Willisburg Medicaid payments for state-established national codes soar to $736,810 in 2024

In 2024, Medicaid providers in Willisburg billed $736,810 for services included under the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented a 112.5% rise compared with 2023, when billing for the same services reached $346,656.

Medicaid is a state-administered public health insurance program funded jointly by the federal and state governments. Its services cover low-income families and individuals, older adults, children, and people with disabilities, making Medicaid one of the nation’s largest health care programs.

As Medicaid financing comes from taxpayers, shifting billing amounts at the local level reflect how a community’s public health funding is distributed.

The National Codes Established for State Medicaid Agencies classification consists of grouped Medicaid-billed services identified by care type, applying standard HCPCS and CPT code sets. Analysts assigned each billing code to only one service category through set prefixes and numeric ranges to review related services together, avoiding duplicate counts and maintaining category rankings year over year.

Spending in this category placed National Codes Established for State Medicaid Agencies as the second-largest Medicaid payment category in Willisburg in 2024, while total Medicaid payments grew across multiple service classifications.

Statewide, for Kentucky, the National Codes Established for State Medicaid Agencies category ranked at the top by total Medicaid payments in 2024.

Looking at the five years before 2024, payments connected to this category in Willisburg increased $614,900—an overall gain of 504.4%. This growth accelerated in certain years, with substantial year-over-year increases seen in both 2022 and 2020.

Payments for services in the category were citywide, though allocations were centered in just a few ZIP codes. In 2024, ZIP code 40078 accounted for $736,809 in Medicaid payments under the category, making it responsible for 100% of Willisburg’s Medicaid payout within this group that year.

Billing within the National Codes Established for State Medicaid Agencies also concentrated in a small number of billing codes.

In comparison, between 2024 and 2023, Willisburg payments linked to this category jumped 112.5%, much higher than the 10.3% change seen for all Medicaid claim types over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state spending on Medicaid was approximately $871.7 billion in fiscal year 2023, making up about 18% of national health expenditures—a sharp climb from $613.5 billion in 2019, before COVID-19.

The increase reflects growth of roughly 40% over a few years, driven primarily by greater enrollment and higher utilization during and in the aftermath of the pandemic.

Recent federal budget actions in the Trump administration included significant moves to cut federal Medicaid funding and rethink the program’s structure. The “One Big Beautiful Bill Act,” passed into law in 2025, is slated to reduce federal Medicaid spending by more than $1 trillion over the coming decade and bring in policies such as work requirements and increased cost-sharing, which could limit funding and coverage for certain beneficiaries. These legislative changes are expected to place bigger cost burdens on states and slow the growth of federal Medicaid funding, while the program continues to serve 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.