Wheelersburg Medicaid payments for National Codes Established category reach $735,238 in 2024

In 2024, Medicaid providers in Wheelersburg submitted $735,238 in claims for services within the National Codes Established for State Medicaid Agencies category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount represents a 9.1% increase from 2023, when local providers billed $673,655 for the same category.

Medicaid serves low-income individuals and families, as well as seniors, children, and people with disabilities. It is administered by states with joint state and federal funding, making Medicaid one of the nation’s largest health coverage programs.

With Medicaid spending sourced from public funds, patterns in local billing reveal how the community’s health care dollars are used.

The “National Codes Established for State Medicaid Agencies” category includes groups of services billed under grouped HCPCS and CPT codes. Analysis for this reporting assigned each service code to a single care category by code prefix and numeric range, supporting consolidated tracking and preventing double counting across years.

Spending for National Codes Established for State Medicaid Agencies climbed with other service categories, ranking third by total Medicaid payments within Wheelersburg during 2024.

For the state of Ohio, National Codes Established for State Medicaid Agencies ranked in the top position by total Medicaid payments in 2024.

Between 2019 and 2024, Wheelersburg Medicaid payments for National Codes Established for State Medicaid Agencies rose $569,744, or 344.3%. The largest yearly spikes occurred during certain years, most notably in 2021 and 2023.

Citywide spending in this service group was present across Wheelersburg but concentrated largely in several ZIP codes. For 2024, ZIP code 45694 corresponded to $735,237 in Medicaid billings under this category, representing 100% of total Medicaid payments for this type in Wheelersburg that year.

Medicaid payments within the National Codes Established for State Medicaid Agencies category were focused on a narrow range of billing codes.

When compared with other Medicaid categories in Wheelersburg, National Codes Established for State Medicaid Agencies claims rose 9.1% from 2023 to 2024, while overall Medicaid payments across all categories increased 13.1% during the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached $871.7 billion for fiscal 2023, equaling about 18% of all U.S. health spending. That figure jumped from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth—around 40% across a short timespan—was fueled mainly by expanded enrollment and increased use of services linked to the pandemic period and its aftermath.

Federal budget actions under the Trump administration have proposed significant changes for Medicaid, including efforts to modify funding formulas and eligibility. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid outlays by over $1 trillion in the next 10 years—introducing measures like work requirements and new cost-sharing standards that could restrict both coverage and funding for certain populations. These changes may shift more responsibility to states and could curb growth in federal contributions to Medicaid even as enrollment levels remain high.

Note: HCPCS codes are provided here for clarity about category composition. Aggregate category totals and ranks reflect standardized regrouping of component service codes, not individual codes themselves.

All information cited is from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the original data here.