Mayo Medicaid payments for National Codes Established for State Medicaid Agencies climb to $483,940 in 2024

Mayo Medicaid providers billed a total of $483,940 for services under the National Codes Established for State Medicaid Agencies category in 2024, based on the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflected a 20.1% increase from 2023, when $403,048 was billed for services in the same category.

Medicaid is a state-run health insurance program funded jointly by federal and state governments. It serves low-income people and families, seniors, children, and those with disabilities. This makes Medicaid one of the largest components of U.S. health care.

As Medicaid relies on taxpayer funding, changes in billing at the local level reflect how community health care resources are distributed.

The “National Codes Established for State Medicaid Agencies” category encompasses a collection of Medicaid-billed services defined by the kind of care rendered, as organized by standardized HCPCS and CPT code groupings. In this analysis, each billing code was classified into a single service category using set code prefixes and number ranges to ensure related services were evaluated together, avoiding duplicates and maintaining accurate rankings by year.

Spending for Medicaid in Mayo increased across several service categories, with National Codes Established for State Medicaid Agencies leading by total Medicaid payments in 2024.

Statewide in Florida, this category ranked second in Medicaid payment totals in 2024.

Between 2019 and 2024, Medicaid payments in Mayo for the National Codes Established for State Medicaid Agencies category rose by $300,017, a 163.1% increase. Growth accelerated at certain times, with significant year-over-year increases in 2020 and 2021.

While Medicaid payments for the category were distributed throughout Mayo, a small number of ZIP codes accounted for most spending. In 2024, ZIP code 32066 incurred $483,940 in Medicaid payments for this category, representing 100% of Mayo’s total for the year.

Within this category, Medicaid payments were focused on a narrow set of billing codes.

Compared to an overall 6.2% change across Medicaid claim categories in Mayo from 2023 to 2024, payments for the National Codes Established for State Medicaid Agencies category grew by 20.1% over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, which was roughly 18% of all U.S. health expenditures. This figure increased sharply from about $613.5 billion in 2019 before the COVID-19 pandemic.

This jump represents roughly 40% growth over just a few years, largely due to increased enrollment and greater use during and following the pandemic.

Recent federal budget laws enacted during the Trump administration introduced major proposals to cut federal Medicaid spending and change the program’s structure. For instance, the “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the coming decade. It also brings new policies like work requirements and higher cost-sharing, which may lower coverage and funding for some recipients. These adjustments are likely to shift a larger share of program costs to states while limiting federal Medicaid funding growth, even as millions remain covered by Medicaid.

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.