Barboursville’s Medicaid providers submitted $2,212,317 in claims for services within the National Codes Established for State Medicaid Agencies category in 2024, as shown in data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The total represented a 27.2% rise from 2023, when $1,738,565 in claims were reported for these services.
Medicaid is a government-backed health insurance program managed by individual states and financed through both federal and state contributions. It provides coverage for low-income individuals, families, seniors, children, and people with disabilities, making it one of the country’s largest health care programs.
Because taxpayer dollars fund Medicaid, shifts in local claims levels reveal how communities allocate public health care finances.
The “National Codes Established for State Medicaid Agencies” category includes a range of Medicaid-billed services defined by the type of care, grouped according to standardized HCPCS and CPT code classifications. For this analysis, each billing code was assigned once to a unique service category using consistent code prefixes and number ranges, ensuring related services could be evaluated together and preventing duplicate counts while maintaining ranking accuracy over time.
Although spending rose across several service categories, National Codes Established for State Medicaid Agencies finished second in Barboursville for total Medicaid payments in 2024.
Statewide in West Virginia, the National Codes Established for State Medicaid Agencies category led all others by total Medicaid payments in 2024.
In the five years up to 2024, Medicaid payments related to this category in Barboursville grew by $1,616,991, a 271.6% jump. Some years recorded particularly sharp increases, including significant year-over-year rises in 2020 and 2022.
While Medicaid spending in the National Codes Established for State Medicaid Agencies category was distributed across Barboursville, a small number of ZIP codes accounted for most payments. In 2024, ZIP code 25504 saw the highest total, at $2,212,317. The top ZIP code alone represented 100% of Medicaid payments for this service category in Barboursville for the year.
Medicaid payments within this service category were also focused among a few key billing codes.
By comparison, Barboursville’s Medicaid payments for the National Codes Established for State Medicaid Agencies category grew 27.2% between 2024 and 2023, while all Medicaid claim categories combined saw a 25.8% increase during the same timeframe.
According to the Centers for Medicare & Medicaid Services, total Medicaid spending from federal and state sources was roughly $871.7 billion in fiscal year 2023, accounting for around 18% of national health expenditures, a notable jump from the approximately $613.5 billion reported in 2019 before the COVID-19 pandemic.
This represents an increase of about 40% within a few years, driven by enrollment growth and higher service use during and following the pandemic.
Major federal budget bills under the Trump administration have put forward substantial proposals to reduce federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to lower federal Medicaid spending by more than $1 trillion over 10 years. The legislation brings in new requirements such as work mandates and increased cost-sharing, potentially reducing coverage and funding for some recipients. These changes are expected to pass more expenses to states and restrict future federal Medicaid growth, even as the program continues to provide coverage for tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $595,326 | 105.3% |
| 2021 | $736,604 | 23.7% |
| 2022 | $1,153,552 | 56.6% |
| 2023 | $1,738,565 | 50.7% |
| 2024 | $2,212,317 | 27.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $6,136,748 | 50.9% |
| 2 | National Codes Established for State Medicaid Agencies | $2,212,317 | 18.3% |
| 3 | Temporary National Codes (Non-Medicare) | $1,953,338 | 16.2% |
| 4 | Evaluation and Management | $870,967 | 7.2% |
| 5 | Medicine Services and Procedures | $383,491 | 3.2% |
| 6 | Temporary Codes | $255,960 | 2.1% |
| 7 | Vision Services | $111,459 | 0.9% |
| 8 | Durable Medical Equipment | $63,173 | 0.5% |
| 9 | Ambulance and Other Transport Services and Supplies | $44,052 | 0.4% |
| 10 | Pathology and Laboratory Procedures | $23,052 | 0.2% |
| 11 | Medical And Surgical Supplies | $9,122 | 0.1% |
| 12 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $881,344 | 102 |
| T1040 | Comm bh clinic svc per diem | $852,278 | 31 |
| T1019 | Personal care ser per 15 min | $428,648 | 18 |
| T1002 | Rn services up to 15 minutes | $33,395 | 9 |
| T1001 | Nursing assessment/evaluatn | $16,080 | 7 |
| T1017 | Targeted case management | $568 | 1 |
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.