Oxford saw $595,214 in Medicaid spending for state-established national codes in 2024

In 2024, Medicaid providers in Oxford billed a total of $595,214 for services falling under the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This represents a 39.9% rise from 2023, when providers filed $425,433 in claims for these services.

Medicaid, a state-administered program backed by both state and federal funds, provides coverage for low-income people, seniors, children, and those with disabilities. This makes it a major segment of the U.S. health care landscape, jointly financed by federal and state governments.

Because taxpayer funds support Medicaid payments, local billing patterns offer insight into the ways public health care resources are allocated throughout the community.

The “National Codes Established for State Medicaid Agencies” category denotes a set of Medicaid-billed services determined by the type of care given, using standard HCPCS and CPT code groupings. For analysis purposes, each code was allocated to a single service category based on established code prefixes and numerical ranges. This method groups services together while preventing double counting and sustaining precise rankings across years.

Spending for Medicaid was up across multiple service groupings in 2024; National Codes Established for State Medicaid Agencies placed fourth in Oxford based on total Medicaid payments that year.

Statewide in North Carolina, this category ranked first by total Medicaid payment amount in 2024.

Throughout the five years before 2024, Medicaid spending connected to this service category in Oxford climbed by $211,794, or 55.2%. Certain periods had more pronounced year-over-year growth, notably in 2020 and 2021.

Although care for this service category spanned various parts of Oxford, payments were mainly focused in a handful of ZIP codes. In 2024, ZIP code 27565 accounted for $595,214, meaning the top 1 ZIP code made up 100% of Medicaid payments for this service category in Oxford that year.

Within the National Codes Established for State Medicaid Agencies group, Medicaid payment levels were also concentrated in just a few key billing codes.

From 2023 to 2024, Medicaid payments in Oxford for the National Codes Established for State Medicaid Agencies category jumped 39.9%. By contrast, payments across all Medicaid claim categories in the city rose just 1.7% over the same span.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures together totaled about $871.7 billion in fiscal year 2023. That figure made up approximately 18% of all national health spending and was a jump from nearly $613.5 billion in 2019, before the pandemic.

The change marks growth of about 40% during the few years leading up to 2023, with most increases attributed to expanded enrollment and higher demand for services related to and following the COVID-19 pandemic.

Recent federal budget measures signed under the Trump administration include significant Medicaid policy changes intended to curb federal spending and modify the program’s funding design. Notably, the “One Big Beautiful Bill Act,” became law in 2025 and is set to cut federal Medicaid spending by more than $1 trillion over 10 years. It adds requirements such as work conditions and larger cost-sharing burdens, shifting costs to states and potentially reducing services or coverage for certain eligible recipients, even as Medicaid continues to serve 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.