Providers in Columbus submitted Medicaid claims totaling $5,307,484 in 2024 for services designated under the National Codes Established for State Medicaid Agencies category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an 8.9% increase from 2023, when providers billed $4,872,200 for these same services.
Medicaid is a government-run public health insurance program funded together by federal and state governments. It provides coverage to low-income populations, seniors, children, and people with disabilities and remains one of the most significant programs within the nation’s health care system.
As Medicaid payments involve taxpayer resources, shifts in local billing volumes reflect how publicly funded health care spending is distributed within the community.
The “National Codes Established for State Medicaid Agencies” grouping includes certain Medicaid-billed service types, categorized by care provided according to standardized HCPCS and CPT codes. For this review, each billing code was matched to a particular service category using set code prefixes and numerical ranges, supporting a consistent analysis of trends and preventing duplication for accurate historical ranking.
While spending rose in multiple Medicaid categories, National Codes Established for State Medicaid Agencies was the top-ranked service in the city by Medicaid payments for 2024.
Statewide in Mississippi, this category also led all others in total Medicaid payments during 2024.
Looking over the five years through 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Columbus grew by $2,130,143, a 67% increase. Steeper year-over-year spending jumps occurred during some intervals, with notable growth in both 2021 and 2023.
Though spending for these services was spread across Columbus, payments were concentrated within a select number of ZIP codes. In 2024, ZIP code 39702 accounted for $3,521,314, 39705 followed with $1,784,938, and 39701 had $1,231. Combined, these three ZIP codes made up 100% of Medicaid payments for this category in Columbus that year.
Within the National Codes Established for State Medicaid Agencies classification, Medicaid reimbursements were also tightly focused on a short list of individual billing codes.
As context, Medicaid payments linked to this service type in Columbus rose 8.9% from 2023 to 2024. Meanwhile, all Medicaid claim categories combined increased by 16.2% in the city during that timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures hit approximately $871.7 billion in FY 2023, representing around 18% of total U.S. health spending and up significantly from $613.5 billion in 2019, prior to the onset of COVID-19.
The change amounts to about 40% cumulative growth over several years, driven mostly by expanded enrollment and greater demand for Medicaid benefits during and after the pandemic.
Recent federal budget actions under the Trump administration featured major plans to decrease federal Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over the next decade. It introduces policies including work requirements and larger cost-sharing for some groups, which could result in narrower coverage and increased financial responsibility for states going forward while the program continues to serve millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,177,340 | -1% |
| 2021 | $3,717,965 | 17% |
| 2022 | $4,234,014 | 13.9% |
| 2023 | $4,872,199 | 15.1% |
| 2024 | $5,307,483 | 8.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $5,307,483 | 30.3% |
| 2 | Evaluation and Management | $4,903,462 | 28% |
| 3 | Medicine Services and Procedures | $3,008,313 | 17.2% |
| 4 | Temporary National Codes (Non-Medicare) | $923,096 | 5.3% |
| 5 | Pathology and Laboratory Procedures | $823,413 | 4.7% |
| 6 | Radiology Procedures | $751,544 | 4.3% |
| 7 | Dental Services | $584,431 | 3.3% |
| 8 | Ambulance and Other Transport Services and Supplies | $433,811 | 2.5% |
| 9 | Procedures / Professional Services | $240,136 | 1.4% |
| 10 | Surgery | $186,625 | 1.1% |
| 11 | Durable Medical Equipment | $156,234 | 0.9% |
| 12 | Drugs Administered Other than Oral Method | $55,544 | 0.3% |
| 13 | Medical And Surgical Supplies | $51,695 | 0.3% |
| 14 | Alcohol and Drug Abuse Treatment | $34,936 | 0.2% |
| 15 | Pathology and Laboratory Services | $16,358 | 0.1% |
| 16 | Vision Services | $10,495 | 0.1% |
| 17 | Temporary Codes | $6,017 | <0.1% |
| 18 | Anesthesia | $2,645 | <0.1% |
| 19 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $1,618 | <0.1% |
| 20 | Chemotherapy Drugs | $172 | <0.1% |
| 21 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 21 | Outpatient PPS | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $3,520,823 | 24 |
| T1025 | Ped compr care pkg, per diem | $1,582,584 | 12 |
| T2002 | N-et; per diem | $138,460 | 12 |
| T1026 | Ped compr care pkg, per hour | $63,894 | 11 |
| T1017 | Targeted case management | $1,231 | 3 |
| T1023 | Program intake assessment | $491 | 2 |
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.