Apex Medicaid payments hit $2,083,850 for National Codes Established for State Medicaid Agencies in 2024

In 2024, Apex Medicaid providers billed $2,083,850 for services within the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure is a 4.5% uptick from 2023, when $1,993,462 in claims were filed for the same category of service.

Medicaid is a public insurance program managed at the state level and financed through state and federal funds. The program provides coverage to low-income residents, seniors, children and those with disabilities, making it a significant component of the U.S. health care system.

Shifts in Medicaid billing levels influence how taxpayer-funded health resources are spent in a community.

The “National Codes Established for State Medicaid Agencies” classification groups Medicaid-billed services according to types of care, based on standardized HCPCS and CPT coding. For this reporting, each billing code was assigned to a specific category using standardized code prefixes and number ranges, ensuring that related groups of services were analyzed together without double counting and with consistent rankings over time.

While spending for several Medicaid categories went up, National Codes Established for State Medicaid Agencies had the second-highest total in Apex among Medicaid payment categories during 2024.

Statewide, the National Codes Established for State Medicaid Agencies category took the top spot in North Carolina in terms of total Medicaid payments for 2024.

From 2019 through 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Apex climbed by $1,136,468, a gain of 120%. There were especially large annual increases in 2020 and 2021 during this period of growth.

Although payments for this classification were made community-wide, the spending was primarily isolated to a few ZIP codes. In 2024, ZIP code 27502 saw $2,083,850 in Medicaid payments categorized under National Codes Established for State Medicaid Agencies. Overall, just 1 ZIP code made up 100% of such Medicaid payments in Apex for the year.

Within the National Codes Established for State Medicaid Agencies grouping, most Medicaid spending was centered on a handful of billing codes.

Medicaid payments for this category in Apex rose by 4.5% year over year between 2023 and 2024, while across all categories in the city, the increase was 132.5% for the same period.

According to the Centers for Medicare & Medicaid Services, the national tally of federal and state Medicaid spending reached about $871.7 billion for fiscal year 2023, making up approximately 18% of U.S. health expenditures, up from around $613.5 billion in 2019, before the COVID-19 pandemic.

This represents a roughly 40% overall increase over several years, driven in part by expanded Medicaid enrollment and the higher usage of services during and following the pandemic era.

History of federal policy included major proposals to curtail federal Medicaid spending and to alter the program structure. For example, the “One Big Beautiful Bill Act,” signed in 2025, is projected to reduce federal Medicaid funding by more than $1 trillion over 10 years. The law also introduces policies such as job requirements and new cost-sharing, measures that could reduce access and funding for certain individuals. Taken together, these changes may place greater costs on states and slow the expansion of federal Medicaid support, even as millions continue to rely on the program.

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.