Orange City Medicaid payments for National Codes category reach $1,107,202 in 2024

In 2024, Medicaid providers in Orange City billed $1,107,202 for services under the National Codes Established for State Medicaid Agencies category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 35.5% increase over 2023, when claims for the same service totaled $817,046.

Medicaid is a state-administered, federally and state-funded public health insurance program. It provides coverage for low-income individuals, seniors, children, and people with disabilities, making it a significant component of the U.S. health care system. More details are available at this resource.

Because Medicaid funding is derived from taxpayer dollars, shifts in local billing provide a window into how public health resources are distributed across communities.

The National Codes Established for State Medicaid Agencies category groups together Medicaid-billed services based on the type of care, utilizing standardized HCPCS and CPT code series. For this review, billing codes were sorted into a single service group by identifying consistent code prefixes and number ranges, which enabled analysis of comparable services as a unit and ensured accurate time-based comparisons without overlaps.

Medicaid spending climbed in a number of categories, but National Codes Established for State Medicaid Agencies held the second-highest rank by payment total in Orange City in 2024.

Across Florida, this service category also placed second in total Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Orange City rose by $892,846, an increase of 416.5%. Spending saw periods of rapid growth, particularly in 2023 and 2021, with marked year-over-year jumps.

Although funding for this category extended throughout the city, it was primarily focused in specific ZIP codes. In 2024, ZIP code 32763 recorded the highest level, accounting for $1,107,202. This ZIP code represented 100% of all Medicaid payments in the category for Orange City.

Within the category, Medicaid spending was concentrated among relatively few individual billing codes.

When comparing the change between 2024 and 2023, Medicaid payments to this category in Orange City jumped by 35.5%, compared to a 33% rise across all Medicaid claim categories in the city for the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenses reached about $871.7 billion in fiscal year 2023, which amounted to roughly 18% of overall U.S. health expenditures—an increase from approximately $613.5 billion in 2019, before the COVID-19 pandemic.

This surge reflects growth of nearly 40% within a few years, primarily due to higher enrollment and increased service use during and after the pandemic’s peak.

Recent years have seen federal budget measures, including under the Trump administration, that propose significant reductions in federal Medicaid funding and structural changes to the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut over $1 trillion from federal Medicaid spending in the next decade, introducing changes like work requirements and greater cost-sharing. These reforms could reduce both coverage and funding for some enrollees, with states likely bearing more responsibility for funding while federal support expansion is limited, even as Medicaid continues to provide for 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.