Norlina Medicaid payments for national codes reach $192,995, up 170.8% in 2024

In Norlina, Medicaid providers submitted $192,995 in bills for services under the National Codes Established for State Medicaid Agencies category in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 170.8% increase compared with 2023, which saw $71,263 in claims for these services.

Medicaid is a state-operated public health insurance program funded through a partnership of federal and state governments. The program serves low-income people and families, seniors, children, and those with disabilities and represents a significant component of the nation’s health care system.

Since Medicaid payments use taxpayer dollars, local billing level changes reveal how health care funding is distributed within a community.

The “National Codes Established for State Medicaid Agencies” category encompasses Medicaid services identified by specific care types, relying on standardized HCPCS and CPT codes. For this review, each code was matched to one service category using consistent prefixes and ranges to group similar services, prevent overlap, and maintain accurate rankings over time.

Of all categories in Norlina, National Codes Established for State Medicaid Agencies recorded the highest total Medicaid payments in 2024.

Statewide in North Carolina, National Codes Established for State Medicaid Agencies was also the top-ranked category by Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Norlina grew by $120,886, or 167.6%. Some years saw even faster growth, notably in 2021 and 2020.

Though these Medicaid payments were dispersed citywide, the majority were concentrated in a small number of ZIP codes. In 2024, ZIP code 27563 had total Medicaid payments of $192,994 in the National Codes Established for State Medicaid Agencies category, representing 100% of such payments in Norlina that year.

A limited set of individual billing codes accounted for most Medicaid payments within the National Codes Established for State Medicaid Agencies category.

For context, Medicaid payments for this category in Norlina increased 170.8% from 2023 to 2024, compared to a 102.8% rise across all Medicaid claim categories in the city over the same span.

Data from the Centers for Medicare & Medicaid Services show combined state and federal Medicaid spending reached approximately $871.7 billion in fiscal 2023, making up nearly 18% of national health expenditures—up significantly from about $613.5 billion in 2019, the year before the COVID-19 pandemic.

This growth results in an increase of around 40% over a few years, driven mainly by larger enrollment and greater service use during and after the pandemic.

Recent budget legislation originating during the Trump administration has proposed notable reductions to federal Medicaid funding and adjustments to how the program is structured. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim more than $1 trillion from federal Medicaid spending over the coming decade while adding requirements such as work mandates and increased beneficiary cost-sharing. Such measures may reduce federal coverage and support, shifting greater responsibility to individual states as the program continues to cover millions of Americans.

Note: HCPCS codes are presented to illustrate the context within the category. Article category totals and rankings are determined by standard service groupings and not individual billing codes.

This report uses information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. You can access the source data here.