Sardinia Medicaid payments for National Codes Established category surge 123.5% in 2024

In 2024, Medicaid providers in Sardinia billed $86,984 for services within the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 123.5% jump compared with 2023, when claims under the same service category totaled $38,911.

Medicaid is a state-operated public health insurance program jointly funded by federal and state governments. It provides coverage for low-income individuals and families, children, seniors, and people with disabilities, making it a leading component of the U.S. health care system.

Since Medicaid is taxpayer-funded, fluctuations in local billing levels can reveal how public healthcare spending is distributed in a community.

The “National Codes Established for State Medicaid Agencies” classification includes Medicaid-billed services defined by specific care types, sorted by standardized HCPCS and CPT codes. This analysis grouped each billing code into a single service category based on code prefix and number range, keeping related services together and ensuring precise historical comparisons while avoiding duplicates.

The National Codes Established for State Medicaid Agencies category led all other service types in Sardinia by overall Medicaid payments in 2024, reflecting a broader increase seen across several categories.

Statewide in Ohio, this service category also took the top spot for total Medicaid payments during 2024.

Between 2019 and 2024, Medicaid reimbursements for the National Codes Established for State Medicaid Agencies category in Sardinia climbed by $20,449, or 30.7%. Increases were particularly sharp in specific periods, including notable year-over-year rises in 2020 and 2023.

Spending in this category spanned different parts of the city but was predominantly centered in a small number of ZIP codes during 2024. The highest spending ZIP was 45171, which received $86,984 and, as the sole top ZIP, represented 100% of the city’s Medicaid payments for this category that year.

Medicaid reimbursements also showed concentration among specific billing codes within the broader National Codes Established for State Medicaid Agencies classification.

To compare, Medicaid payments for this category in Sardinia increased by 123.5% from 2023 to 2024, while all local Medicaid categories rose by 134.9% in the same timeframe.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion for the 2023 fiscal year, making up roughly 18% of all national health costs—a significant increase from around $613.5 billion in 2019, prior to the COVID-19 pandemic.

This 40% increase over recent years was largely fueled by enrollment growth and higher utilization through and following the pandemic era.

Recent federal legislation under the Trump administration included major measures to reduce federal Medicaid support and modify program structure. The “One Big Beautiful Bill Act,” passed in 2025, is projected to decrease federal Medicaid spending by over $1 trillion in the upcoming decade. It introduces work requirements and expanded cost-sharing, which could reduce both funding and health coverage for some recipients and shift more financial obligations to states, limiting the federal program’s growth even as Medicaid continues to cover millions.

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.