Medicaid payments for Graham’s National Codes Established for State Medicaid Agencies reach $1,263,198 in 2024

Providers in Graham billed $1,263,198 to Medicaid for services listed under the National Codes Established for State Medicaid Agencies category in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That figure represents a 2.3% increase over 2023, when related claims totaled $1,234,897.

Medicaid, a major part of the U.S. health care system, is a public insurance program administered by the states and funded through a partnership between federal and state governments. The program provides coverage to low-income individuals and families, seniors, children and people living with disabilities.

Because taxpayer funds support Medicaid, trends in local billing levels reflect how public health care resources are distributed within a community.

The “National Codes Established for State Medicaid Agencies” category includes a range of Medicaid-billed services sorted by care type, using standard HCPCS and CPT code groupings. Each billing code for this analysis was assigned to a single service category using uniform code prefixes and number ranges to help compare related services, avoid duplications, and track accurate rankings over time.

Although several service categories saw growth in Medicaid spending, National Codes Established for State Medicaid Agencies was the top category in Graham for total Medicaid payments in 2024.

At the state level, National Codes Established for State Medicaid Agencies was the second highest Medicaid payments category in Texas for 2024.

From 2019 through 2024, Medicaid payments tied to this category in Graham climbed by $743,537, a 143.1% increase. Growth in spending was strongest in certain years, with notable jumps in 2021 and 2020.

Within Graham, while these service payments spanned the city, most of the Medicaid funds were billed within a small number of ZIP codes. The 76450 ZIP code accounted for $1,263,197 in Medicaid payments in this category during 2024. This single ZIP code made up 100% of Medicaid payments tied to the National Codes Established for State Medicaid Agencies category in Graham for the year.

Payments for services in this category also concentrated among a select group of billing codes.

When compared, Medicaid payments for these services in Graham rose 2.3% from 2023 to 2024, while overall Medicaid claims across all categories in the city changed by 10.1% during that time.

Data from the Centers for Medicare & Medicaid Services shows combined federal and state Medicaid spending reached around $871.7 billion in fiscal year 2023, making up about 18% of total national health expenditures. This is a steep increase from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

The rise reflects an estimated 40% spending growth within just a few years, mostly driven by increased enrollment and higher usage both during and after the pandemic period.

The Trump administration enacted recent federal budget laws that include major proposals to cut federal Medicaid funding and overhaul the program. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the coming decade while adding policies like work requirements and greater cost-sharing, which may lower funding and coverage for some. These legislative changes are expected to shift more financial responsibility to states and curtail the expansion of federal Medicaid support, as the program continues to serve tens of millions of Americans.

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.