Homosassa Medicaid payments for National Codes Established for State Medicaid Agencies rise to $303,075 in 2024

In 2024, Medicaid providers in Homosassa billed $303,075 for services classified under the National Codes Established for State Medicaid Agencies, as shown in data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 16.9% rise over 2023, when $259,249 was billed for the same service category.

Medicaid, the public health insurance program managed by states and funded through a federal-state partnership, covers low-income people, seniors, children, and individuals with disabilities, making it one of the nation’s largest health coverage programs.

Since Medicaid funding is sourced from taxpayers, fluctuations in local billing show how public health funding is allocated throughout a community.

The “National Codes Established for State Medicaid Agencies” group encompasses Medicaid-billed services defined by care type, based on standardized HCPCS and CPT coding. In this analysis, each code was assigned to a single category by using consistent code prefixes and number ranges, which helped analyze related services together while preventing duplicate counts and supporting accurate rank comparisons over time.

While Medicaid spending increased for several categories, National Codes Established for State Medicaid Agencies was the top-ranked category in Homosassa for total Medicaid payments in 2024.

Statewide in Florida, the National Codes Established for State Medicaid Agencies category placed second by total Medicaid payments in 2024.

Between 2020 and 2024, Medicaid payments related to the National Codes Established for State Medicaid Agencies group in Homosassa rose by $154,525, or 104%. The rate of spending growth accelerated at certain times, with notable increases from year to year in 2023 and 2020.

Payments for services in the National Codes Established for State Medicaid Agencies category were distributed citywide but largely centered in a relatively small number of ZIP codes. In 2024, ZIP code 34446 reported the highest Medicaid billing for these codes, totaling $303,075, making up 100% of all payments in this category for Homosassa that year.

Within this category, Medicaid payments were also concentrated among a small set of individual billing codes.

For context, while Medicaid payments tied to this category in Homosassa grew 16.9% between 2024 and 2023, overall Medicaid claims citywide rose 6.4% during the same period.

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

This growth reflects roughly a 40% increase in just a few years, mainly driven by increased program enrollment and higher usage during and after the pandemic.

Recent federal budget measures during the Trump administration have proposed significant reductions in federal Medicaid funding and new program structures. As an example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim over $1 trillion from federal Medicaid spending in the next decade and includes policies like work requirements and more cost-sharing, which could narrow coverage and funding for some enrollees. These changes may shift more expenses to states and limit future growth of federal Medicaid funding, even as the program serves tens of millions of Americans.

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.