Cerro Gordo Medicaid payments for National Codes Established for State Medicaid Agencies total $88,842 in 2024

Medicaid providers in Cerro Gordo charged $88,842 for services categorized under the National Codes Established for State Medicaid Agencies in 2024, based on the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an 11% increase from 2023, when claims for the same service category totaled $80,015.

Medicaid operates as a public health insurance program administered by states and funded cooperatively by federal and state governments. It provides coverage for low-income individuals and families, seniors, children, and people with disabilities, making it one of the largest segments of the U.S. health system.

Since Medicaid funding is sourced from taxpayers, shifts in local billing reflect changes in how public health care resources are distributed across the community.

The “National Codes Established for State Medicaid Agencies” category comprises a set of Medicaid-billed services as defined by care type, utilizing standardized HCPCS and CPT code groups. For this report, billing codes were assigned consistently to a single service category using matching code prefixes and numeric ranges, enabling related services to be grouped, eliminating duplicate counting, and ensuring accurate ranking over time.

National Codes Established for State Medicaid Agencies ranked as the highest Medicaid payment category in Cerro Gordo for 2024 despite growth in other Medicaid service groups.

At the state level in Illinois, National Codes Established for State Medicaid Agencies also led in total Medicaid payments in 2024.

Between five years prior to 2024, Medicaid payments for services in this category in Cerro Gordo rose by $148, an increase of 0.2%. Notable growth occurred during certain years, with significant year-over-year jumps in 2020 and 2022.

Though services in the National Codes Established for State Medicaid Agencies category were provided citywide, most payments were focused in a small number of ZIP codes. In 2024, ZIP code 61818 reported $88,842 in Medicaid payments for this category, accounting for 100% of Cerro Gordo’s payments for these services that year.

Within the category, Medicaid payments were also concentrated across a small subset of billing codes.

Comparatively, Medicaid payments for this service category in Cerro Gordo increased by 11% from 2023 to 2024, while total Medicaid payments for all claim categories in the city rose 12.6% in the same period.

According to the Centers for Medicare & Medicaid Services, nationwide federal and state Medicaid spending reached around $871.7 billion in fiscal year 2023, making up about 18% of total national health expenditures—an increase from approximately $613.5 billion in 2019, before the COVID-19 pandemic began.

This change marks a roughly 40% increase over several years, primarily due to expanded enrollment and increased service use during and after the pandemic period.

Federal budget legislation during the Trump administration included major proposals to reduce federal Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act,” passed in 2025, is expected to cut federal Medicaid spending by over $1 trillion in the next decade, with new policies like work requirements and higher cost-sharing that could affect coverage and funding for certain beneficiaries. These changes are anticipated to move more costs onto states and restrain the expansion of federal Medicaid support, while the program continues to cover 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.