Lebanon Medicaid billing for state agency national codes reaches $323,602 in 2024

Lebanon Medicaid providers billed $323,602 for services in the National Codes Established for State Medicaid Agencies group in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 124.1% increase compared to 2023, when the same service category saw $144,397 in claims.

Medicaid is a state-administered public health insurance program funded in partnership by federal and state governments. It provides coverage for people who are low income, as well as seniors, children, and individuals with disabilities, constituting a major segment of the U.S. health care system.

Since Medicaid payments are derived from taxpayers, shifts in local billing reflect the allocation of public health care funds in the area.

The “National Codes Established for State Medicaid Agencies” category includes services grouped by type of care as defined by standardized HCPCS and CPT code ranges. For this report, each billing code was placed in a single service group based on code prefixes and number ranges, ensuring related services were grouped together, double counting was avoided, and rankings remained accurate over time.

In 2024, National Codes Established for State Medicaid Agencies was the fourth-largest Medicaid payment category in Lebanon, even as spending increased across many categories.

Statewide in Virginia, this category was the top-ranked group by total Medicaid payments for 2024.

Over the five-year span ending in 2024, Medicaid payments linked to the National Codes Established for State Medicaid Agencies group in Lebanon rose by $313,780, which is an increase of 3194.6%. There were periods of accelerated spending growth, particularly in 2022 and 2023.

While expenditures for National Codes Established for State Medicaid Agencies-related care occurred citywide, a small number of ZIP codes saw the highest payments. In 2024, ZIP code 24266 accounted for $323,602, representing 100% of Medicaid payments in this category for Lebanon that year.

Most Medicaid payments in the National Codes Established for State Medicaid Agencies category were associated with just a few billing codes.

Comparatively, Medicaid payments in this category in Lebanon climbed 124.1% between 2024 and 2023, whereas all Medicaid categories together experienced an 11.9% increase in the city during that period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined reached approximately $871.7 billion in fiscal 2023. That was about 18% of total U.S. health expenditures, up significantly from $613.5 billion in 2019 before the COVID-19 pandemic.

This represents roughly 40% growth in just a few years, principally driven by increased enrollment and higher use during and after the pandemic.

Recent budget legislation from the Trump administration has included major proposals to lower federal Medicaid funding and change program structure. The “One Big Beautiful Bill Act,” signed in 2025, is forecast to reduce federal Medicaid spending by more than $1 trillion over the next decade and introduces requirements such as work mandates and increased cost-sharing that could limit some beneficiaries’ access or funding. These measures are expected to shift a greater share of costs to states and restrain future federal Medicaid growth, though the program continues to serve 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.