Rolla’s Medicaid payments for state-established national codes reach $45.2 million in 2024

Rolla Medicaid providers billed $45,212,086 in 2024 for services within the National Codes Established for State Medicaid Agencies category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount is a 4.8% rise from 2023, when $43,128,825 in claims were submitted for the comparable services.

Medicaid is a government-run health insurance program operated by states and paid for jointly by the federal and state governments. It serves low-income residents, the elderly, children, and individuals with disabilities, making it a critical segment of the U.S. health care landscape.

Medicaid payment levels reflect taxpayer funding usage, with changes in local billing helping show how public health care funds are used throughout a community.

The “National Codes Established for State Medicaid Agencies” category includes services billed to Medicaid defined by the type of care, determined with standardized HCPCS and CPT code groupings. For this data analysis, billing codes were placed into single service groups using uniform code prefixes and ranges; this kept related services organized, avoided repeat counting, and maintained proper category rankings.

While Medicaid spending rose across various service groups, National Codes Established for State Medicaid Agencies led by total Medicaid payments in Rolla for 2024.

Statewide in Missouri, this category also ranked first in total Medicaid payments for 2024.

In the five years ending in 2024, Medicaid payments in Rolla tied to this category increased by $17,676,739, or 64.2%. Periods of more rapid growth were seen, with significant year-to-year gains recorded for 2023 and 2022.

Though payments in this category happened citywide, there was a focus in a few ZIP codes. During 2024, the ZIP code 65401 accounted for $45,212,085, representing 100% of Medicaid payments in this service group in Rolla that year.

Payments within this category were also concentrated among a limited selection of Medicaid billing codes.

Looking at service level changes, National Codes Established for State Medicaid Agencies payments in Rolla increased 4.8% from 2023 to 2024, compared to a 0.6% rise across all Medicaid claim types citywide during the same span.

The Centers for Medicare & Medicaid Services reports combined federal and state Medicaid spending hit approximately $871.7 billion in fiscal year 2023, which represented nearly 18% of total U.S. health spending—up substantially from around $613.5 billion in 2019, before the onset of COVID-19.

This shift reflects close to 40% growth over several years, with most acceleration linked to larger enrollment numbers and increased care utilization during and after the pandemic.

Recent federal budget legislation during the Trump presidency brought large proposals to reduce federal Medicaid subsidies and restructure funding approaches. For example, the “One Big Beautiful Bill Act,” signed in 2025, is intended to trim over $1 trillion in federal Medicaid expenditures over a decade, instituting measures like employment requirements and greater patient cost-sharing. The changes may decrease federal funding and coverage for some groups, transferring additional financial responsibility to states, even as Medicaid 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.