Henderson Medicaid payments for national codes hit $7.7 million in 2024

In 2024, Medicaid providers in Henderson charged $7,686,527 for services included in 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 total reflects a 17.7% rise from 2023, when $6,532,543 was billed in the same service group.

Medicaid is a government health coverage program overseen by states and funded in partnership by federal and state governments. It provides medical care to low-income individuals and families, as well as seniors, children, and people with disabilities, making it a major segment of the U.S. health system.

Taxpayer funding supports Medicaid payments, so changes in how much providers bill reflect the allocation of public health resources at the local level.

The “National Codes Established for State Medicaid Agencies” classification comprises a range of services defined by the specific care given, based on standardized HCPCS and CPT coding conventions. Each billing code was categorized only once for this analysis, using uniform code prefixes and number groupings to enable comparisons while avoiding duplication and ensuring correct historical rankings.

National Codes Established for State Medicaid Agencies topped all service categories in Henderson by Medicaid spending in 2024, marking it as the leading area by total payments.

Statewide in North Carolina, this service group also ranked first by Medicaid payment volume in 2024.

Between 2019 and 2024, Medicaid spending associated with the National Codes Established for State Medicaid Agencies group in Henderson rose by $2,895,089, or 60.4%. Growth in spending accelerated during some periods, particularly in years like 2023 and 2020, which saw noticeable annual increases.

Although Medicaid funds for this category were spent throughout the city, most payments were concentrated in just a few ZIP codes. In 2024, ZIP code 27536 accounted for $7,686,526 in Medicaid payments linked to National Codes Established for State Medicaid Agencies, representing 100% of such spending within Henderson.

Payments in the National Codes Established for State Medicaid Agencies service group were also clustered within a small set of billing codes.

Comparatively, Henderson’s Medicaid payments for this category rose by 17.7% between 2024 and 2023, outpacing the overall change for all Medicaid claim categories in the city, which increased by 13.6% during the same timeframe.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined reached approximately $871.7 billion in fiscal 2023, making up about 18% of all national health expenses. That’s a significant jump from $613.5 billion documented in 2019, before the COVID-19 pandemic.

This jump is roughly a 40% increase over several years, tied primarily to expanded program enrollment and higher use of services during and after the pandemic.

Recent national budget laws introduced under the Trump administration include substantial measures reducing federal Medicaid funds and restructuring program rules. The “One Big Beautiful Bill Act,” which became law in 2025, is estimated to cut federal Medicaid spending by more than $1 trillion over the next 10 years and sets new requirements like mandatory work and increased cost sharing, potentially resulting in fewer covered individuals and reduced funding for certain recipients. States are expected to bear a greater share of costs while federal growth slows, yet Medicaid continues to cover tens of millions of Americans.

Note: HCPCS codes are included to provide context. Category totals and rankings are calculated using grouped services and not individual codes.

Data in this story is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The underlying source is available here.