In 2024, providers in Woodbridge submitted Medicaid claims totaling $71,099,285 for services categorized under the National Codes Established for State Medicaid Agencies, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 13.3% rise from 2023, when $62,764,827 in payments were recorded for comparable services.
Medicaid is a government-run health insurance program funded through federal and state dollars. The program covers a range of groups, including seniors, children, people with disabilities, and individuals and families with low incomes, making it a substantial component of the nation’s health care system.
Since Medicaid funding is sourced from taxpayers, local billing changes provide insight into how public medical resources are spent at the community level.
The “National Codes Established for State Medicaid Agencies” category comprises Medicaid-billed services defined by care type, using standardized HCPCS and CPT code designations. For reporting, each billing code was assigned to a service group based on code prefixes and ranges, facilitating the analysis of like services together while avoiding duplicated counts and maintaining accurate comparisons over time.
Medicaid spending was up across several service classifications, with National Codes Established for State Medicaid Agencies leading all categories in total payments in Woodbridge in 2024.
The National Codes Established for State Medicaid Agencies group also ranked at the top for Medicaid payments statewide in Virginia during 2024.
Analyzing trends over the five-year period through 2024, payments for the National Codes Established for State Medicaid Agencies group in Woodbridge rose by $38,558,092, or 118.5%. This pattern featured sizable annual jumps, with pronounced increases in 2021 and 2023.
Spending for care within this code grouping was distributed across the city, but the majority of Medicaid payments were concentrated in a handful of ZIP codes. In 2024, ZIP codes 22193, 22192, and 22191 registered payment totals of $26,235,127, $25,486,619, and $19,377,537, respectively. Together, these 3 ZIP codes represented 100% of all Medicaid payments assigned to the National Codes Established for State Medicaid Agencies group in Woodbridge during the year.
Payments also showed substantial concentration within a select group of billing codes captured under the National Codes Established for State Medicaid Agencies category.
For context, from 2023 to 2024, payments tied to this category in Woodbridge climbed 13.3%, whereas the citywide growth rate for all Medicaid claim categories in the same period was 2.9%.
According to the Centers for Medicare & Medicaid Services, total Medicaid expenditures by federal and state governments reached an estimated $871.7 billion in fiscal 2023, accounting for about 18% of all U.S. health spending and increasing sharply from the $613.5 billion level seen in 2019, before COVID-19.
This 40% rise in spending over a few years has been attributed to increases in both program enrollment and health care service use during and following the pandemic.
Recent federal budget measures under the Trump administration implemented major proposals to lower federal Medicaid contributions and restructure program operations. The “One Big Beautiful Bill Act,” legislated in 2025, is estimated to reduce federal Medicaid funds by more than $1 trillion over 10 years and to introduce changes like employment requirements and larger cost-sharing, potentially affecting coverage and causing some beneficiaries to bear higher costs. These shifts are expected to put more fiscal responsibility on states and will likely restrict federal Medicaid growth, though the program still serves tens of millions nationally.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $32,541,193 | 7.4% |
| 2021 | $43,481,257 | 33.6% |
| 2022 | $51,531,525 | 18.5% |
| 2023 | $62,764,826 | 21.8% |
| 2024 | $71,099,284 | 13.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $71,099,284 | 45.2% |
| 2 | Alcohol and Drug Abuse Treatment | $35,067,533 | 22.3% |
| 3 | Evaluation and Management | $17,491,468 | 11.1% |
| 4 | Medicine Services and Procedures | $11,950,088 | 7.6% |
| 5 | Temporary National Codes (Non-Medicare) | $9,336,866 | 5.9% |
| 6 | Procedures / Professional Services | $6,269,909 | 4% |
| 7 | Pathology and Laboratory Procedures | $2,574,226 | 1.6% |
| 8 | Radiology Procedures | $2,351,689 | 1.5% |
| 9 | Surgery | $713,450 | 0.5% |
| 10 | Ambulance and Other Transport Services and Supplies | $145,447 | 0.1% |
| 11 | Vision Services | $123,151 | 0.1% |
| 12 | Drugs Administered Other than Oral Method | $28,886 | <0.1% |
| 13 | Administrative, Miscellaneous and Investigational | $15,789 | <0.1% |
| 14 | Temporary Codes | $5,222 | <0.1% |
| 15 | Anesthesia | $4,456 | <0.1% |
| 16 | Medical And Surgical Supplies | $1,387 | <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 | $56,678,187 | 362 |
| T1003 | Lpn/lvn services up to 15min | $7,601,445 | 23 |
| T1005 | Respite care service 15 min | $4,807,626 | 185 |
| T2003 | N-et; encounter/trip | $1,457,930 | 67 |
| T1002 | Rn services up to 15 minutes | $549,302 | 22 |
| T1028 | Home environment assessment | $4,793 | 1 |
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.
