Medicaid payments to Alvord providers for National Codes Established for State Medicaid Agencies climb to $118,540 in 2024

In 2024, Alvord Medicaid providers billed $118,540 for services listed under the National Codes Established for State Medicaid Agencies, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 16.8% rise from 2023, when claim totals for the same services were $101,475.

Medicaid, a joint state and federal initiative, offers health coverage to qualifying low-income individuals, families, seniors, children, and people with disabilities, and is among the nation’s largest health care programs. Funding is provided by both federal and state governments.

Fluctuations in local billing show how tax-funded health care resources are apportioned at the community level.

The “National Codes Established for State Medicaid Agencies” designation refers to a set of Medicaid-billed services defined by the care provided, organized with standard HCPCS and CPT codes. This report assigns each code to a specific category based on code prefixes and ranges, keeping related services within the same group, thereby avoiding duplicate counting and maintaining consistency in annual rankings.

With total payments in 2024, the National Codes Established for State Medicaid Agencies category was the highest-ranked service group among Alvord Medicaid claims.

Statewide in Texas, this category came in second by payment total for Medicaid in 2024.

Over the five years through 2024, Alvord’s Medicaid payments related to National Codes Established for State Medicaid Agencies jumped by $96,132, equivalent to a 429% increase. Periods of accelerated growth appeared in both 2021 and 2023.

Although distribution covered multiple areas in the city, payments were heavily concentrated in a select group of ZIP codes. In 2024, ZIP code 76225 recorded the entirety of Medicaid payments tied to the category, totaling $118,540 and making up 100% of citywide Medicaid spend for this group.

Payments also concentrated among a limited set of specific billing codes within the category.

Between 2024 and 2023, Alvord’s Medicaid payments to this category rose 16.8%. For comparison, that rate was below the 19.6% overall increase seen across all Medicaid billing categories in Alvord during that same time frame.

Data from the Centers for Medicare & Medicaid Services shows combined spending from state and federal sources on Medicaid reached about $871.7 billion for fiscal year 2023, representing around 18% of total national health outlays—an increase from roughly $613.5 billion in 2019 before the COVID-19 pandemic.

This represents an approximate 40% increase in a few years, primarily due to expanded enrollment and greater utilization during the pandemic and its aftermath.

Recent federal budgets under the Trump administration have included major proposals to shrink Medicaid’s federal funding and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to cut more than $1 trillion in federal Medicaid expenditures over 10 years and introduces measures such as increased cost-sharing and work requirements, which may reduce access or funding for some enrollees. These shifts are expected to put more responsibility on states and restrict future growth in federal Medicaid outlays while continuing to cover 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.