Kingwood Medicaid payments for National Codes Established for State Medicaid Agencies rise to $681 in 2024

In 2024, Medicaid providers in Kingwood billed $681 for services categorized under National Codes Established for State Medicaid Agencies, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 138.9% increase from 2023, when claims for the same service type totaled $285.

Medicaid serves as a state-run, federally and state-funded public health insurance program, covering people with low incomes, seniors, children, and individuals with disabilities. It is among the largest components of the U.S. health care system, with more information available from the Commonwealth Fund.

Because public funds support Medicaid, fluctuations in local billing offer insight into how health care resources are distributed within a community.

The “National Codes Established for State Medicaid Agencies” classification pertains to a range of Medicaid-billed services determined by the type of care provided, using standardized HCPCS and CPT code groups. The analysis assigns each billing code to one service category based on code prefixes and numerical ranges, permitting an accurate evaluation of related service patterns over time without duplicating counts.

Medicaid expenditures increased in several service categories during the period, with National Codes Established for State Medicaid Agencies ranking 10th in Kingwood by total Medicaid payments for 2024.

Statewide in West Virginia, the National Codes Established for State Medicaid Agencies category placed first among all service types by total Medicaid payments in 2024.

From 2019 to 2024, Kingwood’s Medicaid payments connected to National Codes Established for State Medicaid Agencies rose by $157, or 29.9%. Certain years within the period, such as 2021 and 2020, saw significant annual increases.

Though payments in this category were distributed throughout Kingwood, the majority were concentrated in a small number of ZIP codes. In 2024, ZIP code 26537 accounted for all $681 in Medicaid payments tied to National Codes Established for State Medicaid Agencies, making up 100% of the category’s total local spending that year.

Within the National Codes Established for State Medicaid Agencies group, most Medicaid payments were linked to a select few billing codes.

Comparatively, Medicaid payments associated with this category in Kingwood jumped 138.9% from 2023 to 2024, outpacing the 32.5% growth recorded across all Medicaid categories in the city during that time.

The Centers for Medicare & Medicaid Services reports total Medicaid spending by federal and state sources reached about $871.7 billion in fiscal year 2023, representing roughly 18% of total national health expenditures. This figure marks a sharp increase from approximately $613.5 billion before the COVID-19 pandemic, in 2019.

This equates to roughly 40% growth over a few years, largely due to expanded enrollment and greater utilization during and following the pandemic period.

Federal budget legislation signed during the Trump administration introduced major changes to Medicaid, including proposals to cut federal funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, aims to reduce federal Medicaid spending by more than $1 trillion over the next 10 years. It also brings in new requirements, such as work criteria and higher cost-sharing, which may impact coverage for some enrollees. These policies are expected to increase the cost burden on states and limit federal Medicaid growth, though the program will continue reaching tens of millions of Americans.

Note: HCPCS codes are provided for reference inside the category. The article’s total amounts and rankings are based on standardized service groupings and not on specific billing codes.

All data in this article is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Complete source data is available here.