Powell Medicaid payments for national code services climb 90.1% in 2024

In 2024, Powell Medicaid providers billed $202,370 for services categorized as National Codes Established for State Medicaid Agencies, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 90.1% increase compared to 2023, when $106,437 was billed for the same services.

Medicaid, a public health insurance initiative managed by each state and funded in partnership by federal and state governments, serves low-income individuals, families, seniors, children and people with disabilities. These populations make it a key component of the American health care system.

Because Medicaid funding originates from taxpayers, shifts in billing concentrations reveal patterns of public health dollar distribution within a community.

The “National Codes Established for State Medicaid Agencies” category groups Medicaid-billed services based on standardized HCPCS and CPT code sets that align by care type. For this report, coding by consistent prefixes and number ranges was used for each billing code, helping to analyze comparable services together while ensuring ranking accuracy and avoiding double counting.

While spending in multiple service categories increased for Medicaid, National Codes Established for State Medicaid Agencies ranked highest by total Medicaid payments in Powell for 2024.

Statewide in Wyoming, National Codes Established for State Medicaid Agencies also ranked first in total Medicaid disbursements for 2024.

Looking back over the previous five years up to 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Powell grew by $97,439, or 92.9%. Periods of accelerated spending growth included 2023 and 2020, where year-over-year changes were significant.

Although the citywide distribution spread spending across the area, the majority of payments for this Medicaid service category were concentrated within a small number of ZIP codes. In 2024, ZIP code 82435 accounted for $202,369, representing 100% of Medicaid spending in Powell for these services.

A limited pool of individual billing codes received the bulk of Medicaid payments within the National Codes Established for State Medicaid Agencies service group in Powell.

When comparing categories, Powell’s Medicaid payments related to National Codes Established for State Medicaid Agencies increased by 90.1% from 2023 to 2024. By comparison, all Medicaid claim categories in the city rose 16.1% in the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid outlays together reached roughly $871.7 billion in the 2023 fiscal year, nearly 18% of total national health expenditures and up sharply from about $613.5 billion in 2019, before the pandemic.

This amounts to an increase of around 40% over several years, attributed chiefly to larger enrollment and greater service use during and following the COVID-19 pandemic.

Recent federal budget measures adopted by the Trump administration contained notable provisions aimed at decreasing federal Medicaid allocations and changing the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion in the coming decade. It also introduces policies like work requirements and higher cost-sharing for beneficiaries, potentially decreasing coverage and raising the financial responsibility for states, even as Medicaid serves 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.