In 2024, Medicaid providers in Spring Hill billed $7,258,964 for services within the National Codes Established for State Medicaid Agencies category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 3.9% rise from 2023, when claims for the same service category totaled $6,985,928.
Medicaid is a state-administered public health insurance program funded together by federal and state governments. It serves low-income people and families, seniors, children, and people with disabilities, making it a major component of the U.S. health care system.
Since taxpayer funds support Medicaid, fluctuations in local billing reflect how communities allocate public health care spending.
The “National Codes Established for State Medicaid Agencies” category represents a class of Medicaid-billed services defined by care type, using standardized HCPCS and CPT code groups. This analysis assigned each billing code to one service category based on uniform code prefixes and number ranges, which grouped similar services together, helped avoid duplicate counts, and preserved accurate rankings year-to-year.
With Medicaid payments rising across multiple categories, National Codes Established for State Medicaid Agencies led all spending categories in Spring Hill by total Medicaid payments in 2024.
Statewide in Florida, this category placed second for total Medicaid payments in 2024.
In the five years before 2024, Medicaid billing tied to the National Codes Established for State Medicaid Agencies category in Spring Hill grew by $2,906,936, or 66.8%. Growth accelerated in some periods, with significant year-over-year increases noted in 2023 and 2021.
Spending on services in this category was spread throughout Spring Hill, though most payments were concentrated in several ZIP codes. In 2024, ZIP code 34606 accounted for $6,161,460, ZIP code 34609 for $1,088,789, and ZIP code 34608 reported $8,714. All together, these top 3 ZIP codes made up 100% of Medicaid payments in this category within Spring Hill during 2024.
Payments within the National Codes Established for State Medicaid Agencies were also focused among a small set of individual billing codes.
To compare, from 2023 to 2024, Medicaid payments for this category in Spring Hill rose 3.9%, while payments across all Medicaid claim categories in the city changed 17.1% during the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together reached about $871.7 billion in fiscal 2023, or roughly 18% of national health expenditures. That’s a substantial increase from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
The rise amounts to nearly a 40% increase in just a few years, mainly driven by broader enrollment and greater care utilization during and after the pandemic.
Recent federal budget acts under the Trump administration introduced significant plans to cut federal Medicaid funding and reshape the program. Among them, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years. Provisions include work requirements and additional cost-sharing, which could decrease coverage and funding for certain beneficiaries. The changes are set to pass on more costs to states and limit federal Medicaid growth, while the program still serves tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $4,352,027 | -2.9% |
| 2021 | $4,890,537 | 12.4% |
| 2022 | $4,709,291 | -3.7% |
| 2023 | $6,985,928 | 48.3% |
| 2024 | $7,258,964 | 3.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $7,258,964 | 38% |
| 2 | Temporary National Codes (Non-Medicare) | $6,635,433 | 34.8% |
| 3 | Evaluation and Management | $2,720,666 | 14.3% |
| 4 | Medicine Services and Procedures | $1,088,994 | 5.7% |
| 5 | Alcohol and Drug Abuse Treatment | $717,935 | 3.8% |
| 6 | Procedures / Professional Services | $370,952 | 1.9% |
| 7 | Pathology and Laboratory Procedures | $155,165 | 0.8% |
| 8 | Dental Services | $101,163 | 0.5% |
| 9 | Radiology Procedures | $28,132 | 0.1% |
| 10 | Medical And Surgical Supplies | $2,203 | <0.1% |
| 11 | Surgery | $1,274 | <0.1% |
| 12 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 12 | Drugs Administered Other than Oral Method | $0 | <0.1% |
| 12 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $2,885,984 | 44 |
| T1025 | Ped compr care pkg, per diem | $1,948,239 | 12 |
| T2030 | Assist living waiver/month | $1,097,630 | 31 |
| T1004 | Nsg aide service up to 15min | $895,151 | 24 |
| T1017 | Targeted case management | $414,537 | 17 |
| T1007 | Treatment plan development | $14,291 | 12 |
| T1015 | Clinic service | $3,129 | 3 |
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.
