim volumes can indicate how public health funds are distributed in a given community.

The “National Codes Established for State Medicaid Agencies” label groups services by the type of care billed, based on standardized HCPCS and CPT codes. This analysis assigns each code to a single service group by code prefix and number range to compare related care and avoid duplicate counting or misranking over time.

National Codes Established for State Medicaid Agencies was the top Medicaid-billed service category in Sissonville in 2024 by total payment amount, alongside several other categories registering increases.

This category also took the first position statewide in West Virginia by total Medicaid payments in 2024.

Over the five years preceding 2024, Medicaid claims for the National Codes Established for State Medicaid Agencies group in Sissonville rose by $4,536, a 0.6% increase. There were certain years with above-average growth, notably in 2020 and 2023.

While these Medicaid payments were made for care received across the city, large shares were concentrated in specific ZIP codes. In 2024, ZIP code 25320 represented $760,746, accounting for 100% of all Sissonville Medicaid payments under this service category for the year.

Payments within this category were further clustered among just a few individual billing codes.

Between 2023 and 2024, Sissonville saw a 4.1% increase in Medicaid payments for this category, matching the 4.1% overall increase among all Medicaid claim categories in the municipality during that period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid costs reached about $871.7 billion in the 2023 fiscal year, roughly 18% of total national health outlays—up from about $613.5 billion in 2019, before the COVID-19 public health emergency.

This rise adds up to an approximately 40% growth in several years, largely a result of expanded enrollment and greater health usage during and after the pandemic.

Major federal budget measures under the Trump administration included plans to reduce Medicaid funding at the federal level and change elements of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to decrease federal Medicaid disbursements by more than $1 trillion over ten years, with new provisions such as work mandates and higher cost-sharing that could alter coverage and funding for some users. These shifts may require states to take on higher costs while slowing federal support, even as Medicaid continues to serve tens of millions in the U.S.

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.