Owensville Medicaid payments for 2024 top $2.4 million under National Codes category

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Medicaid providers in Owensville billed $2,475,196 in 2024 for services in the National Codes Established for State Medicaid Agencies category. That total represents a 7.1% increase from 2023, when providers reported $2,311,003 in claims for the same category of care.

Medicaid is a state-administered public health insurance program funded jointly by state and federal governments. It serves low-income individuals, seniors, children, and people with disabilities, making it a major component of the U.S. healthcare system.

Since Medicaid funding comes from taxpayers, fluctuations in local billing reflect how public health dollars are distributed within a community.

The “National Codes Established for State Medicaid Agencies” designation refers to a set of Medicaid-billed services categorized by the type of care, based on standardized groupings of HCPCS and CPT codes. For this report, each billing code was matched to a single service grouping using consistent prefixes and numeric ranges to avoid duplicate counts and preserve accurate year-over-year comparisons.

While Medicaid expenses increased in multiple areas, the National Codes Established for State Medicaid Agencies category accounted for the highest total Medicaid payments in Owensville for 2024.

Statewide, the National Codes Established for State Medicaid Agencies also held the top position by payment amount in Missouri for 2024.

Between 2019 and 2024, Medicaid payments associated with this category in Owensville rose by $761,540, or 44.4%. Certain years, notably 2022 and 2023, saw especially strong increases in spending.

Although care spending for the National Codes Established for State Medicaid Agencies was spread citywide, payment totals were concentrated in a small number of ZIP codes. In 2024, ZIP code 65066 generated $2,475,196 and represented 100% of related Medicaid payments in Owensville in that period.

Payments within the National Codes Established for State Medicaid Agencies category were largely focused on a few individual billing codes.

From 2023 to 2024, Medicaid payments in this category grew by 7.1% in Owensville, compared with a 3.8% increase across all Medicaid claims in the city in the same time frame.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending reached roughly $871.7 billion in fiscal year 2023. This accounted for about 18% of all U.S. health expenditures and marked a substantial jump from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

The rise represents approximately 40% growth over several years, largely due to higher enrollment and greater service use during and after the pandemic.

Recent federal budget laws under the Trump administration have included major proposals to reduce federal Medicaid support and change program structure. For instance, the “One Big Beautiful Bill Act,” passed in 2025, is expected to cut more than $1 trillion in federal Medicaid funding over 10 years. The law adds policies like work requirements and higher cost-sharing that could reduce both coverage and funding for some recipients. These changes are likely to shift greater costs to states and slow the growth of federal Medicaid funding, even as the program continues to serve tens of millions nationwide.

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.