Medicaid reimbursements for National Codes Established for State Medicaid Agencies jump 49968.4% in Vienna for 2024

In 2024, Medicaid providers in Vienna billed a total of $582,295 for services grouped under 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. This represents a 49968.4% leap compared with 2023, when providers billed $1,163 for the same service category.

Medicaid is operated by the states with funding from both state and federal governments together. The program covers low-income groups—including families, older adults, children, and people with disabilities—making it a major aspect of the U.S. health care infrastructure.

Given that Medicaid funding is sourced from taxpayers, fluctuations in local billing help illustrate how public dollars are devoted to community health needs.

The “National Codes Established for State Medicaid Agencies” category encompasses a range of Medicaid-billed services that are defined according to the care provided, grouped by standardized HCPCS and CPT codes. For this study, each code was mapped to a single service category through shared code prefixes and ranges, supporting aggregation of related services and accurate trend rankings over time.

Among all Medicaid service groups, National Codes Established for State Medicaid Agencies was the leading category by total payments in Vienna during 2024.

Statewide, Missouri also saw National Codes Established for State Medicaid Agencies take the top spot for total Medicaid payments in 2024.

Looking back five years before 2024, Vienna’s Medicaid payments for the National Codes Established for State Medicaid Agencies category climbed $576,233, an increase of 9505%. Growth in spending was not even across periods; the most notable year-over-year jumps came in 2022 and 2022.

While payments for this service category were dispersed across the city, a few ZIP codes saw the bulk of the Medicaid dollars. In 2024, ZIP code 65582 accounted for $582,295—meaning the top 1 ZIP codes represented 100% of relevant Medicaid payments in Vienna over the year.

Most Medicaid payments in the National Codes Established for State Medicaid Agencies grouping centered on a narrow range of specific billing codes.

To put the growth in context, Medicaid payments for this category in Vienna increased 49968.4% from 2023 to 2024, while overall Medicaid payments in all categories citywide saw a 6709.6% change for the same timeframe.

According to the Centers for Medicare & Medicaid Services, aggregate federal and state Medicaid spending totaled approximately $871.7 billion for fiscal year 2023, making up close to 18% of total U.S. health expenditures. This is up significantly from $613.5 billion in 2019, preceding the COVID-19 pandemic period.

This rise signifies about 40% growth in several years, driven largely by rising enrollment and increased use of Medicaid services during and following the pandemic.

Under federal budget legislation from the Trump administration, significant measures have been included to lower federal Medicaid expenditures and modify the program’s structure. Notably, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to trim more than $1 trillion from federal Medicaid outlays over 10 years while introducing changes such as work mandates and higher patient cost-sharing. These changes could diminish coverage and funding for some participants and shift more financial responsibility to states, even as the program continues to benefit tens of 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.