Medicaid payments tied to state-established national codes reach $907,686 in Kilmarnock for 2024

In 2024, Medicaid providers in Kilmarnock billed a total of $907,686 for services categorized under the National Codes Established for State Medicaid Agencies, based on U.S. Department of Health and Human Services Medicaid Provider Spending data. This amount reflects a 69.3% jump versus 2023, when claims for the same service type totaled $536,199.

Medicaid operates as a state-managed health insurance program, funded by both federal and state governments. The program serves low-income individuals and families, older adults, children and persons with disabilities, making up a significant segment of the country’s health care system.

Because taxpayer dollars fund Medicaid payments, fluctuations in local billing reflect how public health care resources are distributed throughout the community.

The “National Codes Established for State Medicaid Agencies” designation encompasses Medicaid-billed services defined by care type, based on standardized HCPCS and CPT coding. For this review, analysts assigned each billing code to one service group using uniform code prefixes and numerical ranges, ensuring related services could be tracked together without duplication and with accurate rankings over time.

While spending increased across several Medicaid service categories, National Codes Established for State Medicaid Agencies stood as the second-highest category in total Medicaid payments in Kilmarnock for 2024.

Statewide, the National Codes Established for State Medicaid Agencies category held the top spot in Virginia for total Medicaid payments during 2024.

From five years before 2024, Medicaid payments tied to this service category in Kilmarnock rose by $831,235, or 1087.3%. Some periods saw significant acceleration in spending, especially noted in 2022 and 2023.

Even though Medicaid payments in this category were distributed citywide, they were mainly concentrated in specific ZIP codes. In 2024, ZIP code 22482 accounted for the full $907,686 in payments, representing 100% of Kilmarnock’s total in this category for the year.

Within the category, most Medicaid payments were also tied to a limited number of key billing codes.

For context, Medicaid payments tied to the National Codes Established for State Medicaid Agencies service group jumped by 69.3% from 2023 to 2024 in Kilmarnock, significantly exceeding the 10.5% overall change across all Medicaid claim types in the city that year.

According to the Centers for Medicare & Medicaid Services, combined federal and state outlays for Medicaid reached an estimated $871.7 billion in the 2023 fiscal year, making up about 18% of total U.S. health expenditures. That figure is up notably from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This represents growth of about 40% within a few years, largely due to expanded enrollment and increased utilization during and following the pandemic.

Recent federal budget laws under the Trump administration proposed sharp cuts and reforms to Medicaid. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to slash more than $1 trillion in federal Medicaid expenditures over 10 years and implements policies such as work requirements and higher cost-sharing, potentially reducing funding and coverage for certain groups. These adjustments are anticipated to shift additional burden to state budgets and limit federal Medicaid expansion, even as the program serves 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.