Medicaid categories tied to National Codes Established for State Medicaid Agencies total $885,524 in Holly Springs for 2024

In 2024, providers serving Medicaid patients in Holly Springs billed $885,524 for services under the National Codes Established for State Medicaid Agencies category, as compiled by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 10.4% increase from 2023, when claims for this group reached $802,119.

Medicaid, a state-administered program jointly funded by state and federal governments, provides health insurance coverage to individuals and families with low incomes, as well as seniors, children, and people with disabilities. It is recognized as a critical segment of the U.S. health care system.

As Medicaid payments are sourced from taxpayers, variations in community-level billing demonstrate how public health funds are spent locally.

The “National Codes Established for State Medicaid Agencies” category covers services that fall within groupings of standardized HCPCS and CPT code sets—categorized by the care provided. For this report, billing codes were grouped based on standardized prefixes and numeric ranges, ensuring distinct services could be tracked as a single category without redundancy and with accurate comparative rankings over different years.

While Medicaid expenditures expanded in multiple areas, National Codes Established for State Medicaid Agencies ranked as the second largest category in Holly Springs by payment volume for 2024.

Statewide, North Carolina reported the National Codes Established for State Medicaid Agencies category as its largest Medicaid expense in 2024.

Across the five years before 2024, Medicaid payments in Holly Springs tied to this category increased by $474,086, or 115.2%. The pace of growth varied, with significant year-over-year jumps in both 2023 and 2022.

Although the city’s Medicaid spending for this category was disbursed across different areas, most payments occurred within a small handful of ZIP codes. In 2024, the 27540 ZIP code accounted for $885,524 in Medicaid disbursements tied to this grouping, making up 100% of the locality’s spending in this area.

Medicaid reimbursements within the National Codes Established for State Medicaid Agencies category were also concentrated among just a few billing codes.

For context, the category’s 10.4% rise in Medicaid payments in Holly Springs from 2023 to 2024 was slightly higher than the 10.1% change observed for all Medicaid claim categories citywide during the same period.

According to the Centers for Medicare & Medicaid Services, combined spending by the federal and state governments for Medicaid reached approximately $871.7 billion in fiscal 2023—representing about 18% of all U.S. health spending and up significantly from roughly $613.5 billion in 2019, before the COVID-19 crisis.

This marks an increase of nearly 40% over several years, largely attributed to expanded enrollment and utilization spikes related to and after the pandemic period.

Recent congressional fiscal policies passed during the Trump administration included substantial changes for Medicaid, notably the “One Big Beautiful Bill Act,” which became law in 2025. The law is projected to reduce federal Medicaid spending by over $1 trillion in the coming decade with additions such as work requirements and enhanced cost-sharing. These shifts may decrease enrollment and funding, moving more financial responsibility to individual states while Medicaid still covers tens of millions of Americans.

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.