Kenova Medicaid payments for National Codes Established for State Medicaid Agencies climb 26.9% in 2024

In 2024, Medicaid providers in Kenova billed $2,004,216 for services within the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount reflects a 26.9% rise over 2023, when total claims for this service type reached $1,579,563.

Medicaid is a government health insurance program administered by states and funded together by federal and state governments. It serves low-income individuals and families, seniors, children and people with disabilities, making it one of the nation’s largest health care programs.

Since Medicaid payments use taxpayer dollars, shifts in local Medicaid billing demonstrate how public health funding is distributed at the community level.

The “National Codes Established for State Medicaid Agencies” category comprises Medicaid-billed services organized by type of care, using standardized HCPCS and CPT code designations. In this review, each billable code was grouped into a single service category through consistent prefixes and number ranges, allowing for analysis of related services as a whole and for accurate category comparison and ranking over time.

Spending increases occurred in several Medicaid categories, but National Codes Established for State Medicaid Agencies carried the second-largest payment total in Kenova in 2024.

Statewide in West Virginia, the National Codes Established for State Medicaid Agencies made up the top category by Medicaid payment volume in 2024.

Between the five years before 2024, Kenova Medicaid payments linked to the National Codes Established for State Medicaid Agencies increased by $29,979, or 1.5%. The growth picked up during some years, with notable annual increases documented in both 2022 and 2022.

While payments covered services throughout the city, most of the National Codes Established for State Medicaid Agencies amounts were billed in a small number of ZIP codes. In 2024, ZIP code 25530 saw Medicaid payments totaling $2,004,215 for this category. The top 1 ZIP code accounted for 100% of all such Medicaid payments in Kenova in 2024.

Within this category, Medicaid bills were also concentrated among comparatively few billing codes.

Compared to a 19.1% rise across all Medicaid categories in Kenova in the same time frame, National Codes Established for State Medicaid Agencies payments in the city grew 26.9% from 2023 to 2024.

According to the Centers for Medicare & Medicaid Services, joint spending on Medicaid by the federal government and states reached roughly $871.7 billion in fiscal 2023. That figure equals around 18% of national health expenditures and is a sharp increase from $613.5 billion in 2019 ahead of the COVID-19 pandemic.

This climb amounts to about 40% growth in several years, driven largely by greater enrollment and increased service use through the pandemic and after.

Recent federal budget policies set during the Trump administration have included major recommendations to reduce federal Medicaid dollars and change the structure of the program. For example, the “One Big Beautiful Bill Act,” which became law in 2025, is expected to cut federal Medicaid funding by over $1 trillion during the next decade, and introduces requirements such as work conditions and more cost-sharing for some beneficiaries. These updates could lead to states covering more of the costs and slow federal support growth, while millions continue to depend on the program.

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.