Elizabethtown Medicaid payments for National Codes Established services up 28.7% in 2024

In 2024, health care providers in Elizabethtown submitted $1,647,826 in Medicaid claims for services grouped under the National Codes Established for State Medicaid Agencies category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents an increase of 28.7% from 2023, when claims for the same category totaled $1,279,936.

Medicaid, a public health insurance initiative administered by states and funded through both federal and state resources, delivers coverage to low-income families and individuals, children, seniors, and people with disabilities, making it a key component of the U.S. health care system.

Because Medicaid relies on taxpayer funding, variations in local claims reflect how public health resources are directed within a community.

The “National Codes Established for State Medicaid Agencies” grouping consists of Medicaid-billed services categorized by care type, organized according to standardized HCPCS and CPT codes. To conduct this review, each billing code was attributed to a unique service group using consistent prefix and number ranges, which allowed analysts to compare related services without duplication and ensure precise ranking changes over time.

While Medicaid spending went up in several categories, the National Codes Established for State Medicaid Agencies grouping was the second-largest by total Medicaid payments in Elizabethtown during 2024.

Statewide in North Carolina, National Codes Established for State Medicaid Agencies led all other groupings in total Medicaid payments for 2024.

From 2020 to 2024, Medicaid payments tied to the National Codes Established for State Medicaid Agencies category in Elizabethtown climbed by $455,844, a 38.2% increase. Some years saw especially strong gains, including year-over-year jumps in 2021 and 2020.

Spending on these services was spread throughout Elizabethtown, though payments were concentrated in a few ZIP codes. In 2024, ZIP codes 28337 and 28377 recorded Medicaid payments of $1,548,229 and $99,596, respectively, for the category, making up all Medicaid payments for these services in the city for the year.

Within the National Codes Established for State Medicaid Agencies group, most Medicaid payments were associated with a limited set of billing codes.

By comparison, Medicaid payments for this group in Elizabethtown rose 28.7% between 2024 and 2023, exceeding the overall 21.9% change for all Medicaid claim categories in the area during the same time frame.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenditures were about $871.7 billion in fiscal year 2023, or 18% of national health outlays, up from roughly $613.5 billion in 2019, the year before the COVID-19 pandemic.

This expansion reflects about 40% growth in just a few years, mainly the result of more people enrolling and increased usage since the pandemic began.

Federal budget actions under the Trump administration have put forward substantial reductions in federal Medicaid funding and changes to the system. The “One Big Beautiful Bill Act,” signed into law in 2025, forecasts more than $1 trillion in federal Medicaid cuts over 10 years and implements requirements such as work mandates and higher cost-sharing, potentially affecting coverage and funding across certain groups. These policies could transition additional costs to states and slow federal Medicaid funding growth, even as the program remains central for millions of Americans.

Note: HCPCS codes are displayed for category context. Category totals and placement in this article are determined by standardized service groupings, not individual billing codes.

Information in this report was derived from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.