Pearisburg Medicaid payments for National Codes Established for State Medicaid Agencies surge to $834,156 in 2024

In Pearisburg, Medicaid providers billed $834,156 for services labeled under the National Codes Established for State Medicaid Agencies in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflected a 65.2% jump from 2023, when claims for these services reached $505,052.

Medicaid is a public health insurance system operated by states and funded through both federal and state money. It provides coverage for low-income people and families, seniors, children, and individuals with disabilities, making it one of the largest health care programs in the United States.

Because taxpayers finance Medicaid payments, shifts in local billing levels indicate how public health funds are distributed within a community.

The “National Codes Established for State Medicaid Agencies” group encompasses Medicaid-billed services identified by the type of care, organized into standardized HCPCS and CPT code sets. For this assessment, billing codes were placed in single service categories using code prefixes and numeric ranges to review related services together, eliminating double counting and helping to maintain accurate year-by-year rankings.

Medicaid spending rose in several service categories, but National Codes Established for State Medicaid Agencies placed second for total Medicaid payments in Pearisburg in 2024.

Statewide, the National Codes Established for State Medicaid Agencies ranked at the top for total Medicaid payments in Virginia for 2024.

Between 2019 and 2024, Medicaid expenditures in Pearisburg connected to the National Codes Established for State Medicaid Agencies category rose by $771,229, or 1225.6%. Growth accelerated over specific intervals, with significant increases noted in both 2023 and 2022.

Though spending was citywide, most Medicaid payments for National Codes Established for State Medicaid Agencies were found in a few ZIP codes. In 2024, ZIP code 24134 recorded $834,155 in such Medicaid payments. Altogether, the leading ZIP code made up 100% of Pearisburg’s Medicaid spending for this category during the year.

Within this category, payments were heavily focused on just a few specific billing codes.

For comparison, Medicaid outlays tied to National Codes Established for State Medicaid Agencies in Pearisburg increased 65.2% from 2023 to 2024, while payments across all Medicaid claim categories in the city changed by 4.8% in the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenses totaled roughly $871.7 billion in fiscal year 2023, making up about 18% of all national health costs. This marked a sharp rise from around $613.5 billion in 2019, before the COVID-19 pandemic.

The increase amounts to nearly 40% growth over several years, primarily because of higher enrollment and service use during and after the pandemic period.

Recent federal budget actions under the Trump administration have included notable proposals to cut federal Medicaid funding and shift the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the next decade. It introduces measures such as work requirements and greater cost-sharing that could limit coverage and funding for some enrollees. These changes are anticipated to transfer more costs to states and slow the growth of federal Medicaid funds, 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.