Medicaid spending for National Codes Established for State Medicaid Agencies category reaches $2,726,885 in South Daytona for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in South Daytona billed $2,726,885 for services under the National Codes Established for State Medicaid Agencies category, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This figure marked a 7% uptick from 2023, when $2,547,317 in claims were made for the same classification of services.

Medicaid is a state-administered public health insurance system with both federal and state funding. The program serves low-income families and individuals, seniors, children, and individuals with disabilities—placing it among the largest U.S. health care programs.

As Medicaid is supported by taxpayers, fluctuations in local payment levels reflect the distribution of public health funding throughout each community.

The “National Codes Established for State Medicaid Agencies” category encompasses a spectrum of services billed for Medicaid payment, identified by care type, utilizing standardized HCPCS and CPT code groups. Each billing code in this analysis was categorized using shared code prefixes and number ranges to ensure related services were included, avoiding double counting and supporting reliable rankings into the future.

Across multiple service lines, Medicaid expenditures increased, with South Daytona ranking this category at the top for total Medicaid reimbursements in 2024.

Statewide, this category ranked second by Medicaid payment amount in Florida for 2024.

From 5 years before 2024, Medicaid disbursements connected to this category in South Daytona increased by $1,740,949, a growth of 176.6%. Acceleration was notable during certain periods, with substantial annual increases observed during both 2023 and 2021.

Spending in the National Codes Established for State Medicaid Agencies category occurred throughout South Daytona, though a limited number of ZIP codes received most payments. In 2024, ZIP code 32119 accounted for $2,726,884, with the top 1 ZIP code representing 100% of these Medicaid reimbursements in the city that year.

Within this category, Medicaid billings were mainly focused around a few specific individual codes.

For perspective, the 7% growth in this Medicaid payment category in South Daytona from 2023 to 2024 compared with a 5.1% overall change for all Medicaid claim types in the city within the same timeframe.

Centers for Medicare & Medicaid Services data indicate that combined federal and state Medicaid expenditures hit about $871.7 billion in the 2023 fiscal year—approximately 18% of all national health costs. This is significantly higher than the $613.5 billion spent in 2019 before the COVID-19 pandemic.

This reflects around 40% growth over just a few years, mainly because of expanded enrollment and increased health care utilization during and following the pandemic.

Federal budget policies under the Trump administration have featured major efforts to cut federal Medicaid funding and adjust its operations. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid support by more than $1 trillion over the next decade. It includes provisions such as new work requirements and higher cost-sharing, which may limit coverage and reduce funding for certain beneficiaries. These changes are anticipated to increase state responsibility for costs and place greater limits on federal Medicaid growth even as the program continues serving tens of millions of Americans.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in South Daytona, Florida Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $985,935 -22.4%
2021 $1,230,847 24.8%
2022 $1,134,226 -7.9%
2023 $2,547,316 124.6%
2024 $2,726,884 7%
Top Categories by Medicaid Payments in South Daytona, Florida, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $2,726,884 91.4%
2 Temporary National Codes (Non-Medicare) $96,982 3.3%
3 Durable Medical Equipment $86,930 2.9%
4 Alcohol and Drug Abuse Treatment $47,477 1.6%
5 Medicine Services and Procedures $17,849 0.6%
6 Evaluation and Management $6,336 0.2%
7 Medical And Surgical Supplies $290 <0.1%
8 Miscellaneous Medical Services $0 <0.1%
8 Procedures / Professional Services $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in South Daytona, Florida, 2024

HCPCS Code Description Medicaid Payments Claims
T1025 Ped compr care pkg, per diem $2,018,793 12
T1017 Targeted case management $609,431 12
T1019 Personal care ser per 15 min $80,745 9
T1026 Ped compr care pkg, per hour $17,913 4

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.



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