Providers in Medina submitted Medicaid claims totaling $1,978,107 for services under the National Codes Established for State Medicaid Agencies category in 2024, based on data in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 14.1% rise from 2023, when $1,734,330 in claims were reported for the same category.
Medicaid, a state-operated and jointly state- and federally funded public insurance program, provides coverage for low-income individuals, families, seniors, children, and people with disabilities, making it a primary component of the nation’s health care system. For more details on Medicaid funding, see this explanation from the Commonwealth Fund.
Because tax dollars support Medicaid, fluctuations in regional billing help illustrate how public health care resources are distributed within a community.
The “National Codes Established for State Medicaid Agencies” group includes Medicaid-billed services categorized by the care provided, using established HCPCS and CPT code designations. Each billing code was assigned to one service category for this analysis, applying consistent code prefixes and number ranges to group related procedures while preventing multiple counts and maintaining accurate year-to-year comparisons.
In 2024, National Codes Established for State Medicaid Agencies was Medina’s second-highest Medicaid spending category.
Statewide in Ohio during 2024, payments for the National Codes Established for State Medicaid Agencies category had the highest total among all Medicaid spending groups.
Between 2020 and 2024, Medicaid claims for the National Codes Established for State Medicaid Agencies category in Medina rose by $346,515, or 14.9%. Some years saw particularly strong growth, including marked increases in 2022 and 2022.
Most Medicaid spending in the National Codes Established for State Medicaid Agencies category occurred in a small subset of ZIP codes throughout the city. For 2024, ZIP code 44256 was responsible for $1,978,107—meaning the top ZIP code accounted for 100% of the category’s Medicaid payments in Medina that year.
Payments in this service group were also concentrated among a handful of billing codes under the National Codes Established for State Medicaid Agencies umbrella.
Medicaid payments linked with the National Codes Established for State Medicaid Agencies category in Medina increased 14.1% between 2023 and 2024, compared to a citywide rise of 11.2% across all Medicaid claim categories during that period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached roughly $871.7 billion in fiscal 2023, making up about 18% of national health spending—significantly higher than approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.
This rise amounts to about 40% growth in federal and state Medicaid spending over several years, with most of the increase driven by broader enrollment and increased demand during and after the pandemic.
Recent federal budget legislation from the Trump administration included major proposals to cut federal Medicaid funding and restructure the program. For example, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to trim more than $1 trillion from federal Medicaid funding over the next 10 years, add work requirements, and increase cost-sharing, which could reduce coverage and funds for some recipients. These policy changes are likely to transfer more financial responsibility to states and slow the growth of federal Medicaid aid, even as the program remains a crucial resource for tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,324,622 | -12.3% |
| 2021 | $2,159,215 | -7.1% |
| 2022 | $2,597,898 | 20.3% |
| 2023 | $1,734,330 | -33.2% |
| 2024 | $1,978,107 | 14.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Procedures / Professional Services | $2,376,353 | 18.7% |
| 2 | National Codes Established for State Medicaid Agencies | $1,978,107 | 15.6% |
| 3 | Durable Medical Equipment | $1,657,319 | 13% |
| 4 | Enteral and Parenteral Therapy | $1,646,602 | 13% |
| 5 | Medicine Services and Procedures | $1,616,365 | 12.7% |
| 6 | Evaluation and Management | $1,004,736 | 7.9% |
| 7 | Anesthesia | $529,872 | 4.2% |
| 8 | Radiology Procedures | $521,751 | 4.1% |
| 9 | Medical And Surgical Supplies | $409,089 | 3.2% |
| 10 | Orthotic Procedures and services | $195,544 | 1.5% |
| 11 | Dental Services | $146,719 | 1.2% |
| 12 | Pathology and Laboratory Procedures | $145,675 | 1.1% |
| 13 | Surgery | $137,101 | 1.1% |
| 14 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $122,259 | 1% |
| 15 | Alcohol and Drug Abuse Treatment | $106,374 | 0.8% |
| 16 | Ambulance and Other Transport Services and Supplies | $95,242 | 0.7% |
| 17 | Outpatient PPS | $6,048 | <0.1% |
| 18 | Vision Services | $4,210 | <0.1% |
| 19 | Administrative, Miscellaneous and Investigational | $2,095 | <0.1% |
| 20 | Temporary National Codes (Non-Medicare) | $1,222 | <0.1% |
| 21 | Prosthetic Procedures | $548 | <0.1% |
| 22 | Drugs Administered Other than Oral Method | $508 | <0.1% |
| 23 | Temporary Codes | $2 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2046 | Hospice long term care, r&b | $979,363 | 9 |
| T1019 | Personal care ser per 15 min | $555,219 | 11 |
| T4541 | Large disposable underpad | $58,049 | 12 |
| T4528 | Adult size pull-on xl | $57,174 | 12 |
| T1015 | Clinic service | $54,161 | 14 |
| T4527 | Adult size pull-on lg | $52,236 | 12 |
| T4526 | Adult size pull-on med | $40,647 | 11 |
| T4544 | Adlt disp und/pull on abv xl | $33,759 | 9 |
| T4522 | Adult size brief/diaper med | $32,435 | 11 |
| T4525 | Adult size pull-on sm | $27,206 | 11 |
| T4535 | Disposable liner/shield/pad | $24,812 | 12 |
| T4523 | Adult size brief/diaper lg | $18,919 | 11 |
| T4532 | Ped size pull-on lg | $16,927 | 10 |
| T4524 | Adult size brief/diaper xl | $16,648 | 10 |
| T4537 | Reusable underpad bed size | $7,691 | 4 |
| T4531 | Ped size pull-on sm/med | $2,853 | 2 |
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.