In 2024, Medicaid providers in Live Oak submitted $3,073,168 in claims for services under the National Codes Established for State Medicaid Agencies category, as shown in the U.S. Department of Health and Human Services Medicaid Provider Spending database. Compared to 2023, this sum represents a 7.8% rise over the $2,849,627 billed for the same service class during the previous period.
Medicaid is a state-administered public health insurance program financed through joint federal and state resources. It supports low-income individuals and families, seniors, children, and people with disabilities, making it a significant element of the U.S. health care system.
Because Medicaid draws on taxpayer funding, increases or decreases in local billing reflect shifts in how public health expenditures are directed within a community.
The “National Codes Established for State Medicaid Agencies” category encompasses a defined group of Medicaid-billed services, with classification based on HCPCS and CPT standard codes. For this review, individual billing codes were grouped into singular service categories using specified code prefixes and numerical ranges. This made it possible to analyze related services as a block and maintain consistent rankings without overlap from double counting.
Even as Medicaid provider payments climbed in various categories, spending related to National Codes Established for State Medicaid Agencies ranked first by total amount in Live Oak for 2024.
Statewide in Florida, this category placed second overall in terms of Medicaid claim payments in 2024.
From the start of the five-year period leading up to 2024, Medicaid payments in Live Oak associated with the National Codes Established for State Medicaid Agencies rose by $2,041,196, or 197.8%. Certain years, such as 2022 and 2023, saw marked annual increases within this interval.
The distribution of spending for these Medicaid services throughout Live Oak was broad but exhibited concentration within certain ZIP codes. In 2024, all payments in the National Codes Established for State Medicaid Agencies category for Live Oak—amounting to $3,073,168—were attributed to ZIP code 32064. This ZIP accounted for the full 100% of such Medicaid payments in the city that year.
A similar pattern was observed in the breakdown of payments by code: totals were focused among a small set of billing codes within the National Codes Established for State Medicaid Agencies category.
Compared to all Medicaid claim categories in Live Oak, spending growth for National Codes Established for State Medicaid Agencies rose 7.8% from 2023 to 2024 versus 8.5% growth citywide in the same span.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures reached around $871.7 billion during fiscal 2023, or about 18% of national health care costs, rising notably from approximately $613.5 billion in 2019 before the pandemic.
This increase marks roughly 40% growth over a few years, attributed primarily to increased enrollment and heightened utilization through and after the COVID-19 pandemic period.
Federal budget changes made under the Trump administration encompass significant plans to cut federal Medicaid funding and revise program structures. The “One Big Beautiful Bill Act,” signed in 2025, is anticipated to reduce federal Medicaid expenditures by more than $1 trillion over the coming decade, additionally imposing rules like work requirements and higher cost-sharing. These adjustments could reduce support and funding for certain groups while shifting responsibilities to states, yet Medicaid will remain an important resource for millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,031,972 | -1% |
| 2021 | $1,354,683 | 31.3% |
| 2022 | $1,986,307 | 46.6% |
| 2023 | $2,849,626 | 43.5% |
| 2024 | $3,073,168 | 7.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $3,073,168 | 60.2% |
| 2 | Temporary National Codes (Non-Medicare) | $1,583,082 | 31% |
| 3 | Medicine Services and Procedures | $161,629 | 3.2% |
| 4 | Ambulance and Other Transport Services and Supplies | $160,840 | 3.2% |
| 5 | Evaluation and Management | $97,166 | 1.9% |
| 6 | Alcohol and Drug Abuse Treatment | $21,793 | 0.4% |
| 7 | Dental Services | $2,592 | 0.1% |
| 8 | Surgery | $547 | <0.1% |
| 9 | Pathology and Laboratory Procedures | $259 | <0.1% |
| 10 | Procedures / Professional Services | $48 | <0.1% |
| 11 | Drugs Administered Other than Oral Method | $16 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $1,550,314 | 13 |
| T1004 | Nsg aide service up to 15min | $1,111,042 | 12 |
| T2030 | Assist living waiver/month | $411,433 | 11 |
| T1002 | Rn services up to 15 minutes | $378 | 3 |
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.
