Medicaid payments linked to National Codes Established for State Medicaid Agencies reached $4.2 million in Florida City in 2024

Florida City Medicaid providers billed $4,235,436 in 2024 for services classified under the National Codes Established for State Medicaid Agencies, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 31.6% rise from 2023, when claims for the same service type totaled $3,218,690.

Medicaid is an insurance program jointly funded by federal and state governments and managed by the states. It provides coverage to people with low incomes, seniors, children and individuals with disabilities, making it a core element in the U.S. health care system.

Since Medicaid payments come from tax dollars, changes in local billing levels reveal how public health care resources are allocated within communities.

The “National Codes Established for State Medicaid Agencies” service grouping defines a set of Medicaid-billed services tracked by care type using standardized HCPCS and CPT code collections. For this report, each billing code was categorized to a single service category through consistent code prefixes and number ranges, ensuring related services are grouped without double counting and that rankings remain accurate year over year.

While several Medicaid service categories experienced higher spending, National Codes Established for State Medicaid Agencies ranked first for total Medicaid payments in Florida City during 2024.

Statewide, the National Codes Established for State Medicaid Agencies category was second in Florida by total Medicaid payments in 2024.

Over the five years preceding 2024, Florida City’s Medicaid payments connected to the National Codes Established for State Medicaid Agencies climbed by $1,385,803, or 48.6%. There were notable periods of accelerated spending growth, particularly in 2023 and 2020, with year-over-year increases during these times.

Although payments for care in the National Codes Established for State Medicaid Agencies category spanned the city, most were concentrated in a small number of ZIP codes. In 2024, ZIP code 33034 alone accounted for $4,235,435, with the top single ZIP code making up 100% of Medicaid payments related to this category in Florida City for the year.

Spending within the National Codes Established for State Medicaid Agencies category was focused on a few billing codes.

For context, Medicaid payments in Florida City for the National Codes Established for State Medicaid Agencies category jumped by 31.6% from 2023 to 2024, compared with a 29.4% increase observed across all Medicaid claim categories in the city over the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023, taking up around 18% of all national health expenditures, up sharply from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth equals about a 40% rise over a few years, largely driven by health coverage expansions and increased care use linked to pandemic-related trends.

Major federal budget legislation enacted under the Trump administration included proposals to reduce national Medicaid funding and overhaul the program. The “One Big Beautiful Bill Act,” signed in 2025, is expected to trim federal Medicaid spending by more than $1 trillion over the next decade, introducing cost-sharing hikes and work requirements. These provisions could cut funding and coverage for some enrollees, shift more costs to states and place new limits on federal Medicaid growth, though the program continues serving tens of millions nationwide.

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.