Medicaid spending on National Codes Established for State Medicaid Agencies climbs to $279,762 in Piedmont in 2024

In 2024, Medicaid providers in Piedmont billed $279,762 for services in the National Codes Established for State Medicaid Agencies category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount marked an increase of 2.1% from 2023, when claims in this category totaled $274,027.

Medicaid is a public health insurance program administered by the states and financed jointly through state and federal funds. It serves low-income residents, older adults, children and individuals with disabilities, which positions it as a substantial part of the U.S. health care system.

Tax-funded Medicaid payments demonstrate how public health care spending is directed in each community when local billing levels shift.

The “National Codes Established for State Medicaid Agencies” category encompasses a group of Medicaid services identified by the provided care type, based on aligned HCPCS and CPT code groupings. For this report, each code was categorized to a single service type through consistent code prefixes and numeric groupings, so services could be analyzed together without redundancy and to maintain precise rankings across years.

National Codes Established for State Medicaid Agencies was the leading Medicaid payment category in Piedmont in 2024, as total provider spending in this group surpassed other categories.

Across Alabama, National Codes Established for State Medicaid Agencies also held the top position by Medicaid spending in 2024.

From 2020 to 2024, National Codes Established for State Medicaid Agencies–linked Medicaid payments in Piedmont totaled $279,762, reflecting no total growth over five years. There were periods of higher year-over-year growth, particularly in 2023 and 2022.

While funds for National Codes Established for State Medicaid Agencies–categorized care reached multiple locations in the city, most were confined to a small set of ZIP codes. ZIP code 36272 accounted for $279,761 in these Medicaid payments for 2024. In that year, just 1 ZIP code made up all Medicaid disbursements in this category in Piedmont.

The distribution of Medicaid funds within this service grouping showed similar concentration for specific billing codes in 2024.

Medicaid payments tied to National Codes Established for State Medicaid Agencies rose by 2.1% from 2023 to 2024 in Piedmont, versus a 21.3% overall shift across all Medicaid claim groupings in the city over the same period.

Data from the Centers for Medicare & Medicaid Services showed combined federal and state spending for Medicaid reached about $871.7 billion in fiscal year 2023, representing roughly 18% of all national health outlays—rising sharply from $613.5 billion in 2019 before the COVID-19 pandemic.

This marks about 40% total growth over several years, mainly attributed to expanded program enrollment and higher service use during and after the pandemic timeframe.

Recent federal budget law enacted under the Trump administration featured major proposals to cut federal Medicaid funding and restructure its design. The “One Big Beautiful Bill Act,” signed in 2025, aims to reduce more than $1 trillion in federal Medicaid outlays over the coming decade, with new work requirement and cost-sharing policies that may result in fewer benefits for some participants. These changes are set to transfer more financial commitment to the states and curtail growth in federal Medicaid aid, though the program continues its essential role for tens of millions of Americans.

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.