In 2024, White Stone Medicaid providers billed $82,968 for services under the National Codes Established for State Medicaid Agencies category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount reflects a 2.5% rise over 2023, when billings for these services totaled $80,976.
Medicaid, operated by states with joint federal and state funding, provides public insurance to low-income families, seniors, children, and people with disabilities, establishing it as a significant part of the U.S. health system. For more on funding, see this overview.
Shifts in local Medicaid billing reflect changes in community use of public health care resources, as this funding is drawn from taxpayer dollars.
The “National Codes Established for State Medicaid Agencies” grouping covers certain Medicaid-billed services, each determined by care type using standardized HCPCS and CPT code classifications. For this analysis, billing codes were attributed to single service categories by code prefix and range to group similar services without overlap, supporting accuracy over time in rankings.
National Codes Established for State Medicaid Agencies topped all Medicaid service categories in White Stone for total payments in 2024, among several increasing spending lines.
This category also led all Medicaid service categories in Virginia, generating the highest payment totals statewide in 2024.
Across the five years preceding 2024, payments linked to National Codes Established for State Medicaid Agencies in White Stone rose by $227,509, representing a 73.3% increase. Notable annual spending jumps occurred during certain periods, including consecutive spikes seen in 2022.
Most Medicaid payments in this category were focused in a small number of ZIP codes. In 2024, ZIP code 22578 accounted for $82,967 of payments, with the top single ZIP code representing 100% of Medicaid spending on these services in White Stone for the year.
Payments within the National Codes Established for State Medicaid Agencies category were also concentrated to select billing codes.
Year over year, White Stone experienced a 2.5% increase for this service category between 2024 and 2023, the same rate of change as the city’s overall Medicaid claim categories for the period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up nearly 18% of national health expenditures, a marked increase from around $613.5 billion in 2019, before the COVID-19 pandemic.
The data indicates an estimated 40% increase in just a few years, attributed largely to expanded enrollment and greater service use associated with and following the pandemic.
Federal budget actions during the Trump administration included proposals to scale back federal Medicaid funding and change program operations. One example, the “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid support by over $1 trillion during the coming decade with new measures like work requirements and increased cost-sharing, potentially limiting both coverage and funding for certain beneficiaries. This legislative change is expected to transfer additional financial pressures to states and curb federal program growth, despite Medicaid’s continued service to tens of millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $310,476 | -13.9% |
| 2021 | $15,720 | -94.9% |
| 2022 | $114,242 | 626.7% |
| 2023 | $80,975 | -29.1% |
| 2024 | $82,967 | 2.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $82,967 | 10<0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2003 | N-et; encounter/trip | $82,967 | 11 |
Note: HCPCS codes are provided for context. This article’s category totals and rankings are derived from standardized service groupings, not individual billing codes.
All data in this article was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The full source files are available here.


