Clinton Medicaid payouts for National Codes Established for State Medicaid Agencies increase 10.5% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In Clinton, providers billed $20,122,060 in 2024 for Medicaid services under the National Codes Established for State Medicaid Agencies category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 10.5% uptick from 2023, when the city’s providers filed $18,216,310 in claims for similar services.

Medicaid, operated at the state level and funded by both federal and state governments, serves low-income people and families, children, seniors, and those with disabilities. It stands among the nation’s largest health care programs.

Because taxpayer funding supports Medicaid, fluctuations in local billing inform how public health care spending is allocated in a locality.

The category “National Codes Established for State Medicaid Agencies” consists of Medicaid-billed services defined by specific care types, using standardized HCPCS and CPT coding systems. In this analysis, each code was grouped under one service category according to numerical prefixes and ranges—helping to analyze related services while minimizing duplication and ensuring accurate rankings over time.

Among all Medicaid service categories in Clinton for 2024, National Codes Established for State Medicaid Agencies had the highest total payment, reflecting growth in several categories.

For Mississippi overall, this service category also led in statewide Medicaid payments for 2024.

Over the five years ending in 2024, Clinton saw Medicaid payments linked to this category climb by $7,544,772, equal to a 60% gain. The city experienced especially robust growth in certain years, with significant annual increases in both 2023 and 2021.

Payments for care in this category were distributed throughout Clinton but were concentrated in a small number of ZIP codes. In 2024, ZIP code 39056 alone accounted for $20,122,059 in Medicaid payments for National Codes Established for State Medicaid Agencies services, representing 100% of the total from this category in the city for the year.

Spending within this category was also focused on a few specific individual billing codes.

When compared with all other Medicaid claim types, payments related to the National Codes Established for State Medicaid Agencies category grew 10.5% in Clinton from 2023 to 2024, as opposed to a broader 21.3% increase seen across all claim categories citywide in the same period.

Data from the Centers for Medicare & Medicaid Services shows that total Medicaid spending by states and the federal government reached about $871.7 billion in fiscal year 2023—roughly 18% of total national health spending—up from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth, about 40% in several years, was driven largely by higher enrollment rates and increased use of health care services during and following the pandemic.

Federal budget legislation enacted under the Trump administration introduced considerable proposals to decrease federal Medicaid spending and change the program structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is projected to cut more than $1 trillion from Medicaid’s federal funding over the next decade; it introduces work requirements and more cost-sharing, policies that may restrict access and coverage for some recipients while shifting further costs to states and limiting federal Medicaid expansion.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Clinton, Mississippi Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $12,577,287 9.6%
2021 $14,218,099 13%
2022 $15,120,691 6.3%
2023 $18,216,310 20.5%
2024 $20,122,059 10.5%
Top Categories by Medicaid Payments in Clinton, Mississippi, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $20,122,059 71.1%
2 Temporary National Codes (Non-Medicare) $7,029,007 24.8%
3 Medicine Services and Procedures $455,911 1.6%
4 Alcohol and Drug Abuse Treatment $224,871 0.8%
5 Dental Services $169,199 0.6%
6 Procedures / Professional Services $103,794 0.4%
7 Evaluation and Management $87,918 0.3%
8 Vision Services $82,596 0.3%
9 Pathology and Laboratory Procedures $18,242 0.1%
10 Drugs Administered Other than Oral Method $30 <0.1%
11 Medical And Surgical Supplies $1 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Clinton, Mississippi, 2024

HCPCS Code Description Medicaid Payments Claims
T1019 Personal care ser per 15 min $18,986,578 12
T1025 Ped compr care pkg, per diem $706,230 12
T1030 Rn home care per diem $255,401 11
T1026 Ped compr care pkg, per hour $127,604 11
T2002 N-et; per diem $44,798 10
T1001 Nursing assessment/evaluatn $1,446 1

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.



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