Medicaid payments for National Codes Established for State Medicaid Agencies surge 457.8% in Wadsworth in 2024

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that in 2024, Wadsworth Medicaid providers billed $1,571,273 for services under the National Codes Established for State Medicaid Agencies category. This represents a 457.8% rise compared to 2023, when claims for this category totaled $281,700.

Medicaid, funded jointly by federal and state governments and administered by the states, offers health coverage to low-income individuals and families, seniors, children, and people with disabilities. As such, it is a key part of the nation’s health care framework.

Because taxpayer dollars support Medicaid payments, local variations in billing levels offer insight into public health care resource allocation within communities.

The “National Codes Established for State Medicaid Agencies” category includes a set of Medicaid services identified by care type, using standardized HCPCS and CPT codes. Codes are grouped into single service categories using consistent numeric prefixes, which allows for analysis of related services without double counting and supports accurate rankings over time.

National Codes Established for State Medicaid Agencies led all categories in Wadsworth for total Medicaid payments in 2024, as overall spending grew across several categories.

Statewide in Ohio, the National Codes Established for State Medicaid Agencies category also ranked first in Medicaid payment totals for 2024.

From 2019 to 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies in Wadsworth grew by $689,848—a 78.3% increase. Some years saw sharper increases, particularly in 2022 and 2020.

While payments for services in this category occurred citywide, most were concentrated in just a few ZIP codes. In 2024, ZIP code 44281 accounted for $1,571,273 in such payments, making up 100% of Wadsworth’s Medicaid payments in this category.

Most of the Medicaid spending in National Codes Established for State Medicaid Agencies was linked to only a few specific billing codes.

Comparatively, while Medicaid payments tied to this category in Wadsworth rose 457.8% from 2023 to 2024, the overall increase across all Medicaid claim categories in the city during the same time was 85.7%.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023, totaling about 18% of national health expenditures. This is up significantly from roughly $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This roughly 40% growth over several years was mainly due to increased enrollment and higher service use during and after the pandemic period.

Recent federal budget measures under the Trump administration included major plans to lower federal Medicaid spending and restructure the program. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over 10 years. The law adds requirements such as work mandates and higher beneficiary cost-sharing, which may decrease coverage and funding for some individuals, shifting additional costs to states while federal support growth is limited, even as Medicaid keeps serving millions nationwide.

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.