Proctorville Medicaid payments for state agency codes reach $1,904,437 in 2024

In 2024, Medicaid providers in Proctorville billed $1,904,437 for services within the National Codes Established for State Medicaid Agencies category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 40% rise from 2023, when providers submitted $1,360,312 in claims in this service category.

Medicaid is a state-administered public health insurance program that is funded by both federal and state governments. The program covers low-income residents, seniors, children, and individuals with disabilities, occupying a significant segment of the nation’s health care system.

Because taxpayer funding supports Medicaid, shifts in local billing amounts illustrate how public health care resources are allocated within a community.

The “National Codes Established for State Medicaid Agencies” category groups Medicaid-billed services according to the type of care, using standard HCPCS and CPT code sets. This analysis assigned each billing code to a single category based on common code prefixes and number ranges, grouping similar services for accuracy and avoiding double counting while preserving year-over-year rankings.

While Medicaid expenditures rose in several service categories, National Codes Established for State Medicaid Agencies was the second-largest in Proctorville by total Medicaid payments in 2024.

Statewide in Ohio, National Codes Established for State Medicaid Agencies was the largest Medicaid payment category in 2024.

From 2019 through 2024, Medicaid payments for services under this category in Proctorville increased by $456,863, a gain of 31.6%. Certain years, such as 2023 and 2021, saw stronger year-over-year increases.

Spending on National Codes Established for State Medicaid Agencies services was distributed across Proctorville but concentrated in a few ZIP codes. In 2024, ZIP code 45669 recorded $1,904,437 in Medicaid payments tied to this category. Altogether, the single largest ZIP code accounted for all Medicaid payments in this category within Proctorville during the year.

Medicaid payments within the National Codes Established for State Medicaid Agencies category were also focused within a small set of individual billing codes.

Comparatively, Medicaid payments for this category in Proctorville rose by 40% between 2024 and 2023, while overall Medicaid claim categories in the city increased by 19.9% over the same timeframe.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023. That figure made up nearly 18% of total U.S. health expenditures, up substantially from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

This rise reflects growth of about 40% in a few years, largely as a result of increased enrollment and greater service use during and after the pandemic.

Recent federal budgets during the Trump administration featured significant suggestions to scale back federal Medicaid contributions and change the program’s rules. The “One Big Beautiful Bill Act,” signed into law in 2025, is anticipated to reduce federal Medicaid funding by over $1 trillion over 10 years. The law also brings new requirements like mandatory work and increased cost-sharing, which could decrease coverage and funding for certain enrollees. These policies may result in higher state-level costs and restrict federal Medicaid funding growth, even as millions continue to depend on the program.

Note: HCPCS codes are provided for context within each category. This article’s category totals and rankings are calculated based on standardized groupings, not individual billing codes.

This article relies on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data source is located here.