Medicaid payments for Bassett’s National Codes Established for State Medicaid Agencies jump 412.4% in 2024

In 2024, Medicaid providers in Bassett submitted $2,306,557 in claims for services within 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 represents a 412.4% increase from 2023, when providers billed $450,146 for these services.

Medicaid, a health coverage program managed by each state and funded through both federal and state contributions, insures low-income individuals and families, seniors, children, and people with disabilities. It is a core component of the U.S. health system.

Since taxpayer contributions support Medicaid payments, shifts in billing levels reveal how communities allocate public health funds.

The National Codes Established for State Medicaid Agencies category includes a defined range of Medicaid billing codes based on the type of service delivered, organized using standardized HCPCS and CPT code groupings. For this report, analysts sorted billing codes into a singular service category through standardized prefixes and number ranges to help analyze related services and maintain accurate time-over-time ranking without duplication.

While Medicaid disbursements grew across various service categories, in 2024 the National Codes Established for State Medicaid Agencies category led in Bassett by total Medicaid payments.

The category of National Codes Established for State Medicaid Agencies also placed first statewide in Virginia for Medicaid payments that year.

From five years prior to 2024, Medicaid claims in Bassett tied to the National Codes Established for State Medicaid Agencies category grew by $2,302,725—a rise of 60096.2%. This growth picked up pace during certain years, showing large annual increases in both 2023 and 2022.

Although providers billed for services in this category throughout the city, nearly all the Medicaid payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 24055 reported $2,306,557, comprising 100% of category payments in Bassett for the year.

Within the broader category, claims were clustered among a handful of billing codes.

To compare, Medicaid claims in Bassett tied to this category increased 412.4% between 2024 and 2023, while all Medicaid-related billing in the city went up by 184.1% during that same period.

Centers for Medicare & Medicaid Services data show combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up around 18% of total national health expenses, up from $613.5 billion in 2019, before the pandemic.

This represents an increase of roughly 40% within a few years, due mostly to growing enrollment and higher service use during and after COVID-19.

Recent federal budget laws from the Trump administration advanced major proposals to decrease federal Medicaid spending and change the program’s structure. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to cut over $1 trillion from Medicaid funding over 10 years and includes policies such as work requirements and higher cost-sharing that could narrow coverage and reduce federal support for some recipients. These adjustments may shift more costs to state budgets and limit federal spending growth, yet Medicaid’s role serving millions of Americans remains.

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.