Medicaid payments for National Codes Established for State Medicaid Agencies grow 18.7% in Springfield, reaching $27.5 million in 2024

In 2024, Medicaid providers in Springfield submitted $27,503,668 in claims for services listed 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. That total represents an 18.7% increase compared to 2023, when claims for these services reached $23,168,217.

Medicaid, a joint federal and state program, provides public health insurance to individuals and families with low incomes, along with seniors, children, and those with disabilities. As one of the country’s largest health programs, it is managed by states and funded through both federal and state contributions.

Fluctuations in Medicaid billing reflect how taxpayer money is spent on health care at a community level.

The “National Codes Established for State Medicaid Agencies” category includes services grouped by type of care using standardized HCPCS and CPT codes. Each code was assigned to only one service group for this report using defined prefixes and number ranges, ensuring that related services could be analyzed collectively, with no overlap or double counting across ranked categories over time.

While several service categories experienced increases in Medicaid spending, National Codes Established for State Medicaid Agencies led Springfield in total Medicaid disbursements for 2024.

On the statewide level, National Codes Established for State Medicaid Agencies also ranked first in Virginia for Medicaid payments in 2024.

During the five years before 2024, Springfield’s Medicaid payments for the National Codes Established for State Medicaid Agencies grew by $18,530,162, or 206.5%. There were periods of especially rapid growth in spending, with notable spikes in both 2021 and 2023.

Though payment distribution spanned the entire city, the majority of funding was concentrated in a few ZIP codes. In 2024, ZIP code 22150 accounted for $16,101,986, 22152 contributed $6,977,915, and 22151 tallied $4,188,329. Combined, these top 3 ZIP codes represented 99.1% of all Medicaid payments in this category for Springfield during the year.

Within the category itself, Medicaid disbursements were focused on a select group of billing codes.

To put changes in context, the 18.7% growth in Springfield’s Medicaid payments for the National Codes Established for State Medicaid Agencies between 2024 and 2023 compares with just a 0.5% overall increase across all Medicaid claim categories citywide for the same span.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, or about 18% of total national health expenditures—up from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

The difference marks an increase of around 40% within several years, attributable in large part to increased enrollment and service use during and after the pandemic.

Federal budget measures enacted during the Trump administration have included major proposals to reduce and restructure Medicaid funding. For instance, the “One Big Beautiful Bill Act,” which became law in 2025, aims to cut over $1 trillion in federal Medicaid spending during the next 10 years while introducing new work requirements and cost-sharing. These policies are forecast to reduce coverage and shift greater financial responsibility to states, potentially limiting national Medicaid growth while the program continues to serve tens of millions of people.

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.