Potosi Medicaid payments for State Medicaid Agency national codes reach $1,296,968 in 2024

Potosi Medicaid providers submitted $1,296,968 in bills for services under the National Codes Established for State Medicaid Agencies in 2024, federal records from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This figure marks a 30.4% rise compared to 2023, when similar service claims totaled $994,983.

Medicaid, the joint federal-state public health insurance program, covers qualifying low-income residents, families, children, seniors, and individuals with disabilities. It remains a core part of the U.S. health system.

Because Medicaid is taxpayer-funded, changes in billing levels at the local level help illustrate how public health funding is dispersed within a community.

The “National Codes Established for State Medicaid Agencies” category groups a range of Medicaid services identified by the care type and national billing code sets. For this analysis, each code was placed into a specific service group using consistent numbering structures, helping to keep services grouped for comparison without duplicate entries and preserve trends over periods.

Medicaid outlays increased throughout multiple service categories, but National Codes Established for State Medicaid Agencies was second by payment total in Potosi in 2024.

Statewide in Missouri, the category was ranked first in Medicaid payment totals for the year.

From the five years before 2024, Medicaid spending for National Codes Established for State Medicaid Agencies in Potosi rose by $1,121,958—a 641.1% increase. Some years, particularly 2022 and 2023, saw accelerated year-over-year gains.

While these service payments were distributed across Potosi, a few ZIP codes saw most of the spending. In 2024, ZIP code 63664 received $1,296,968 in such payments, accounting for 100% of the city’s Medicaid payments in this category.

Spending within the category also concentrated on a handful of individual billing codes.

To compare, Medicaid payments for these national codes in Potosi grew 30.4% between 2024 and 2023. This compares to a 9.1% increase across all Medicaid billing categories in the city during the same interval.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid spending reached about $871.7 billion in the 2023 fiscal year, roughly 18% of all national health expenditures. That’s a notable rise from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase reflects about 40% growth over several years, largely influenced by higher enrollment and more service use related to the pandemic and subsequent period.

Federal budget bills enacted under the Trump administration have introduced proposals to lower federal Medicaid contributions and alter the program’s structure. The “One Big Beautiful Bill Act,” passed in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over 10 years and adds policies like work requirements and increased cost-sharing, which could limit benefits for some enrollees. Such measures are expected to boost state financial responsibility and restrict federal spending growth, while the program still covers 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.