Springfield Medicaid payments for National Codes categories reach $3.1 million in 2024

In 2024, Medicaid providers in Springfield billed $3,088,917 for services under the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an 8.8% rise from 2023, when $2,838,801 was billed for the same services.

Medicaid, a state-administered public health insurance program jointly financed by federal and state governments, provides coverage for low-income individuals and families, children, older adults, and people with disabilities, making it a key element of the U.S. health care system.

Since Medicaid financing is taxpayer sourced, shifts in local payment activity reflect how public health resources are allocated within a community.

The “National Codes Established for State Medicaid Agencies” category includes a range of Medicaid services grouped by care type, relying on standardized HCPCS and CPT coding frameworks. Each billing code for this report was assigned to a single service grouping using unified code ranges and prefixes, enabling related services to be evaluated together, avoiding double-counting and ensuring accurate year-to-year comparisons.

Among various Medicaid service categories, National Codes Established for State Medicaid Agencies had the highest total Medicaid payments in Springfield for 2024.

Statewide, the category also ranked first in Kentucky by total Medicaid payments in 2024.

In the five years prior to 2024, Medicaid payments tied to the National Codes Established for State Medicaid Agencies category in Springfield grew by $1,045,424, marking a 51.2% increase. There were notable year-to-year growth periods, particularly in 2021 and 2022.

Payments in this category were distributed throughout the city but were heavily concentrated in a small number of ZIP codes. In 2024, ZIP code 40069 accounted for the highest Medicaid payments for these services, totaling $3,088,917. This ZIP code represented 100% of Medicaid payments in the category for Springfield that year.

Within the category itself, payments were further focused among only a few individual billing codes.

For perspective, while Medicaid payments tied to this category in Springfield rose by 8.8% between 2024 and 2023, overall Medicaid claim categories in the city experienced a 7.2% change during the same time frame.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, representing around 18% of all national health expenditures. This figure is up significantly from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

The growth equates to an increase of about 40% over several years, largely due to greater enrollment and increased utilization during and after the pandemic.

Budget legislation under the Trump administration has featured major proposals to decrease federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid spending by over $1 trillion in the next 10 years, and adds policies such as work requirements and more cost-sharing that may limit coverage and reduce funding for certain beneficiaries. These adjustments are anticipated to transfer more costs to states and constrain the growth of federal support, despite continued enrollment of tens of millions of Americans.

Note: HCPCS codes are provided for category context. Totals and rankings in this analysis are based on standardized service groupings, not individual codes.

Data cited in this report comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source can be accessed here.