In Aberdeen, Medicaid providers submitted $26,690,457 in billings for services in the National Codes Established for State Medicaid Agencies category in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That total reflects an 85.5% jump from 2023, when Medicaid claims for the same services reached $14,391,830.
Medicaid is a government health insurance initiative managed by states and financed jointly by federal and state governments. The program covers children, seniors, people with disabilities, and low-income families, making it a core element of the U.S. health care system.
Since Medicaid comprises taxpayer funds, fluctuations in local spending reveal how public health dollars are distributed throughout a given community.
The “National Codes Established for State Medicaid Agencies” group encapsulates Medicaid-billed services defined by standardized HCPCS and CPT code collections. For this report, services were categorized by billing code prefixes and numbers, grouping similar services while avoiding overlapping entries and allowing for accurate trend comparisons.
Although Medicaid spending climbed across a range of service types, National Codes Established for State Medicaid Agencies was the leading category in Aberdeen by total Medicaid expenditures in 2024.
Across Washington, National Codes Established for State Medicaid Agencies also stood as the top category by overall Medicaid payments for the year.
Looking at the five-year span ending in 2024, Medicaid expenditures for National Codes Established for State Medicaid Agencies in Aberdeen rose by $24,649,341, or 1207.6%. The pace of growth accelerated at various points, particularly in 2023 and 2022, with pronounced year-over-year jumps.
Citywide, payments linked to this category came from a narrow selection of ZIP codes. In 2024, ZIP code 98520 contributed the full $26,690,457 total, accounting for 100% of Aberdeen’s Medicaid payments for National Codes Established for State Medicaid Agencies in that year.
Payments within this category also tended to be focused among a small set of individual billing codes.
When comparing growth rates, Medicaid payments for these services in Aberdeen increased 85.5% between 2024 and 2023, whereas payments for all Medicaid claim types in the city rose 40.3% during the same interval.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays reached roughly $871.7 billion in fiscal year 2023, making up about 18% of total national health expenditures, and up considerably from $613.5 billion in 2019, before the COVID-19 pandemic began.
This increase means Medicaid spending nationwide grew about 40% over several years, with the primary drivers being higher enrollment and increased care utilization during and after the pandemic.
Recent federal budget legislation passed during the Trump administration featured major proposals to decrease federal Medicaid funding and reshape the structure of the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to cut more than $1 trillion in federal Medicaid support over the next decade. The law also mandates work requirements and higher cost-sharing, which could affect beneficiaries’ coverage and funding. These updates are set to place more financial responsibility on states and curb federal Medicaid growth, even as the program still provides services for tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,041,115 | -51.1% |
| 2021 | $1,957,650 | -4.1% |
| 2022 | $2,552,547 | 30.4% |
| 2023 | $14,391,829 | 463.8% |
| 2024 | $26,690,457 | 85.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $26,690,457 | 64.1% |
| 2 | Alcohol and Drug Abuse Treatment | $6,182,866 | 14.8% |
| 3 | Evaluation and Management | $2,960,147 | 7.1% |
| 4 | Medicine Services and Procedures | $2,128,989 | 5.1% |
| 5 | Radiology Procedures | $933,710 | 2.2% |
| 6 | Ambulance and Other Transport Services and Supplies | $689,371 | 1.7% |
| 7 | Pathology and Laboratory Procedures | $668,846 | 1.6% |
| 8 | Dental Services | $579,343 | 1.4% |
| 9 | Durable Medical Equipment | $260,347 | 0.6% |
| 10 | Surgery | $190,093 | 0.5% |
| 11 | Procedures / Professional Services | $105,026 | 0.3% |
| 12 | Medical And Surgical Supplies | $104,901 | 0.3% |
| 13 | Drugs Administered Other than Oral Method | $99,229 | 0.2% |
| 14 | Temporary Codes | $40,935 | 0.1% |
| 15 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $5,322 | <0.1% |
| 16 | Orthotic Procedures and services | $3,302 | <0.1% |
| 17 | Temporary National Codes (Non-Medicare) | $851 | <0.1% |
| 18 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 18 | Coronavirus Diagnostic Panel | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $26,644,367 | 183 |
| T2022 | Case management, per month | $45,688 | 6 |
| T1017 | Targeted case management | $401 | 1 |
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.
