Lebanon sees 29.2% climb in Medicaid spending for National Codes Established for State Medicaid Agencies in 2024

In 2024, providers in Lebanon billed $6,056,705 to Medicaid for services under the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount represents a 29.2% increase from the $4,688,587 paid for the same category of claims in 2023.

Medicaid is a public health insurance program operated by the states with joint funding from federal and state governments. It serves low-income families and individuals, seniors, children, and people with disabilities, making it a major component of the U.S. health care system. More explanation is available at the Commonwealth Fund.

Because Medicaid revenue is derived from taxpayers, changes in billing expose how public health care funds are distributed within a community.

The “National Codes Established for State Medicaid Agencies” category represents a range of Medicaid services grouped by care type, based on established HCPCS and CPT code groupings. This report classified each billing code into one service group using unified code prefixes and ranges, which helps track related services together while preventing overlap and ensuring accuracy in year-to-year comparisons.

Medicaid spending rose in several service groups, but payments tied to National Codes Established for State Medicaid Agencies outpaced all others in Lebanon in 2024.

Statewide in Missouri, this same service category also held the top spot for total Medicaid payments in 2024.

In the five years to 2024, Lebanon saw Medicaid spending for these codes climb by $4,024,386—an increase of 198%. Notably, annual growth accelerated in both 2023 and 2022.

Spending for services under the National Codes Established for State Medicaid Agencies category was not spread evenly, with payment concentrations in just a handful of ZIP codes. In 2024, the single ZIP code 65536 accounted for $6,056,704, meaning 100% of all category spending was concentrated there.

Most Medicaid funds tied to this service category were focused on a few individual billing codes.

For context, the 29.2% growth in Lebanon’s payments for National Codes Established for State Medicaid Agencies from 2023 to 2024 exceeded the 6% rise seen across all Medicaid claim categories in the city during that time period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled roughly $871.7 billion in fiscal 2023. This equaled about 18% of all national health expenditures and was up significantly from an estimated $613.5 billion in 2019, before the COVID-19 pandemic.

This roughly 40% increase over a few years reflects broader Medicaid enrollment growth and increased use of services throughout and after the pandemic.

Recent federal budget laws enacted during the Trump administration have contained significant moves to scale back federal Medicaid support and adjust program structures. The “One Big Beautiful Bill Act,” signed in 2025, is expected to trim over $1 trillion in federal Medicaid spending through the next decade, adding measures such as work requirements and higher cost-sharing. These changes could result in less coverage and fewer dollars for certain groups—potentially shifting more financial responsibility to state governments even as tens of millions stay covered by Medicaid.

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.