Stonewood Medicaid payments for state agency national codes reach $123,973 in 2024

In 2024, Medicaid providers in Stonewood submitted claims totaling $123,973 for services in the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount reflects a 357.8% rise from 2023, when $27,083 in claims were filed for the same service group.

Medicaid, a publicly funded health insurance initiative managed by states and financed by both federal and state governments, provides coverage for low-income people, older adults, children, and individuals with disabilities. It stands among the largest segments of the U.S. health care system.

As funding stems from taxpayers, fluctuations in local Medicaid billing illustrate how health care dollars are distributed within a community.

The “National Codes Established for State Medicaid Agencies” group includes a range of Medicaid services identified by standardized HCPCS and CPT codes. For this report, each billing code is classified into a single service category using set prefixes and number ranges, which enables aggregation of related services without double counting, and supports consistent ranking over time.

Medicaid spending rose in several service areas, with the National Codes Established for State Medicaid Agencies category ranking as the top spending group in Stonewood for 2024.

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

From five years prior to 2024, Medicaid payments for this category in Stonewood grew by $94,471, or 320.2%. Higher annual increases occurred during select years, especially in both 2022 and 2021.

Payments for services under this category were distributed citywide, but mainly concentrated in a few ZIP codes—most notably, ZIP code 26301, which accounted for $123,973 in 2024. The top ZIP code captured 100% of all Medicaid claims in this group for Stonewood that year.

A small selection of individual billing codes made up the majority of payments in the National Codes Established for State Medicaid Agencies category.

Between 2024 and 2023, local Medicaid payments in this category surged by 357.8%. By comparison, the city’s overall Medicaid claims across all categories changed by 113% in the same time frame.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined reached around $871.7 billion in fiscal 2023, making up roughly 18% of nationwide health expenses—an increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This jump represents about 40% growth in a few years, largely due to broader enrollment and greater utilization during and after the pandemic.

Recent federal budget measures introduced significant proposals to reduce federal Medicaid funding and alter the program. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to cut federal Medicaid spending by more than $1 trillion over the next decade, bringing shifts such as work requirements and greater cost-sharing, which could affect funding and coverage for certain enrollees. These policies are expected to transfer more responsibility to states and restrict federal Medicaid growth, even as the program continues serving millions nationally.

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.