Bruceton Mills Medicaid claims for National Codes Established for State Medicaid Agencies reach $96,212 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Medicaid providers in Bruceton Mills billed $96,212 for services under the National Codes Established for State Medicaid Agencies category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This constituted a 2174.5% increase from 2023, when $4,230 was billed for the same category of services.

Medicaid, a public health insurance program administered by states and funded jointly by the federal and state governments, provides coverage for low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the U.S. health care system.

As Medicaid is funded by taxpayers, shifts in local billing patterns highlight how public health care funding is distributed in a community.

The “National Codes Established for State Medicaid Agencies” group refers to a set of Medicaid-billed services defined by care type, utilizing standardized HCPCS and CPT code groupings. In this analysis, each billing code was classified into a distinct service category based on code prefixes and numeric sequences, ensuring services could be tracked together without inflating totals and maintaining consistent year-over-year rankings.

Medicaid spending grew across several service categories; however, National Codes Established for State Medicaid Agencies led all categories by total Medicaid payments in Bruceton Mills in 2024.

Across West Virginia, National Codes Established for State Medicaid Agencies was the top service category by Medicaid payment totals in 2024.

In the five years before 2024, Medicaid spending associated with National Codes Established for State Medicaid Agencies in Bruceton Mills increased by $96,212, or 0%. Some periods saw faster growth, with significant year-on-year rises observed in 2023 and 2022.

Although spending on National Codes Established for State Medicaid Agencies services occurred throughout the city, most payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 26525 accounted for $96,211, representing 100% of Medicaid payments for this category in Bruceton Mills during the year.

Within the National Codes Established for State Medicaid Agencies category, most Medicaid payments were focused on a handful of specific billing codes.

For further context, Medicaid payments linked to National Codes Established for State Medicaid Agencies in Bruceton Mills climbed 2174.5% from 2023 to 2024, as opposed to a 240.5% rise across all Medicaid claim categories in the city within the same timeframe.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, accounting for roughly 18% of total national health expenditures—an increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase reflects approximately 40% growth in only a few years, driven mainly by higher enrollment and usage during and after the pandemic.

Recent federal budget legislation under the Trump administration has included sizable proposals to reduce federal Medicaid funding and alter the program. For example, the “One Big Beautiful Bill Act,” which became law in 2025, is projected to lower federal Medicaid funding by more than $1 trillion over the next ten years and brings in rules like work requirements and increased cost-sharing that could affect coverage and funding for some recipients. These revisions are anticipated to shift more financial responsibility to states and slow the growth of federal Medicaid funding, even as the program continues to serve tens of millions of people in the U.S.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Bruceton Mills, West Virginia Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2023 $4,230
2024 $96,211 2174.3%
Top Categories by Medicaid Payments in Bruceton Mills, West Virginia, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $96,211 10<0.1%
2 Evaluation and Management $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Bruceton Mills, West Virginia, 2024

HCPCS Code Description Medicaid Payments Claims
T1015 Clinic service $96,211 26

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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