In 2024, Medicaid providers in Snowflake billed $2,608,906 for services categorized under National Codes Established for State Medicaid Agencies, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 183.6% increase from 2023, when claims for the same services reached $919,949.
Medicaid, a joint state-federal public health insurance program, covers low-income individuals and families, seniors, children, and people with disabilities. It forms a major component of the U.S. health care system and is funded by both federal and state governments.
Shifts in Medicaid billing reflect community-level allocation of taxpayer-financed health care resources.
The National Codes Established for State Medicaid Agencies category comprises Medicaid services grouped by care type, based on standard HCPCS and CPT codes. For this dataset, each code is assigned to one service category using uniform prefixes and number ranges, ensuring accurate category analysis and avoiding duplicate service counts.
National Codes Established for State Medicaid Agencies had the highest total Medicaid payments among all service categories in Snowflake for 2024.
On a statewide level in Arizona, this category also led for total Medicaid payments in 2024.
From 2019 through 2024, Snowflake’s Medicaid payments for the National Codes Established for State Medicaid Agencies grew by $2,495,001, a 2190.4% increase. Periods such as 2023 and 2021 saw especially strong year-over-year growth within this timeframe.
Though Medicaid spending in this category was distributed across Snowflake, payments were weighted toward a small selection of ZIP codes. For 2024, ZIP code 85937 comprised $2,608,905 in payments, amounting to 100% of the city’s Medicaid spending in this category for the year.
Within this category, a few individual billing codes accounted for the majority of Medicaid payments.
Comparatively, while National Codes Established for State Medicaid Agencies category payments in Snowflake rose 183.6% between 2023 and 2024, the total increase across all Medicaid claims in the city was 104.1% for the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached about $871.7 billion in the 2023 fiscal year, amounting to roughly 18% of all national health care spending, a steep climb from $613.5 billion in 2019 before the COVID-19 pandemic.
The nearly 40% rise over several years was largely due to increased enrollment and service use during and after the pandemic.
Recent federal budget changes under the Trump administration brought major proposals to reduce federal Medicaid funding and change the program’s structure. The “One Big Beautiful Bill Act,” signed in 2025, is anticipated to cut over $1 trillion from federal Medicaid spending over 10 years and establishes policies such as work requirements and higher cost-sharing, potentially limiting coverage and funding for certain beneficiaries. These measures are expected to transfer more financial responsibility to states and constrain the growth of federal Medicaid contributions while the program continues serving tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $113,905 | 92.3% |
| 2021 | $287,807 | 152.7% |
| 2022 | $56,594 | -80.3% |
| 2023 | $919,948 | 1525.5% |
| 2024 | $2,608,905 | 183.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $2,608,905 | 82.7% |
| 2 | Alcohol and Drug Abuse Treatment | $230,380 | 7.3% |
| 3 | Medicine Services and Procedures | $136,656 | 4.3% |
| 4 | Temporary National Codes (Non-Medicare) | $84,759 | 2.7% |
| 5 | Ambulance and Other Transport Services and Supplies | $39,093 | 1.2% |
| 6 | Evaluation and Management | $34,236 | 1.1% |
| 7 | Vision Services | $21,593 | 0.7% |
| 8 | Procedures / Professional Services | $155 | <0.1% |
| 9 | Surgery | $36 | <0.1% |
| 10 | Pathology and Laboratory Procedures | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $2,173,809 | 24 |
| T2033 | Res, nos waiver per diem | $332,280 | 10 |
| T1016 | Case management | $102,815 | 11 |
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.