Clinton sees $305,383 in 2024 Medicaid payments for National Codes Established category

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Clinton billed $305,383 for services under the National Codes Established for State Medicaid Agencies category in 2024. This reflects an 18.6% increase over 2023, when claims in this category totaled $257,596.

Medicaid, a state-administered health insurance program jointly funded by state and federal governments, supports low-income people, seniors, children and individuals with disabilities, making it a major component of the U.S. health care system. Additional details on program funding are available from the Commonwealth Fund.

Because taxpayer dollars fund Medicaid, shifts in local billing provide insight into how public health spending is distributed in a particular area.

The “National Codes Established for State Medicaid Agencies” group includes services categorized by the type of care, based on standardized HCPCS and CPT code collections. Each code used in this analysis was assigned to a single service group according to consistent code prefixes and number ranges, ensuring services were grouped accurately and ranked without duplication over time.

While Medicaid outlays grew across several categories, National Codes Established for State Medicaid Agencies was the second largest by payment amount in Clinton for 2024.

Across Indiana, this category placed fourth in terms of total Medicaid payments in 2024.

From 2019 through 2024, Clinton’s Medicaid payments associated with the National Codes Established for State Medicaid Agencies increased by $169,586, or 124.9%. Some periods, including 2022 and 2021, saw especially marked gains.

Citywide, spending in this category was geographically concentrated, with the majority of payments coming from a small number of ZIP codes. In 2024, ZIP code 47842 accounted for $305,382 in Medicaid payments for services in this group, representing 100% of Clinton’s total.

Payments within this service category were also focused on a select set of individual billing codes.

For additional context, Medicaid payments for the National Codes Established for State Medicaid Agencies in Clinton went up 18.6% between 2024 and 2023, while total Medicaid payments across all claim categories in the city increased 23.8% in the same time frame.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached approximately $871.7 billion for fiscal year 2023, making up about 18% of all national health spending, which is a significant rise from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This increase amounts to roughly 40% growth in recent years, largely attributed to higher program enrollment and utilization during and following the pandemic period.

Recent federal budget bills approved during the Trump administration have proposed major changes to Medicaid, including efforts to lower federal funding and alter program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over the next decade, introducing policies such as work requirements and higher cost-sharing that could impact coverage and shift more financial responsibility to states while constraining future federal program growth.

Note: HCPCS codes are included to illustrate the category. Totals and rankings are calculated based on standardized service groups, not individual billing codes.

Data for this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original dataset can be accessed here.