Chillicothe Medicaid providers billed $6,366,702 for services designated under the National Codes Established for State Medicaid Agencies category in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That represents a 10% rise from 2023, when $5,785,926 in claims were submitted for the same service category.
Medicaid, a public health insurance program managed by states and funded through a partnership between federal and state governments, provides coverage for low-income families, seniors, children, and individuals with disabilities. It remains a significant component of the U.S. health care system.
Taxpayer contributions finance Medicaid payment levels, and changes in local billing reflect how public funds are allocated within a community’s health care system.
The “National Codes Established for State Medicaid Agencies” category covers services defined by care type, grouped under standardized HCPCS and CPT code ranges. In this analysis, every billing code was assigned to one service category using set prefixes and number ranges, allowing comparison of related services and helping maintain accurate rankings and avoid double counting.
Medicaid spending climbed in several service categories. In 2024, National Codes Established for State Medicaid Agencies was the fourth-largest Medicaid payment category in Chillicothe by total amount.
Statewide in Ohio, National Codes Established for State Medicaid Agencies ranked first among Medicaid payment categories for 2024.
From 2019 through 2024, Chillicothe Medicaid payments in the National Codes Established for State Medicaid Agencies category rose by $1,409,787, or 28.4%. Growth intensified in specific years, with the largest annual increases occurring in both 2023 and 2020.
Although these payments were spread across Chillicothe, they were concentrated in a small number of ZIP codes. For 2024, ZIP code 45601 reported the highest Medicaid payments for the category, totaling $6,366,702, which comprised 100% of the city’s total in this category for the year.
Within this category, most Medicaid payments were attached to a limited set of billing codes.
To compare, Medicaid payments linked to this category in Chillicothe rose 10% from 2023 to 2024, while payments across all Medicaid claim categories citywide increased by 12.3% during the same period.
The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid spending totaled roughly $871.7 billion in fiscal 2023. That amounted to about 18% of national health expenditures, a notable increase from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.
This increase of around 40% is attributed mainly to a rise in enrollment and greater health care usage during and after the pandemic.
Recent federal budget legislation during the Trump administration included extensive proposals to decrease federal funding for Medicaid and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to cut federal Medicaid spending by over $1 trillion in the next decade. It also brings in policies such as work requirements and increased cost-sharing, which may lower coverage and funds for certain enrollees. These moves could result in states assuming more financial responsibility and a slowdown in federal Medicaid growth, even as the program continues to serve millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $4,956,915 | 20.2% |
| 2021 | $2,831,287 | -42.9% |
| 2022 | $2,998,280 | 5.9% |
| 2023 | $5,785,925 | 93% |
| 2024 | $6,366,702 | 10% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $12,487,339 | 23.8% |
| 2 | Procedures / Professional Services | $10,008,335 | 19.1% |
| 3 | Medicine Services and Procedures | $7,581,419 | 14.5% |
| 4 | National Codes Established for State Medicaid Agencies | $6,366,702 | 12.1% |
| 5 | Alcohol and Drug Abuse Treatment | $5,003,488 | 9.5% |
| 6 | Radiology Procedures | $3,911,919 | 7.5% |
| 7 | Surgery | $2,008,861 | 3.8% |
| 8 | Pathology and Laboratory Procedures | $1,949,436 | 3.7% |
| 9 | Components, Accessories and Supplies | $944,574 | 1.8% |
| 10 | Drugs Administered Other than Oral Method | $594,038 | 1.1% |
| 11 | Ambulance and Other Transport Services and Supplies | $499,732 | 1% |
| 12 | Temporary National Codes (Non-Medicare) | $455,177 | 0.9% |
| 13 | Dental Services | $234,021 | 0.4% |
| 14 | Durable Medical Equipment | $188,819 | 0.4% |
| 15 | Enteral and Parenteral Therapy | $59,884 | 0.1% |
| 16 | Orthotic Procedures and services | $59,462 | 0.1% |
| 17 | Outpatient PPS | $31,119 | 0.1% |
| 18 | Medical And Surgical Supplies | $19,545 | <0.1% |
| 19 | Anesthesia | $14,203 | <0.1% |
| 20 | Vision Services | $3,565 | <0.1% |
| 21 | Chemotherapy Drugs | $2,959 | <0.1% |
| 22 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $2,477 | <0.1% |
| 23 | Temporary Codes | $1,428 | <0.1% |
| 24 | Coronavirus Diagnostic Panel | $117 | <0.1% |
| 25 | Pathology and Laboratory Services | $8 | <0.1% |
| 26 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $3,288,586 | 22 |
| T2046 | Hospice long term care, r&b | $1,955,190 | 12 |
| T1502 | Medication admin visit | $799,935 | 38 |
| T1015 | Clinic service | $82,260 | 32 |
| T4528 | Adult size pull-on xl | $68,314 | 12 |
| T4543 | Adult disp brief/diap abv xl | $63,763 | 10 |
| T1001 | Nursing assessment/evaluatn | $51,181 | 12 |
| T1003 | Lpn/lvn services up to 15min | $39,535 | 20 |
| T4541 | Large disposable underpad | $17,932 | 13 |
Note: HCPCS codes are provided for context within this category. Rankings and totals in this article are based on standardized service groupings rather than specific billing codes.
The information in this report was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.
