Springerville Medicaid payments for National Codes Established for State Medicaid Agencies reach $1,359,108 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Springerville billed a total of $1,359,108 for services within the National Codes Established for State Medicaid Agencies category, based on the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 22.9% increase over 2023, when $1,105,892 in claims were submitted for the same services.

Medicaid is operated by each state with joint funding from federal and state governments. The program covers low-income residents, seniors, children, and people with disabilities, and is a major component of the U.S. health care system.

Since taxpayer dollars fund Medicaid payments, fluctuations in local billing show how public health care resources are distributed within communities.

The National Codes Established for State Medicaid Agencies category includes a range of Medicaid-billed services, categorized by care type using standardized HCPCS and CPT code groupings. For this assessment, each billing code was matched to one service group through consistent code prefixes and numbering, ensuring that related services were counted together without duplication and that rankings were preserved.

National Codes Established for State Medicaid Agencies led all service categories by total Medicaid payments in Springerville in 2024 as overall spending climbed in several categories.

Statewide in Arizona, the National Codes Established for State Medicaid Agencies category also held the top position for Medicaid payments in 2024.

Through the five-year period ending in 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Springerville grew by $711,467, an increase of 109.9%. Growth was particularly high in certain years, with significant jumps seen in 2023 and 2022.

While Medicaid spending for this category was spread across Springerville, payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 85938 reported the highest total at $1,359,107. This single ZIP code accounted for the entire Medicaid payment volume for this category in the city that year.

Within the National Codes Established for State Medicaid Agencies category, a limited set of billing codes captured the bulk of Medicaid payments.

For perspective, Medicaid payments in this category in Springerville rose by 22.9% from 2023 to 2024, compared with a 2.6% change across all Medicaid claim categories in the city over the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures together reached about $871.7 billion for fiscal year 2023, comprising roughly 18% of all U.S. national health spending. That figure marked a steep rise from around $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth represents a roughly 40% increase in only a few years, mainly resulting from expanded enrollment and higher utilization during and following the pandemic.

Recent federal budget measures passed during the Trump administration have included major proposals to cut federal Medicaid funding and reshape the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid outlays by more than $1 trillion over 10 years. The law also introduces work requirements and greater cost-sharing, potentially reducing both coverage and funding for certain beneficiaries. As a result, a greater portion of costs could shift to states, limiting future federal Medicaid growth, even while the program continues to cover tens of millions across the country.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Springerville, Arizona Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $647,640 17.8%
2021 $646,323 -0.2%
2022 $799,054 23.6%
2023 $1,105,891 38.4%
2024 $1,359,107 22.9%
Top Categories by Medicaid Payments in Springerville, Arizona, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $1,359,107 50.4%
2 Evaluation and Management $645,356 24%
3 Ambulance and Other Transport Services and Supplies $356,327 13.2%
4 Radiology Procedures $178,509 6.6%
5 Pathology and Laboratory Procedures $131,461 4.9%
6 Medicine Services and Procedures $18,007 0.7%
7 Procedures / Professional Services $3,188 0.1%
8 Alcohol and Drug Abuse Treatment $2,170 0.1%
9 Surgery $208 <0.1%
10 Medical And Surgical Supplies $96 <0.1%
11 Drugs Administered Other than Oral Method $76 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Springerville, Arizona, 2024

HCPCS Code Description Medicaid Payments Claims
T1015 Clinic service $1,342,961 28
T1016 Case management $16,146 7

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.



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