Mahomet Medicaid spending on National Codes Established for State Medicaid Agencies climbs to $69,640 in 2024

In 2024, Mahomet’s Medicaid providers billed $69,640 for services categorized under National Codes Established for State Medicaid Agencies, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This total represents a 24% rise compared with 2023, when $56,181 in claims were submitted for these services.

Medicaid is a state-administered health insurance initiative funded through joint federal and state contributions. It provides coverage for low-income adults and children, seniors, and individuals with disabilities, making it a major component of the U.S. health system.

Since Medicaid is taxpayer funded, variations in local billing highlight how community health care resources are expended.

The “National Codes Established for State Medicaid Agencies” category represents a specific group of Medicaid-billed services, grouped by care type using standardized HCPCS and CPT codes. Each billing code for this analysis was matched to one service category via consistent prefixes and number ranges, which allowed the team to analyze related services together and maintain accurate annual rankings.

Medicaid expenditures increased in several categories, but in Mahomet, National Codes Established for State Medicaid Agencies was the leading category by total Medicaid payments for 2024.

Statewide, this category also placed first in terms of total Medicaid payments in Illinois for 2024.

Over the five years leading up to 2024, Mahomet’s Medicaid payments for this category rose by $1,651, or 2.4%. Some periods saw faster growth, with significant annual increases noted in 2020 and 2022.

While funding in this category was spread across Mahomet, most payments were concentrated in only a few ZIP codes. In 2024, payments in ZIP code 61853 reached $69,640; this ZIP code accounted for all of Mahomet’s Medicaid spending in the category for that year.

Within the National Codes Established for State Medicaid Agencies category, payments centered around a small group of specific billing codes.

Mahomet saw a 24% year-over-year rise in Medicaid payments for this category between 2024 and 2023, matching the 24% change seen across all local Medicaid claim categories during the period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending was approximately $871.7 billion in fiscal year 2023, making up roughly 18% of all U.S. health expenditures. This is a sharp increase from about $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This growth marks a roughly 40% increase over several years as enrollment expanded and service use rose during and following the pandemic.

Major federal budget legislation signed during the Trump administration has included proposals to scale back federal Medicaid funding and change the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to cut over $1 trillion of federal Medicaid spending over 10 years and implements policies like work requirements and greater cost-sharing. These changes may shift more Medicaid funding responsibility to states and could constrain federal support for the program, which continues to insure 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.