Medicaid spending for National Codes Established for State Medicaid Agencies in Cleveland hits $4,064,232 in 2024

In 2024, Medicaid providers in Cleveland billed a total of $4,064,232 for services assigned to the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented a 34.7% rise from 2023, when claims for this category reached $3,017,917.

Medicaid, a public health insurance program run by state governments and supported with federal and state funds, insures low-income families, children, seniors, and people with disabilities—making it one of the largest components of the U.S. health care system.

Because Medicaid payments rely on taxpayer dollars, local changes in billing levels demonstrate how health care funds are distributed within a community.

The National Codes Established for State Medicaid Agencies category groups Medicaid-billed services based on standardized HCPCS and CPT coding. In this analysis, each billing code was matched to a single service grouping using uniform prefix and numeric rules to enable analysis of related services while avoiding double counting and ensuring consistent rankings over time.

Medicaid spending grew across multiple service groups, with National Codes Established for State Medicaid Agencies taking the top position in Cleveland by total Medicaid dollars paid in 2024.

Statewide in Missouri, this category also led all services by total Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Cleveland climbed by $3,438,113, or 549.1%. There was notable acceleration in spending, especially in 2023 and 2022, with significant year-over-year gains.

Although such services were provided throughout Cleveland, payments were especially focused in a few ZIP codes. In 2024, ZIP code 64734 alone registered $4,064,232 in Medicaid payments tied to the category. This single ZIP code accounted for all Medicaid dollars assigned to the National Codes Established for State Medicaid Agencies category in Cleveland that year.

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

From 2023 to 2024, Cleveland saw Medicaid payments under this category rise by 34.7%—the same increase recorded across all Medicaid claim categories citywide for the period.

Centers for Medicare & Medicaid Services data indicates federal and state Medicaid expenses reached approximately $871.7 billion in fiscal year 2023. This made up nearly 18% of total U.S. health spending, a substantial increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This rise reflects an about 40% increase over several years, largely attributed to expanded enrollment and higher service use during and post-pandemic.

Recent federal budget measures during the Trump administration included significant proposals for federal Medicaid funding cuts and program redesign. Specifically, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to reduce federal Medicaid spending by over $1 trillion over 10 years and introduces measures such as work requirements and increased cost-sharing. These changes are expected to shift additional funding responsibility to states and limit federal support growth, while Medicaid continues to cover 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.