Aloha Medicaid payments for National Codes Established for State Medicaid Agencies reach $3,627,532 in 2024

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Aloha billed $3,627,532 in 2024 for services within the National Codes Established for State Medicaid Agencies category. This represented a 44% increase compared with 2023, when claims for the category totaled $2,519,382.

Medicaid is a government-run health insurance program operated by states with funding shared by federal and state governments. It serves low-income people, families, seniors, children, and individuals with disabilities, making it one of the largest components of the U.S. health care landscape.

As Medicaid is funded by taxpayers, fluctuations in local billing levels help illustrate how public health care funding is distributed throughout communities.

The “National Codes Established for State Medicaid Agencies” category includes a specific set of Medicaid-billed services identified by care type using standardized HCPCS and CPT code groupings. For this report, codes were grouped into service categories based on consistent prefixes and numeric ranges, allowing analysts to examine related services together while preventing double counting and maintaining accurate rankings over time.

While several Medicaid service categories saw spending increases, National Codes Established for State Medicaid Agencies ranked as the leading category by total Medicaid payments in Aloha for 2024.

Statewide, in Oregon, the National Codes Established for State Medicaid Agencies category placed fourth for total Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments for National Codes Established for State Medicaid Agencies in Aloha rose by $1,364,078, or 60.3%. Growth in spending accelerated during certain years, with significant year-over-year jumps observed in 2020 and 2023.

Medicaid payments in this category, while spread throughout Aloha, were concentrated in just a few ZIP codes. In 2024, ZIP code 97007 accounted for $3,627,532 in Medicaid payments for services in this category, representing 100% of all related payments in Aloha that year.

Payments within the National Codes Established for State Medicaid Agencies category were also concentrated among a small set of individual billing codes.

To compare, Medicaid payments linked to this category in Aloha increased by 44% from 2023 to 2024, compared with a 0.8% change across all Medicaid claim categories in the city during the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending was approximately $871.7 billion in fiscal year 2023, making up around 18% of national health expenditures. This is an increase from about $613.5 billion in 2019, before the COVID-19 pandemic.

This represents an approximate 40% increase over several years, primarily due to expanded enrollment and higher utilization during and after the pandemic.

Federal budget legislation signed during the Trump administration included measures to decrease federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the next decade and includes policy changes such as work requirements and increased cost-sharing that could decrease coverage and funding for some recipients. These policy changes are projected to shift more of the fiscal responsibility to states and limit the expansion of federal Medicaid support, even as enrollment remains high.

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.