Belington’s Medicaid payments for national codes rise to $1,819,837 in 2024

In 2024, Medicaid providers in Belington billed $1,819,837 for services categorized 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 66.9% increase compared with 2023, when providers submitted $1,090,054 for the same type of service.

Medicaid, operated by states and funded jointly by the state and federal governments, covers low-income people and families, seniors, children, and individuals with disabilities. Medicaid remains one of the largest components of the U.S. health care system.

Changes in local Medicaid billing levels, because they draw on taxpayer funding, illustrate how public funding for health care is distributed within a community.

The “National Codes Established for State Medicaid Agencies” category groups services by care type, defined through standardized HCPCS and CPT code blocks. For this report, a single billing code was attributed to a service category using consistent code prefixes and ranges, ensuring related services could be examined together while accurate rankings were maintained and double counting was avoided.

Although spending grew across many service types, National Codes Established for State Medicaid Agencies finished second among all Medicaid payment categories in Belington for 2024.

Statewide in West Virginia, the National Codes Established for State Medicaid Agencies category was the leading category by total Medicaid payments during 2024.

From 2019 through 2024, Medicaid payments linked to the National Codes Established for State Medicaid Agencies category in Belington rose by $1,065,321, or 141.2%. There were periods of accelerated spending growth, with significant yearly gains in both 2020 and 2021.

While these expenditures were spread throughout the city, Medicaid payments in the National Codes Established for State Medicaid Agencies category tended to be focused within a small set of ZIP codes. In 2024, ZIP code 26250 accounted for $1,819,837 in spending. As a result, the single top ZIP code represented 100% of all Medicaid payments tied to this category in Belington for the year.

Payments within the category were also concentrated in a limited set of specific billing codes.

To compare, between 2024 and 2023, Medicaid payments in Belington for this category increased by 66.9%, while all Medicaid claim categories together saw a 12.4% change for the city over the same span.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up approximately 18% of overall national health expenditures—a steep rise from the $613.5 billion recorded in 2019, before the onset of the COVID-19 pandemic.

That difference marks growth near 40% over several years, largely due to increased enrollment and greater usage during and after the pandemic.

Major proposals to cut federal Medicaid funding and change the program have featured in recent federal budget laws under the Trump administration. As an example, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to reduce federal Medicaid spending by over $1 trillion over the next 10 years, while implementing policies like work requirements and higher cost-sharing that could lower both coverage and funding for some users. These adjustments are likely to move more costs onto states and check the increase in federal Medicaid contributions, even as the program continues to serve 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.