Medicaid payments related to National Codes Established for State Medicaid Agencies climbed 126.3% in Tracy City in 2024

In 2024, Medicaid providers in Tracy City submitted $149,966 in claims for services grouped within 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. That amount reflects a jump of 126.3% compared with 2023, when the same service category saw $66,283 in claims.

Medicaid is a publicly funded health insurance initiative managed by states and financed through both federal and state contributions. It provides coverage for low-income individuals and families, seniors, children, and people with disabilities—making it a central component of the U.S. health care system.

Because Medicaid is funded by taxpayer dollars, shifts in billing levels locally reflect how public health care resources are distributed in a community.

The “National Codes Established for State Medicaid Agencies” refers to a collection of Medicaid-billed services based on specific types of care, as defined by standard HCPCS and CPT code sets. Each code was allocated to a single service grouping for this analysis, using standardized code prefixes and ranges to ensure related services were reviewed together without overlap or miscounting, preserving the accuracy of annual comparisons and rankings.

Medicaid spending in several service categories rose, but National Codes Established for State Medicaid Agencies stood out as the largest category by payment total in Tracy City for 2024.

Statewide in Tennessee, National Codes Established for State Medicaid Agencies was also the leading category for Medicaid spending in 2024.

Over the five years preceding 2024, Tracy City’s Medicaid payments for the National Codes Established for State Medicaid Agencies category rose $31,645, a 26.7% increase. Growth in spending accelerated at several points, with substantial annual gains noted in both 2023 and 2022.

Although these Medicaid payments were scattered throughout Tracy City, a small number of ZIP codes concentrated most of the spending. In 2024, ZIP code 37387 saw the full $149,966 tied to this category, representing 100% of such payments citywide for the year.

Within the National Codes Established for State Medicaid Agencies category, payment volumes were also highly concentrated among just a few billing codes.

Between 2024 and 2023, payments tied to National Codes Established for State Medicaid Agencies in Tracy City increased by 126.3%, compared to a 75.8% rate across all Medicaid claim types locally over the same period.

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

This total marks growth of roughly 40% in just a few years, with most of the increase tied to expanded program enrollment and greater usage during and following the pandemic period.

Recent federal budget moves under the Trump administration contained prominent proposals to lower federal Medicaid outlays and revise the program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid funds by more than $1 trillion over 10 years and implement measures such as work requirements and heightened cost-sharing, potentially curtailing coverage for some recipients. These initiatives are projected to shift greater costs onto states and limit growth in federal Medicaid assistance, even as enrollment remains high.

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.