Deland Medicaid billing for National Codes Established for State Medicaid Agencies reaches $1,665,764 in 2024

In 2024, Medicaid providers in Deland submitted $1,665,764 in claims for services covered by the National Codes Established for State Medicaid Agencies category, based on data reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 10.7% rise over 2023, when billing for the same service type totaled $1,505,202.

Medicaid, the public health insurance system run by state governments in partnership with federal funding, covers low-income families and individuals, older adults, children, and people with disabilities. It plays a major role within the nation’s health care system. More about Medicaid’s financing can be found at the Commonwealth Fund.

Shifts in the amount local providers bill Medicaid reflect how public funds dedicated to health care are distributed in communities, since taxpayer dollars finance the program.

The “National Codes Established for State Medicaid Agencies” group contains services billed under Medicaid as determined by their classification using standardized HCPCS and CPT code groupings. This review used code prefixes and number ranges to consistently categorize claims, making it possible to track similar services without duplication and to maintain ranking accuracy year over year.

While Medicaid spending climbed across various service areas, the National Codes Established for State Medicaid Agencies category ranked third in total Medicaid payouts in Deland for 2024.

Statewide in Florida, this service category ranked second for Medicaid payments in 2024.

Across the five years before 2024, Deland’s Medicaid payments in the National Codes Established for State Medicaid Agencies category grew by $243,188, or 12.7%. Periods of accelerated growth included notable increases in both 2020 and 2021.

Although payments related to this category were distributed throughout the city, the majority were concentrated in a few ZIP codes. For 2024, ZIP code 32724 reported $898,520 in Medicaid payments tied to this category, while 32720 totaled $767,243. Together, these two areas accounted for 100% of Medicaid payments for the National Codes Established for State Medicaid Agencies category in Deland during the year.

Only a small set of billing codes absorbed most Medicaid payments within the National Codes Established for State Medicaid Agencies category.

To put this in context, Deland’s Medicaid payments within this category grew by 10.7% from 2023 to 2024, in contrast to an overall 36.3% change across all Medicaid claim types in the city during that span.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached an estimated $871.7 billion in the 2023 fiscal year, which was about 18% of the country’s total health expenditures—up sharply from around $613.5 billion in 2019, prior to the COVID-19 pandemic.

This represents an increase of approximately 40% over several years, driven mainly by broader enrollment and heightened service usage in the pandemic’s wake.

Recent major federal legislation under the Trump administration included provisions to decrease federal Medicaid funding and alter the structure of the program. The “One Big Beautiful Bill Act,” which was enacted in 2025, is forecasted to reduce federal Medicaid spending by more than $1 trillion over the next decade. The law also brings in measures including work requirements and higher cost-sharing for beneficiaries, likely to limit coverage and increase the expense burden on states while the program remains a lifeline for millions.

Note: HCPCS codes are included for reference to illustrate the category breakdown. All category totals and rankings referenced use standardized groupings, not individual billing codes.

Information for this story was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.