Hampton Medicaid claims for National Codes Established for State Medicaid Agencies rise to $7,651 in 2024

In 2024, Hampton Medicaid providers submitted $7,651 in claims for services under the National Codes Established for State Medicaid Agencies, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 7.8% increase from 2023, when providers billed $7,099 for these services.

Medicaid, a public health insurance initiative operated by the states and funded through both federal and state contributions, delivers health coverage to low-income individuals and families, seniors, children, and those with disabilities. It is one of the largest sectors within the U.S. health care system.

Since Medicaid payments are funded by taxpayers, fluctuations in local billing provide insight into how publicly funded health care resources are allocated throughout a community.

The “National Codes Established for State Medicaid Agencies” designation encompasses a set of Medicaid-billed services that are grouped according to the care type, based on standardized HCPCS and CPT code systems. For this report, each billing code was consistently assigned to a specific service category using code prefixes and ranges, supporting accurate ranking and analysis across time without double counting.

Medicaid expenditures increased across various service categories, with National Codes Established for State Medicaid Agencies ranking third by total payments in Hampton in 2024.

On a statewide level in South Carolina, National Codes Established for State Medicaid Agencies was the top category by total Medicaid payments in 2024.

Between 2019 and 2024, Hampton’s Medicaid payments linked to the National Codes Established for State Medicaid Agencies rose by $7,538, or 49.6%. Spending accelerated in certain years, with significant annual increases observed in 2023 and 2022.

Within Hampton, spending in the National Codes Established for State Medicaid Agencies category was distributed citywide but concentrated in a few ZIP codes. In 2024, ZIP code 29924 alone accounted for $7,650 in Medicaid payments—representing 100% of such claims in the area for the year.

A small number of billing codes comprised most of the Medicaid payments within the National Codes Established for State Medicaid Agencies category in Hampton.

Comparatively, Medicaid payments for Hampton’s National Codes Established for State Medicaid Agencies rose 7.8% from 2023 to 2024, against a 36.8% increase for all Medicaid claim categories in the city during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached around $871.7 billion in fiscal year 2023, or about 18% of total national health spending, rising sharply from approximately $613.5 billion in 2019, before the COVID-19 pandemic.

This jump represents an increase of roughly 40% over several years, mainly due to broader enrollment and greater usage during and following the pandemic.

The Trump administration’s recent federal budget measures have put forth extensive proposals to scale back federal Medicaid funding and change the program’s structure. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is anticipated to reduce federal Medicaid spending by more than $1 trillion over the decade, implementing new requirements like mandatory employment and increased cost-sharing, which could cut funding and coverage for some groups. As a result, states may be required to shoulder additional costs, potentially restricting the future expansion of federal Medicaid support as the program continues to cover 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.