Lumberport Medicaid payments for National Codes Established for State Medicaid Agencies hit $70,300 in 2024

Providers in Lumberport billed a total of $70,300 to Medicaid 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 represented a 5.4% gain from 2023, when $66,722 was reported for these services.

Medicaid operates as a state-managed public insurance program, funded jointly by the state and federal governments. The program provides health coverage to low-income families and individuals, seniors, children, and people with disabilities, making it a central element of health care in the United States.

Since Medicaid is taxpayer-funded, shifts in local billing illustrate changes in how public health care resources are distributed in each community.

The “National Codes Established for State Medicaid Agencies” grouping covers Medicaid-billed medical services defined by the kind of care delivered using standard HCPCS and CPT coding. For this reporting, each billing code was matched to one service category through consistent code prefixes and ranges, which kept related services together while avoiding double counting and allowing comparisons across years.

Among multiple Medicaid service categories with increased expenditures, National Codes Established for State Medicaid Agencies held the top ranking for total payments in Lumberport in 2024.

Across West Virginia, this same service category also led all others statewide in total Medicaid payments for 2024.

From 2019 through 2024, Lumberport’s Medicaid payments linked to the National Codes Established for State Medicaid Agencies rose by $53,614, an increase of 321.3%. The rate of spending climbed rapidly in select years, with substantial year-over-year growth reported in 2023 and 2022.

Though Medicaid funds for this category were disbursed throughout Lumberport, the majority were concentrated in just a few ZIP codes. In 2024, ZIP code 26386 reported $70,300 in spending, accounting for 100% of the Medicaid payments tied to this category in the city.

Spending under the National Codes Established for State Medicaid Agencies category was further focused among a small set of Medicaid billing codes.

Medicaid funds for this category in Lumberport increased by 5.4% from 2023 to 2024, outpacing the 3.7% growth rate for all Medicaid claim categories locally during that time frame.

According to the Centers for Medicare & Medicaid Services, the combined federal and state Medicaid outlays reached about $871.7 billion in fiscal 2023, representing roughly 18% of the nation’s total health spending—an increase from $613.5 billion in 2019, before the onset of COVID-19.

This jump reflects around 40% overall growth within just a few years, primarily due to expanded program participation and greater service use during and after the pandemic.

Recent U.S. federal budget acts, passed during the Trump administration, have brought significant directives to reduce federal Medicaid support and make changes to program structure. The “One Big Beautiful Bill Act,” signed in 2025, is set to trim federal Medicaid spending by more than $1 trillion over a decade. Policies under the law institute work requirements and raise cost-sharing for certain beneficiaries, with the end result potentially restricting eligibility and curbing growth in federal Medicaid funding while putting a larger cost share on states and continuing to serve tens of millions of U.S. residents.

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.