In 2024, Medicaid providers in Ozark billed $3,387,881 for services classified within the National Codes Established for State Medicaid Agencies category, based on numbers from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 75% uptick compared with 2023, when providers submitted $1,936,341 in claims for the same category.
Medicaid is a government insurance program managed by states and funded by both the federal and state governments. The program serves low-income individuals and families, the elderly, children, and people with disabilities, making it one of the largest segments of the U.S. health care system.
Since Medicaid payments are taxpayer-funded, fluctuations in local billing offer insight into how public health dollars are used within communities.
The “National Codes Established for State Medicaid Agencies” group encompasses a set of Medicaid-billed services defined by types of care, built on standardized HCPCS and CPT code groupings. For this analysis, each billing code was allocated to a single service grouping using uniform code prefixes and ranges, supporting clear examination of related services while preventing double counting and ensuring proper historical rankings.
Medicaid spending rose across several service categories, but National Codes Established for State Medicaid Agencies led all others in Ozark in total Medicaid payments for 2024.
At the state level in Missouri, National Codes Established for State Medicaid Agencies also ranked highest in terms of Medicaid payments in 2024.
From the five-year period leading up to 2024, Medicaid payments linked to the National Codes Established for State Medicaid Agencies category in Ozark rose by $2,279,971, or 205.8%. The fastest growth occurred during specific spans, with significant year-over-year increases seen in 2023 and 2020.
Although care under this category was delivered throughout Ozark, Medicaid payments showed a concentration in a small number of ZIP codes. For 2024, ZIP code 65721 logged $3,387,880—making up 100% of all Medicaid payments tied to the National Codes Established for State Medicaid Agencies in the city for the year.
Among the services grouped in the National Codes Established for State Medicaid Agencies category, larger payment amounts were focused on relatively few billing codes.
Compared to the prior year, Medicaid payments associated with this category jumped 75% in Ozark between 2024 and 2023; all Medicaid claim categories in the city rose by 27.6% during the same timeframe.
Centers for Medicare & Medicaid Services figures show that combined state and federal Medicaid payouts totaled about $871.7 billion in fiscal 2023, comprising roughly 18% of all U.S. health expenditures and representing a sharp increase from around $613.5 billion in 2019, ahead of the COVID-19 pandemic.
This gain of about 40% in just a few years has been driven largely by greater enrollment and utilization during and after the pandemic period.
Recent federal budget actions under the Trump administration have included significant proposals affecting federal Medicaid funding and the structure of the program. The “One Big Beautiful Bill Act,” signed in 2025, is expected to trim federal Medicaid funding by more than $1 trillion over 10 years and introduces work requirements and higher cost-sharing that could impact some people’s benefits and coverage. These policies are projected to push more financial responsibility onto states and slow federal Medicaid growth, even as the program continues to serve tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,107,910 | 27.9% |
| 2021 | $1,046,799 | -5.5% |
| 2022 | $1,126,539 | 7.6% |
| 2023 | $1,936,341 | 71.9% |
| 2024 | $3,387,880 | 75% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $3,387,880 | 53.1% |
| 2 | Procedures / Professional Services | $1,681,058 | 26.4% |
| 3 | Evaluation and Management | $608,089 | 9.5% |
| 4 | Durable Medical Equipment | $259,406 | 4.1% |
| 5 | Temporary National Codes (Non-Medicare) | $230,720 | 3.6% |
| 6 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $119,801 | 1.9% |
| 7 | Medicine Services and Procedures | $69,292 | 1.1% |
| 8 | Pathology and Laboratory Procedures | $12,843 | 0.2% |
| 9 | Vision Services | $8,101 | 0.1% |
| 10 | Radiology Procedures | $715 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $3,252,135 | 23 |
| T1001 | Nursing assessment/evaluatn | $135,745 | 22 |
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.
