In 2024, Medicaid providers in Lake Ozark submitted $4,454,856 in claims for services categorized under National Codes Established for State Medicaid Agencies, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure was 37.6% higher than in 2023, when providers billed $3,238,491 for the same service category.
Medicaid, a public health insurance program administered by states and funded in partnership between federal and state governments, covers low-income individuals, seniors, children, and people with disabilities. It is a central component of the U.S. health care system.
Since Medicaid funding comes from taxpayers, changes in community billing levels track how public health care resources are allocated locally.
The National Codes Established for State Medicaid Agencies category identifies a set of Medicaid-billed services defined by care type, using standardized HCPCS and CPT code groups. For this analysis, each billing code was matched to one service grouping using consistent code prefixes and number ranges, which enabled grouped service review, avoided double counting, and maintained accurate rankings over time.
Several Medicaid service categories saw higher spending, but National Codes Established for State Medicaid Agencies led in Lake Ozark by total Medicaid payments in 2024.
Across Missouri, National Codes Established for State Medicaid Agencies was the top Medicaid payment category statewide for 2024.
Over the five years ending in 2024, Medicaid spending connected to the National Codes Established for State Medicaid Agencies category in Lake Ozark rose $4,260,439, or 2191.4%. Spending accelerated at points, with notable annual increases seen in 2021 and 2023.
While spending in the National Codes Established for State Medicaid Agencies category was distributed citywide, most payments came from a few ZIP codes. In 2024, ZIP code 65049 accounted for $4,454,855, representing 100% of all Medicaid payments in the category for Lake Ozark that year.
Within the category, Medicaid payments were also focused among a handful of individual billing codes.
Between 2024 and 2023, Medicaid payments in this category in Lake Ozark increased 37.6%, compared with a 27.4% rise spanning all Medicaid claim categories in the city during this time frame.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal 2023, making up nearly 18% of all U.S. health care spending. This was a substantial jump from approximately $613.5 billion in 2019, preceding the COVID-19 pandemic.
This growth reflects an increase of roughly 40% in only a few years, primarily driven by expanded enrollment and greater service use during and after the pandemic.
Major federal budget bills under the Trump administration introduced proposals to reduce federal Medicaid funds and restructure the program. One example, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to trim federal Medicaid spending by more than $1 trillion over the next 10 years, with policy shifts such as work requirements and higher cost-sharing that may lower coverage and funding for some beneficiaries. These changes may require states to bear a greater share of Medicaid expenses and limit the rate of federal spending growth as the program serves millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $194,416 | – |
| 2021 | $959,595 | 393.6% |
| 2022 | $1,732,351 | 80.5% |
| 2023 | $3,238,491 | 86.9% |
| 2024 | $4,454,855 | 37.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $4,454,855 | 83.4% |
| 2 | Procedures / Professional Services | $739,333 | 13.8% |
| 3 | Evaluation and Management | $111,244 | 2.1% |
| 4 | Medicine Services and Procedures | $34,762 | 0.7% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $4,454,855 | 12 |
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.



