Medicaid payments for National Codes in Freeland up 90% in 2024

In 2024, providers in Freeland billed $210,086 for services listed under the National Codes Established for State Medicaid Agencies, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 90% growth from 2023, when billed claims for this service totaled $110,552.

Medicaid is a state-administered public health insurance program funded by both federal and state governments. It provides coverage to eligible low-income people and families, seniors, children, and individuals with disabilities, ranking among the nation’s largest health care programs.

As Medicaid dollars are public funds, fluctuations in billing reveal patterns in how local health care resources are distributed.

The “National Codes Established for State Medicaid Agencies” grouping includes Medicaid services organized by care type, defined through specific HCPCS and CPT code sets. For this review, each code was mapped to one service category using standardized code prefixes and number ranges to ensure related services were grouped together accurately while avoiding duplicate totals and maintaining proper ranking year over year.

Medicaid spending saw increases across many categories, but National Codes Established for State Medicaid Agencies recorded the largest total Medicaid payments in Freeland for 2024.

At the state level in Washington, this category also led by statewide total Medicaid payments during 2024.

Between 2019 and 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies in Freeland rose by $57,586, a 37.8% jump. Growth periods were uneven, with significant year-over-year increases noted in 2023 and 2020.

Despite citywide distribution, Medicaid payments for this category were primarily concentrated in a small number of ZIP codes. In 2024, ZIP code 98249 led with $210,085 in Medicaid payments, accounting for 100% of payments in this category in Freeland.

Most Medicaid payments in this category stemmed from a select group of billing codes.

For reference, the payment increase for this category in Freeland was 90% from 2023 to 2024, while all Medicaid claims categories in the city grew by 111.4% over the same timeframe.

Centers for Medicare & Medicaid Services data show combined federal and state Medicaid spending stood at about $871.7 billion in fiscal year 2023, equaling around 18% of total U.S. health expenditures, a significant increase from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

Overall, that increase translates to about 40% growth in just a few years, largely due to higher enrollment and greater use of services around the pandemic period.

Recent federal budget actions under the Trump administration brought notable proposals to curb federal Medicaid funding and restructure the system. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid spending by more than $1 trillion over 10 years, introducing initiatives like work requirements and higher cost-sharing that could limit coverage and funding for various groups. These policy changes are likely to shift additional costs to states and restrict the future growth of federal Medicaid assistance, though the program will continue to cover tens of 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.