Williston Medicaid payments for National Codes Established for State Medicaid Agencies reach $15,914 in 2024

Williston Medicaid providers billed $15,914 for services categorized as National Codes Established for State Medicaid Agencies in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This was a 145.8% rise compared with 2023, when there were $6,474 in claims for these services.

Medicaid, a government health insurance program managed by the states and funded by both federal and state governments, covers low-income families and individuals, seniors, children, and people with disabilities. It is one of the nation’s largest health care programs.

Because Medicaid is taxpayer funded, shifts in local billing reflect how communities allocate public health care funding.

The “National Codes Established for State Medicaid Agencies” category groups Medicaid-billed services by the care type, based on standardized HCPCS and CPT code classifications. For this report, each code was matched to one category using uniform prefixes and number ranges, allowing tracking of similar services while preventing double counting and ensuring consistent rankings over time.

National Codes Established for State Medicaid Agencies was the third-largest category for Medicaid payments by total in Williston in 2024, amid increases across multiple service types.

For the state of South Carolina, the National Codes Established for State Medicaid Agencies category ranked first in Medicaid payments for 2024.

Between 2019 and 2024, Medicaid payments related to National Codes Established for State Medicaid Agencies in Williston grew by $4,627, or 41%. Strong year-over-year increases were particularly noticeable in both 2023 and 2022.

Medicaid payments for this category in Williston were distributed citywide but were especially concentrated in a few ZIP codes. In 2024, ZIP code 29853 accounted for $15,913 of National Codes Established for State Medicaid Agencies payments. The single top ZIP code made up 100% of total payments in this category for Williston during the year.

A limited number of individual billing codes accounted for most Medicaid payments in the National Codes Established for State Medicaid Agencies category.

Compared to all Medicaid claim categories in Williston, which rose by 15.7% from 2023 to 2024, payments related to the National Codes Established for State Medicaid Agencies grew by 145.8% in the same period.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid spending totaled approximately $871.7 billion in fiscal year 2023, or about 18% of national health care expenditures. That figure was up significantly from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This represents an increase of about 40% over several years, driven mainly by rising enrollment and greater service utilization during and following the pandemic.

Recent federal budget measures under the Trump administration included major proposals to cut federal Medicaid funding and change program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion in federal Medicaid spending over 10 years and brings new policies such as work requirements and increased cost-sharing, which could lower coverage and funding for some recipients. These changes could mean states shoulder more costs and limit future federal support, even as Medicaid continues to serve tens of millions nationwide.

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.