National Codes Established for State Medicaid Agencies billings reach $2,083,850 in Apex for 2024

In Apex, Medicaid providers submitted $2,083,850 in claims for the National Codes Established for State Medicaid Agencies category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 4.5% rise compared to 2023, when claims for this category totaled $1,993,462.

Medicaid serves as a public health insurance program overseen by states and funded by both federal and state governments. It insures low-income families and individuals, seniors, children and those with disabilities, making it one of the largest health care payers in the U.S.

Because taxpayer contributions fund Medicaid payments, local changes in billing amounts reflect the distribution of public health care resources within a given community.

The “National Codes Established for State Medicaid Agencies” category includes service groups defined by the type of care using standardized HCPCS and CPT code groupings. For this data analysis, billing codes were grouped into individual service categories according to standardized prefixes and numerical ranges so that related types of care could be aggregated and tracked over time without duplication.

While multiple Medicaid service areas saw spending increases, the National Codes Established for State Medicaid Agencies ranked as the second-largest category by total Medicaid payments in Apex in 2024.

Statewide in North Carolina, this category ranked first by total Medicaid payments for 2024.

Looking at the five-year period leading up to 2024, Medicaid payments attributed to the National Codes Established for State Medicaid Agencies in Apex grew by $1,136,468, a 120% increase. Spending accelerated at times, with the most significant single-year hikes in 2020 and 2021.

Although payments supporting care in the National Codes Established for State Medicaid Agencies category were made throughout Apex, most billing was concentrated in a small number of ZIP codes. In 2024, ZIP code 27502 accounted for $2,083,850—the full category total in the city. That top ZIP code comprised 100% of Medicaid payments tied to this category in Apex that year.

For this category, the majority of payments in Apex were concentrated among a limited subset of billing codes.

Between 2024 and 2023, Medicaid payments tied to the National Codes Established for State Medicaid Agencies category in Apex rose 4.5%, while across all Medicaid claim types in the city, claims increased by 132.5% over the same timeframe.

According to the Centers for Medicare & Medicaid Services, total state and federal Medicaid expenditures reached about $871.7 billion in fiscal year 2023, roughly 18% of overall national health spending. This is a substantial rise from $613.5 billion in 2019, the year preceding the COVID-19 public health emergency.

This increase amounts to growth of nearly 40% in several years, primarily due to greater enrollment and higher utilization during and following the pandemic.

Recent federal budget measures under the Trump administration have brought forward major federal Medicaid funding reductions and program changes. The “One Big Beautiful Bill Act,” legislated in 2025, is expected to reduce federal Medicaid dollars by more than $1 trillion over the coming decade and to implement policies like work requirements and cost-sharing increases. These changes are projected to reduce some beneficiaries’ coverage and shift more funding responsibility to individual states, likely limiting growth in federal contributions, while the program remains a primary source of coverage for 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.