Bainbridge Medicaid payments for national codes category total $40,983 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Bainbridge Medicaid providers submitted $40,983 in claims for services categorized under National Codes Established for State Medicaid Agencies in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 22.3% increase from 2023, when $33,508 was billed for the same service category.

Medicaid, a public health insurance program run by states and funded jointly by federal and state governments, provides coverage for low-income residents, seniors, children, and people with disabilities. It remains one of the largest components of the U.S. health care system.

Because taxpayer dollars support Medicaid, fluctuations in local billing highlight how health care resources are distributed within a community.

The “National Codes Established for State Medicaid Agencies” service group includes a range of Medicaid-billed services defined by care type using standardized HCPCS and CPT code groups. Each billing code in this analysis was matched to one service category by consistent code prefixes and number series, which grouped related services without double counting and kept ranking accuracy over time.

Among various categories, National Codes Established for State Medicaid Agencies was the third largest in Bainbridge for Medicaid payments in 2024.

Within Indiana, this category stood as the fourth highest by total Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments related to this category in Bainbridge grew by $40,983, or 0%. Some periods saw more rapid growth, notably in 2022 and 2023.

Though Medicaid spending on this category was citywide, most payments were focused in a small number of ZIP codes. In 2024, ZIP code 46105 reported $40,982 in Medicaid payments tied to this category, making up 100% of all such payments in Bainbridge for the year.

A limited selection of billing codes accounted for most Medicaid payments within this service category.

For reference, while National Codes Established for State Medicaid Agencies payments in Bainbridge increased by 22.3% from 2023 to 2024, total Medicaid claim spending across all categories locally rose 19.4% over the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending reached approximately $871.7 billion in fiscal 2023. This equaled about 18% of total U.S. health expenditures, up from $613.5 billion in 2019, prior to the COVID-19 pandemic.

The roughly 40% growth over a few years was driven primarily by higher enrollment and use of health services during and after the pandemic.

Recent federal budget bills passed under the Trump administration included major proposals aimed at reducing federal Medicaid outlays and changing program structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion through the next decade. The law adds new requirements, such as work mandates and greater cost-sharing, which could limit coverage and funding for some beneficiaries. As a result, states may face a larger share of Medicaid costs and a slowdown in federal Medicaid funding growth while continuing to serve millions of Americans.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Bainbridge, Indiana Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2021 $12,250
2022 $26,747 118.3%
2023 $33,508 25.3%
2024 $40,982 22.3%
Top Categories by Medicaid Payments in Bainbridge, Indiana, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $117,270 55.8%
2 Medicine Services and Procedures $50,030 23.8%
3 National Codes Established for State Medicaid Agencies $40,982 19.5%
4 Surgery $1,037 0.5%
5 Pathology and Laboratory Procedures $799 0.4%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Bainbridge, Indiana, 2024

HCPCS Code Description Medicaid Payments Claims
T1015 Clinic service $40,982 55

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.



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