Fernandina Beach Medicaid payments for National Codes Established for State Medicaid Agencies total $11,901 in 2024

In 2024, Fernandina Beach Medicaid providers submitted $11,901 in claims for services under the National Codes Established for State Medicaid Agencies, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 14.8% increase compared to 2023, when claims for these services reached $10,368.

Medicaid, a state-administered public health insurance program funded jointly by federal and state governments, serves low-income individuals and families, seniors, children, and people with disabilities. It is a significant part of the U.S. health care landscape.

Because taxpayer dollars support Medicaid payments, fluctuations in local billing reflect how community health care resources are distributed.

The National Codes Established for State Medicaid Agencies category identifies a collection of Medicaid-billed services defined by care type, using standardized HCPCS and CPT code groupings. Each billing code is grouped into a single service category for this review by matching code prefixes and numeric ranges, which helps avoid duplication and maintains accurate year-to-year rankings.

Though Medicaid spending went up in several service categories, payments for National Codes Established for State Medicaid Agencies ranked fourth by total amount in Fernandina Beach in 2024.

Statewide, National Codes Established for State Medicaid Agencies was the second-highest Medicaid payment category in Florida for the year.

Over the five years through 2024, Medicaid payments for this category in Fernandina Beach rose by $270,455, or 95.8%. Some years, including 2020 and 2022, saw particularly strong year-over-year growth.

Spending in the National Codes Established for State Medicaid Agencies category was citywide but concentrated within a few ZIP codes. In 2024, ZIP code 32034 recorded $11,900 in claims, accounting for all Medicaid payments in this category for Fernandina Beach that year.

In this category, most Medicaid payments were attributed to a small selection of billing codes.

To compare, Medicaid payments for National Codes Established for State Medicaid Agencies increased by 14.8% from 2023 to 2024, while payments across all Medicaid categories in Fernandina Beach grew by 82.7% in the same period.

According to the Centers for Medicare & Medicaid Services, both federal and state Medicaid expenditures totaled approximately $871.7 billion for fiscal year 2023, making up about 18% of total U.S. health spending. That’s up sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase amounts to about 40% growth in only a few years, largely resulting from expanded enrollment and greater service use during and after the pandemic period.

Major federal budget legislation during the Trump administration included proposals to lower federal Medicaid funding and alter program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over 10 years and introduces work requirements and increased cost-sharing, changes that could affect coverage and funding for some participants. These policies are anticipated to move more costs to state governments and restrict federal Medicaid growth, even as the program supports 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.