In 2024, Medicaid providers in Manassas reported $29,956,827 in billing for services falling under the National Codes Established for State Medicaid Agencies category, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 10.4% rise from 2023, when total claims for this category were $27,123,208.
Medicaid, cooperating between states and the federal government and funded by both, is a public health insurance program. It serves low-income individuals and families, as well as seniors, children, and people with disabilities, making it a major player in the U.S. health care landscape.
Since Medicaid funding stems from taxpayers, changes in claims at the community level highlight how public health funds are distributed locally.
The National Codes Established for State Medicaid Agencies category comprises a set of Medicaid services identified by care type with groupings based on HCPCS and CPT code standards. In this analysis, consistent code prefixes and number ranges assign each billing code to a unique service category, ensuring associated services are analyzed together and rankings remain consistent over time without duplicating counts.
While Medicaid expenditures have gone up in several service groups, National Codes Established for State Medicaid Agencies recorded the most in overall Medicaid payments in Manassas for 2024.
Statewide, Virginia also saw National Codes Established for State Medicaid Agencies at the top for total Medicaid payments this year.
Reviewing the period from five years before 2024, Medicaid outlays connected to the National Codes Established for State Medicaid Agencies category in Manassas grew by $14,959,780, which is a 99.8% increase. The biggest annual jumps occurred in 2020 and 2021.
While these expenditures covered multiple areas citywide, they were focused in a few ZIP codes. The ZIP code 20110 accounted for $23,817,859; 20109 for $5,858,340; and 20112 for $280,626. The three ZIP codes together made up 100% of Manassas Medicaid payments for this category in 2024.
Spending within the National Codes Established for State Medicaid Agencies category was also heavily centered on certain billing codes.
By comparison, Medicaid payments tied to this category in Manassas climbed by 10.4% between 2024 and 2023, outpacing the overall citywide growth of 3.8% for Medicaid claim categories in the same span.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled approximately $871.7 billion in fiscal year 2023. That made up roughly 18% of all national health expenditures, which is a considerable jump from about $613.5 billion recorded in 2019, before the COVID-19 crisis.
This increase tracks a roughly 40% surge in just a few years, mainly driven by more people enrolled and higher usage during and after the pandemic period.
More recently, federal budget acts during the Trump administration added significant suggestions to lower federal Medicaid spending and revamp aspects of the program. Notably, the “One Big Beautiful Bill Act,” became law in 2025 and is set to decrease federal Medicaid funding by more than $1 trillion over ten years, implementing work requirements and higher cost-sharing. Some beneficiaries may see decreased coverage and resources, shifting more burden to states and restricting federal Medicaid growth, though the program will still serve millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $14,997,047 | 27.1% |
| 2021 | $18,526,709 | 23.5% |
| 2022 | $22,822,060 | 23.2% |
| 2023 | $27,123,208 | 18.8% |
| 2024 | $29,956,826 | 10.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $29,956,826 | 43.8% |
| 2 | Evaluation and Management | $11,522,754 | 16.9% |
| 3 | Alcohol and Drug Abuse Treatment | $11,117,982 | 16.3% |
| 4 | Medicine Services and Procedures | $10,247,775 | 15% |
| 5 | Radiology Procedures | $1,883,254 | 2.8% |
| 6 | Procedures / Professional Services | $926,538 | 1.4% |
| 7 | Ambulance and Other Transport Services and Supplies | $912,057 | 1.3% |
| 8 | Pathology and Laboratory Procedures | $691,651 | 1% |
| 9 | Durable Medical Equipment | $480,398 | 0.7% |
| 10 | Temporary National Codes (Non-Medicare) | $311,670 | 0.5% |
| 11 | Surgery | $93,917 | 0.1% |
| 12 | Vision Services | $93,912 | 0.1% |
| 13 | Drugs Administered Other than Oral Method | $63,589 | 0.1% |
| 14 | Administrative, Miscellaneous and Investigational | $18,841 | <0.1% |
| 15 | Medical And Surgical Supplies | $319 | <0.1% |
| 16 | Temporary Codes | $128 | <0.1% |
| 17 | Dental Services | $0 | <0.1% |
| 17 | Outpatient PPS | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $21,915,018 | 105 |
| T1017 | Targeted case management | $2,877,506 | 12 |
| T1005 | Respite care service 15 min | $2,529,909 | 83 |
| T2023 | Targeted case mgmt per month | $667,393 | 12 |
| T2022 | Case management, per month | $615,833 | 11 |
| T2003 | N-et; encounter/trip | $388,804 | 22 |
| T2005 | N-et; stretcher van | $199,061 | 8 |
| T1023 | Program intake assessment | $195,268 | 11 |
| T2021 | Day habil waiver per 15 min | $191,445 | 4 |
| T1027 | Family training & counseling | $149,904 | 11 |
| T2027 | Spec childcare waiver 15 min | $142,718 | 9 |
| T1024 | Team evaluation & management | $69,117 | 11 |
| T2024 | Serv asmnt/care plan waiver | $9,450 | 2 |
| T1028 | Home environment assessment | $5,394 | 3 |
| T2049 | N-et; stretcher van, mileage | $0 | 8 |
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.
