Medicaid payments for National Codes Established for State Medicaid Agencies in Terry jump 803.1% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Terry billed $499,288 for services categorized under the National Codes Established for State Medicaid Agencies, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a significant 803.1% increase from 2023, when $55,288 was billed for the same category.

Medicaid, a public health insurance initiative operated by state governments with federal and state funding, covers low-income groups, older adults, children, and individuals with disabilities, making it a major component of the U.S. health system. More information is available at the Commonwealth Fund.

Since Medicaid payments use taxpayer funds, changes in local billing patterns highlight how health care resources are distributed within the community.

The “National Codes Established for State Medicaid Agencies” category includes Medicaid-billed services based on standardized HCPCS and CPT code groupings. For analysis, each billing code is assigned to one service category using code prefixes and number ranges, ensuring related services are grouped together, avoiding duplication, and maintaining precise year-over-year comparisons.

While several Medicaid service categories saw increased spending, National Codes Established for State Medicaid Agencies was the second-highest ranked by total Medicaid payments in Terry for 2024.

Across Mississippi, National Codes Established for State Medicaid Agencies held the top statewide position for total Medicaid payments in 2024.

Looking at the five years before 2024, Medicaid spending linked to National Codes Established for State Medicaid Agencies in Terry rose by $494,895, or 11266.1%. Growth rates accelerated in certain periods, with notable increases between 2023 and 2021.

Within the city, payments for these services were concentrated in specific ZIP codes. In 2024, ZIP code 39170 accounted for $499,288 of Medicaid payments in this category, with the top 1 ZIP codes comprising 100% of the spending tied to National Codes Established for State Medicaid Agencies in Terry in that year.

Payments in this category were also concentrated among a small number of medical billing codes.

To compare, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Terry jumped 803.1% from 2023 to 2024, while payments across all Medicaid claim categories in Terry grew by 1.3% in the same timeframe.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, which represented nearly 18% of all national health expenditures—a sharp increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This change reflects a roughly 40% rise over a few years, mainly driven by expanded enrollment and greater usage during and after the pandemic.

Recent federal budget legislation during the Trump administration introduced major proposals to reduce federal Medicaid funding and modify the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is projected to cut federal Medicaid spending by more than $1 trillion over the next decade, with new policies such as work requirements and higher cost-sharing that could cut coverage and funding for some recipients. These changes are expected to place greater financial responsibility on states and limit federal Medicaid growth, even as the program continues to cover millions across the country.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $4,392 -99.2%
2021 $9,148 108.3%
2022 $13,747 50.3%
2023 $55,288 302.2%
2024 $499,288 803.1%
Top Categories by Medicaid Payments in Terry, Mississippi, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary National Codes (Non-Medicare) $3,315,013 86.5%
2 National Codes Established for State Medicaid Agencies $499,288 13%
3 Evaluation and Management $19,495 0.5%
4 Medicine Services and Procedures $0 <0.1%
4 Pathology and Laboratory Procedures $0 <0.1%
4 Procedures / Professional Services $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Terry, Mississippi, 2024

HCPCS Code Description Medicaid Payments Claims
T1020 Personal care ser per diem $489,742 12
T1001 Nursing assessment/evaluatn $9,545 12

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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