Medicaid payments in Lebanon for National Codes Established for State Medicaid Agencies grow 29.2% in 2024

Lebanon Medicaid providers billed $6,056,705 for services in the National Codes Established for State Medicaid Agencies category during 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 29.2% rise from 2023, when providers reported $4,688,587 in claims for the same services.

Medicaid, a public insurance program managed by states and funded in partnership with federal and state governments, provides coverage to low-income families and individuals, seniors, children, and people with disabilities. It is one of the largest programs in the U.S. health care system. For more on funding, see this explanation.

Because Medicaid expenditures are taxpayer-funded, local changes in claims reflect community-level allocation of public health dollars.

The “National Codes Established for State Medicaid Agencies” category represents services billed to Medicaid according to the specific type of care delivered, grouped by standard HCPCS and CPT classifications. This reporting method assigns each code to a single category using uniform code prefixes and numbers. This approach allows for trend analysis and accurate rankings by grouping similar services while preventing double counting.

Among service categories, National Codes Established for State Medicaid Agencies led all Medicaid payments in Lebanon in 2024.

On a statewide basis in Missouri, this category also ranked first in total Medicaid spending in 2024.

In the five years before 2024, Medicaid payments for this category in Lebanon increased by $4,024,386 (198%). The data show spending accelerated at certain points, with substantial year-over-year growth recorded for 2023 and 2022.

While services in this Medicaid category were billed throughout Lebanon, the majority of payments were concentrated in a single ZIP code. In 2024, the ZIP code 65536 accounted for $6,056,704, or 100% of the payments in this category in the city.

Payments within the National Codes Established for State Medicaid Agencies category were generally concentrated among a few key individual billing codes.

By comparison, Lebanon experienced a 29.2% gain in Medicaid payments in this specific category from 2023 to 2024, while overall Medicaid claim categories in the city increased by 6% in the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures totaled roughly $871.7 billion in the 2023 fiscal year, representing about 18% of all U.S. health spending—a steep increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This climb amounts to a roughly 40% growth within a few years, largely tied to higher enrollment and rising utilization in and after the pandemic period.

Recent federal budget legislation during the Trump administration included significant plans to decrease federal Medicaid funding and revise the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to cut federal Medicaid funding by over $1 trillion over the next decade, adding new measures such as work requirements and greater cost-sharing for beneficiaries, which could reduce both coverage and funding. These changes are expected to shift more expenses to the states and limit the pace of growth for federal contributions, even as the program continues to cover 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.