Harrells Medicaid payments for national codes climb to $52,429 in 2024

In 2024, Medicaid providers in Harrells billed $52,429 for services under the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 417.3% increase from 2023, when providers billed $10,135 for the same services.

Medicaid, a public health insurance program operated by states and funded at both the federal and state levels, provides coverage for low-income people and families, seniors, children and those with disabilities, making it a major part of the U.S. health system.

Since Medicaid funds are provided by taxpayers, changes in local billing reflect how community health care resources are used.

The “National Codes Established for State Medicaid Agencies” category encompasses a range of Medicaid-billed services grouped by care type, following standardized HCPCS and CPT code classifications. For this report, each billing code was matched to a single category using consistent code prefixes and numbers to allow grouped analysis while preventing duplicate counting and maintaining comparable rankings each year.

While spending rose in multiple Medicaid categories, National Codes Established for State Medicaid Agencies led in Harrells for total Medicaid payouts in 2024.

Statewide in North Carolina, the National Codes Established for State Medicaid Agencies category also ranked first by Medicaid payment totals for 2024.

Between the five years prior to 2024, Medicaid payments for National Codes Established for State Medicaid Agencies in Harrells went up by $34,805, or 197.5%. Some years saw sharper growth, especially in 2021 and 2022.

Although these Medicaid payments were distributed around Harrells, most were focused in a small number of ZIP codes. In 2024, ZIP code 28444 saw the highest payments for this category, totaling $52,428. Altogether, the top ZIP code accounted for 100% of Harrells’ Medicaid payments in this classification for the year.

Spending within this category was mainly tied to a small subset of individual billing codes.

For context, Medicaid payments for this category in Harrells rose 417.3% between 2024 and 2023, whereas overall Medicaid payments in all claim categories citywide grew 143% during the same period.

Centers for Medicare & Medicaid Services data show federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023, about 18% of total national health expenditures, up from roughly $613.5 billion in 2019, before the pandemic.

This jump—a nearly 40% rise over several years—was primarily driven by expanded enrollment and greater utilization during and following the pandemic period.

Recent federal budget actions during Trump’s administration included major initiatives to reduce Medicaid funding and restructure operations. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to cut over $1 trillion in federal Medicaid expenditure over 10 years, implementing policies like work requirements and increased cost-sharing that could reduce coverage and support for select beneficiaries. These measures are expected to shift additional costs to states and constrain federal Medicaid growth, despite the program’s continued importance for millions of Americans.

Note: HCPCS codes are presented to show context for the category. Rankings and totals discussed here use standardized groupings, not individual billing codes.

This article uses information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data is available here.