Medicaid payments for National Codes Established for State Medicaid Agencies increase 3.5% in Rogersville in 2024

In 2024, Medicaid providers in Rogersville billed $493,957 for services within the National Codes Established for State Medicaid Agencies category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 3.5% increase over the 2023 total, when providers submitted $477,280 in claims for these services.

Medicaid is a public insurance program managed by each state and funded by federal and state governments jointly. Designed to cover low-income individuals, families, children, seniors and people with disabilities, the program is one of the largest components of the U.S. health care system.

Because taxpayer money funds Medicaid payments, changes in local billing levels reflect how health care resources are spent in the community.

The “National Codes Established for State Medicaid Agencies” category includes Medicaid-billed services defined by the nature of care given, classified via standardized HCPCS and CPT code groups. Each billing code was placed in a single service category using consistent prefixes and numeric ranges, enabling analysis of similar services together while avoiding duplication and preserving weighted rankings over time.

Across different service categories, Rogersville saw National Codes Established for State Medicaid Agencies at the top by total Medicaid payments in 2024.

This category also held the statewide lead by overall Medicaid payments in Missouri for 2024.

Over the five years ending with 2024, Medicaid payments in Rogersville for this category grew by $193,021, or 64.1%. Spending growth picked up pace during certain periods, particularly with significant increases year over year in 2022 and 2023.

Payments for care in the National Codes Established for State Medicaid Agencies category were distributed across Rogersville but were concentrated within just a few ZIP codes. In 2024, ZIP code 65742 saw the most Medicaid payments for this category, at $493,957. The top 1 ZIP codes accounted for the entire amount of Medicaid payments for this category in the city for the year.

Within this group, Medicaid payments remained concentrated among a few individual billing codes.

To compare, between 2024 and 2023, Medicaid payments for this category in Rogersville went up 3.5%, while all Medicaid claim categories in the area climbed by 33.2% in the same span.

The Centers for Medicare & Medicaid Services reports combined federal and state Medicaid spending reached nearly $871.7 billion during the 2023 fiscal year, accounting for about 18% of overall U.S. health expenditures, up from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This increase amounts to roughly 40% growth within a few years, primarily resulting from rising enrollment and greater service use during and following the pandemic period.

Recent federal budget legislation approved under the Trump administration contained major proposals to decrease federal Medicaid contributions and revise the program’s foundations. For example, the “One Big Beautiful Bill Act,” signed in 2025, is set to reduce federal Medicaid funds by more than $1 trillion over the next 10 years and brings new policies such as work requirements and increased cost-sharing that could impact coverage and funding for some enrollees. These changes are projected to shift additional costs to states and may restrict the growth of federal Medicaid assistance even as the program serves millions nationwide.

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.