In 2024, providers in Carrollton billed $146,464 to Medicaid for services under the National Codes Established for State Medicaid Agencies category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 1% increase from 2023, when claims for these services reached $144,947.
Medicaid operates as a public health insurance program managed by state authorities and jointly funded by the federal and state governments, according to the Commonwealth Fund. The program provides coverage for low-income populations, seniors, children and individuals with disabilities, making it one of the largest sectors in the nation’s health system.
Since Medicaid payments derive from taxpayer funding, fluctuations in local billing reflect shifts in the allocation of health care resources across the community.
The “National Codes Established for State Medicaid Agencies” category consists of services that are defined by the care rendered, using standardized HCPCS and CPT code sets. For this review, each billing code was included in just one service category through definitive code sequences and numeric blocks, which enabled grouping related services, reduced overlapping, and ensured accurate tracking year after year.
Multiple Medicaid service categories saw increased spending, and in Carrollton, National Codes Established for State Medicaid Agencies accounted for the top spot in total Medicaid reimbursements for 2024.
Statewide in Alabama, National Codes Established for State Medicaid Agencies also ranked as the leading category by total Medicaid payment for 2024.
Over the five years preceding 2024, Carrollton’s Medicaid payments for the National Codes Established for State Medicaid Agencies climbed by $132,093, reflecting a 919.1% rise. Certain intervals showed accelerated growth, most notably in 2022 and 2023, with sharp increases year over year.
Although payments for care in this service category extended throughout Carrollton, they were heavily focused among a small number of ZIP codes. In 2024, ZIP code 35447 accounted for $146,463, with this top ZIP code making up 100% of all reported Medicaid reimbursements for the National Codes Established for State Medicaid Agencies category in the area.
Within this category, a limited group of billing codes accounted for the majority of Medicaid payments.
Looking at the broader change, Carrollton saw a 1% rise in Medicaid payments for National Codes Established for State Medicaid Agencies between 2024 and 2023, while all Medicaid claim categories in the city experienced a 29.6% increase in the same period.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending was approximately $871.7 billion in fiscal year 2023, comprising around 18% of total national health expenditures. This is a sharp rise from the $613.5 billion spent in 2019 before the COVID-19 pandemic.
This jump reflects roughly 40% growth in just a few years, fueled in large part by broader enrollment and increased service use during and after the pandemic.
Federal budget legislation enacted during the Trump administration included major initiatives to cut federal Medicaid support and make structural changes. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to slash federal Medicaid funding by over $1 trillion over the next decade and establishes new requirements like work mandates and increased cost-sharing, which may restrict coverage and funding for certain groups. These policy changes are projected to shift more fiscal responsibility to states and limit growth in federal support, even as Medicaid still serves millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $14,371 | -90.3% |
| 2021 | $10,892 | -24.2% |
| 2022 | $84,420 | 675% |
| 2023 | $144,947 | 71.7% |
| 2024 | $146,463 | 1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $146,463 | 48.6% |
| 2 | Evaluation and Management | $85,741 | 28.5% |
| 3 | Ambulance and Other Transport Services and Supplies | $63,439 | 21.1% |
| 4 | Pathology and Laboratory Procedures | $4,757 | 1.6% |
| 5 | Medicine Services and Procedures | $523 | 0.2% |
| 6 | Temporary National Codes (Non-Medicare) | $280 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $146,463 | 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.
The information for this story was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Original data may be accessed here.
