Medicaid payments for National Codes Established for State Medicaid Agencies surge in North Ridgeville, reaching $736,445 in 2024

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that providers in North Ridgeville billed $736,445 for services under the National Codes Established for State Medicaid Agencies category in 2024. This amount represented a 350.1% jump over 2023, when claims for this service type totaled $163,623.

Medicaid, a public health insurance initiative operated by states and funded through a partnership between federal and state governments, covers low-income people, families, seniors, children and individuals with disabilities, making it a crucial component of the nation’s health care system.

With Medicaid payments funded by taxpayers, shifts in local claim amounts reflect how health care dollars are distributed across the community.

The “National Codes Established for State Medicaid Agencies” group encompasses services billed to Medicaid that are identified by specific standardized HCPCS and CPT code clusters. Analysts assigned each code to a single service grouping using established code prefixes and numerical ranges, which allows related services to be studied collectively, avoids overcounting, and supports consistent time-based comparisons.

National Codes Established for State Medicaid Agencies not only saw increased Medicaid spending in 2024 but also led all service groupings in North Ridgeville by total payments that year.

At the state level in Ohio, this category also topped all Medicaid payment categories for 2024.

From 2019 to 2024, North Ridgeville’s Medicaid payments tied to this category rose by $44,474, or 5.7%. Periods of rapid growth included especially sharp increases in 2020 and 2022.

Payments for care in the National Codes Established for State Medicaid Agencies category were distributed across North Ridgeville, yet most payments were confined to a limited number of ZIP codes. The ZIP code 44039 accounted for $736,445 in Medicaid payments for this category during 2024, making up 100% of the total in the city for these services.

Within this service category, most Medicaid payments were attributed to just a handful of specific billing codes.

Medicaid claims for this group in North Ridgeville rose 350.1% between 2023 and 2024. Across all Medicaid service categories citywide, the year-over-year change was 47.4% in the same timeframe.

Centers for Medicare & Medicaid Services data show that federal and state Medicaid spending together totaled about $871.7 billion in fiscal year 2023, making up approximately 18% of national health expenditures. That compared with around $613.5 billion in 2019, prior to the onset of the COVID-19 pandemic.

The change reflects about 40% growth over the period, largely fueled by greater enrollment and use of services during and after the COVID-19 pandemic.

Federal budget bills signed under President Trump have included significant proposals to limit federal Medicaid contributions and reshape the program. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to cut over $1 trillion from federal Medicaid funding in the coming decade and brings measures such as work requirements and expanded cost-sharing, which could reduce access and funding for some recipients. These policies are expected to shift more financial responsibility to states and place new constraints on federal Medicaid growth while the program continues to cover tens of 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.