Medicaid payments for National Codes Established for State Medicaid Agencies surge 249% in Dublin in 2024

In 2024, Medicaid providers in Dublin billed $278,894 for services within the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented a 249% jump from 2023, when providers billed $79,918 for the same services.

Medicaid operates as a public health insurance program managed by individual states and funded in partnership by the federal and state governments. The program primarily serves low-income individuals and families, seniors, children, and people with disabilities, making it a core component of the U.S. health care system.

Since Medicaid payments come from public funds, fluctuations in local billing reflect how community health care dollars are distributed.

The “National Codes Established for State Medicaid Agencies” category covers a collection of Medicaid claims organized by care type, relying on standardized HCPCS and CPT code groupings. In this analysis, each billing code was placed into one service category based on systematic code prefixes and numeric intervals, enabling related services to be grouped for analysis without overlap or miscounting, preserving accurate historical rankings.

While Medicaid spending grew in several service areas, National Codes Established for State Medicaid Agencies was the second-highest Medicaid payment category in Dublin for 2024.

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

Across the five years before 2024, Medicaid payments associated with the National Codes Established for State Medicaid Agencies category in Dublin rose by $278,894, resulting in a 0% change. Certain years, including 2023 and 2022, saw notable accelerations in annual spending.

Payments for services in the National Codes Established for State Medicaid Agencies category were distributed citywide, but concentrated heavily in just a few ZIP codes. In 2024, ZIP code 24084 accounted for $278,893 in Medicaid payments for this category. This single area represented 100% of Dublin’s total Medicaid payments for the service type in 2024.

Within the National Codes Established for State Medicaid Agencies category, the bulk of Medicaid payments focused on only a handful of individual billing codes.

To put the change in perspective, Medicaid payments for this category in Dublin climbed 249% from 2023 to 2024, while citywide payments across all Medicaid claim categories increased by 19.3% during that time frame.

According to the Centers for Medicare & Medicaid Services, combined federal and state spending on Medicaid reached about $871.7 billion in fiscal 2023, which was roughly 18% of all U.S. health expenditures. That was a sharp increase from $613.5 billion in 2019, before the COVID-19 pandemic began.

This growth amounts to about 40% over a few years, primarily fueled by higher enrollment and increased service use during and after the pandemic period.

Recent federal budget measures enacted under the Trump administration have included major proposals to reduce federal funding for Medicaid and restructure the program. Notably, the “One Big Beautiful Bill Act,” signed in 2025, is anticipated to lower federal Medicaid funding by more than $1 trillion over a decade and implement policy changes—such as work requirements and increased cost-sharing—that may decrease both coverage and funding for some beneficiaries. These new measures could shift added responsibility to states and constrain future federal growth of Medicaid support, even as the program remains vital to 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.