Clinton Medicaid payments for national state agency codes hit $1,380,120 in 2024, up 12.1%

In 2024, Medicaid providers in Clinton billed $1,380,120 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 marked a 12.1% rise over 2023, when claims for the same service category totaled $1,231,571.

Medicaid, a public insurance program run by the states and funded by both federal and state governments, covers low-income people and families, seniors, children and people with disabilities, making it a major component of the U.S. health system.

With Medicaid financed by taxpayers, changes in local billing amounts reveal how communities allocate public health care funds.

The “National Codes Established for State Medicaid Agencies” grouping represents a set of Medicaid services determined by the kind of care and standardized by HCPCS and CPT code lists. In this analysis, each billing code was placed in a single service group by matching code prefixes and number ranges, ensuring related services could be tracked together and rankings across years remained accurate.

While Medicaid spending rose across several service areas, National Codes Established for State Medicaid Agencies stood fourth in Clinton for total Medicaid payouts in 2024.

Statewide in North Carolina, the National Codes Established for State Medicaid Agencies category was ranked first by total payments in 2024.

During the five years prior to 2024, Medicaid payments for this service group in Clinton rose by $508,390, or 26.9%. Certain years, specifically 2020 and 2022, saw notable year-over-year jumps in spending.

Spending in this Medicaid service category was split across the city, but payments were highest in select ZIP codes. In 2024, ZIP code 28328 accounted for $1,380,120. Collectively, the top 1 ZIP codes made up 100% of all Medicaid payments within this category in Clinton for the year.

Within this service group, Medicaid dollars were mostly tied to a small number of specific billing codes.

For additional context, Medicaid payments in Clinton within this category increased 12.1% from 2023 to 2024, whereas all Medicaid service categories in the city saw a 5.7% change during the same timeframe.

Data from the Centers for Medicare & Medicaid Services show that total federal and state Medicaid expenditures reached approximately $871.7 billion for fiscal year 2023. This represented nearly 18% of national health costs and was up from around $613.5 billion in 2019, before the COVID-19 pandemic began.

That jump equals roughly 40% growth in just a few years, driven primarily by larger enrollment and higher health care use during and after the pandemic.

Recent federal budget policy under the Trump administration contains major proposals to decrease federal Medicaid spending and alter the program’s structure. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to slash over $1 trillion in federal Medicaid funds in the coming decade and introduces rules like work requirements and higher cost-sharing that could trim benefits and payments for some recipients. These initiatives are expected to shift greater expenses to states and restrict federal support growth, even while Medicaid continues to cover tens of millions across America.

Note: HCPCS codes are provided for context within this category. Totals and rankings are calculated based on service groupings, not individual billing codes.

Information for this article is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the underlying data here.