Eagar Medicaid payments for state agency-established codes jump 56.9% in 2024

Medicaid providers in Eagar submitted $163,212 in claims for services categorized under National Codes Established for State Medicaid Agencies during 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 56.9% rise compared with 2023, when claims for these services totaled $103,994.

Medicaid, administered by states and jointly funded by federal and state governments, provides health insurance to low-income families, seniors, children, and persons with disabilities, making it a significant segment of the U.S. health care system.

Since Medicaid funds are derived from taxpayers, changes in claim amounts reflect how community health care dollars are utilized.

The “National Codes Established for State Medicaid Agencies” category comprises a range of Medicaid-billed services grouped by service type, using standardized HCPCS and CPT code prefixes and number ranges. To ensure valid comparisons and rankings, each billing code was assigned to a single service category, eliminating double counting and maintaining consistent analysis over time.

Among all categories, National Codes Established for State Medicaid Agencies topped Eagar’s Medicaid payment rankings in 2024.

Statewide in Arizona, this category also had the highest total Medicaid payments in 2024.

From the five years prior to 2024, Eagar’s Medicaid payments for the National Codes Established for State Medicaid Agencies category increased by $163,212, or 0%. Spending accelerated in some years, with significant year-over-year jumps seen in 2023 and 2022.

While claims were made across Eagar, a small number of ZIP codes processed most payments. In 2024, ZIP code 85925 accounted for $163,211 of Medicaid payments in this service category. This single ZIP code made up 100% of all category-related payments in Eagar for the year.

Additionally, payments within this category were highly concentrated among only a few individual billing codes.

To compare, Eagar’s Medicaid payments for the National Codes Established for State Medicaid Agencies category rose 56.9% between 2024 and 2023, while the overall change across all Medicaid claim categories in the city was 64.2% during the same period.

The Centers for Medicare & Medicaid Services reported combined federal and state Medicaid spending reached about $871.7 billion in fiscal 2023, making up approximately 18% of total U.S. health expenditures—a sharp rise from around $613.5 billion in 2019 before the COVID-19 pandemic.

This reflects close to 40% growth over those years, largely due to heightened enrollment and service use through and after the pandemic period.

Recent federal budget legislation during the Trump administration featured significant proposals to reduce federal Medicaid spending and alter program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion in federal Medicaid funding in the next decade, enacting policies such as work requirements and increased cost-sharing, changes that could limit coverage and funding for certain beneficiaries. These measures are projected to increase pressure on state budgets by transferring costs from the federal government even as Medicaid continues serving millions across the nation.

Note: HCPCS codes are provided for category context. Figures and rankings are derived from standardized service groupings, not individual code tallies.

The information in this piece comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.