Cloverdale Medicaid claims for National Codes Established for State Medicaid Agencies reach $41,747 in 2024

In 2024, Medicaid providers in Cloverdale submitted $41,747 in claims for services categorized as National Codes Established for State Medicaid Agencies, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 42.4% increase compared to 2023, when $29,313 was claimed for these services.

Medicaid operates as a public health insurance program managed by the states and financed collectively by federal and state governments. The program covers low-income individuals, seniors, children, and people with disabilities, making it one of the core components of the nation’s health care structure.

Since Medicaid funding is derived from taxes, fluctuations in billing within a locality highlight shifts in the allocation of public health care resources across the community.

The “National Codes Established for State Medicaid Agencies” category designates a group of Medicaid-reimbursed services distinguished by care type and based on established HCPCS and CPT code classifications. For this analysis, each billing code was grouped with a single service category using uniform code prefixes and number ranges, enabling evaluation of related services without overlapping and maintaining tracking accuracy.

While Cloverdale saw higher Medicaid expenditures across several service categories, National Codes Established for State Medicaid Agencies was the third-largest category by total Medicaid payments in 2024.

At the statewide level for Indiana, National Codes Established for State Medicaid Agencies ranked fourth by total Medicaid payments in 2024.

From 2019 through 2024, Medicaid claims associated with the National Codes Established for State Medicaid Agencies category in Cloverdale grew by $41,747, or 0%. Growth accelerated during certain timeframes, including notable increases year-over-year in 2022 and 2023.

Although services in this category were available citywide, Medicaid payments were predominantly concentrated in a small selection of ZIP codes. In 2024, ZIP code 46120 accounted for $41,747 in Medicaid claims within the National Codes Established for State Medicaid Agencies category, representing 100% of such payments for Cloverdale that year.

Within the National Codes Established for State Medicaid Agencies group, Medicaid funding focused on a select set of billing codes.

In comparison, Medicaid claims for this category in Cloverdale increased by 42.4% from 2023 to 2024, while total Medicaid payments across all categories in the city changed by 0.7% during that period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled approximately $871.7 billion in fiscal year 2023, which made up about 18% of total national health spending. This was a significant increase from $613.5 billion in 2019 before the COVID-19 pandemic.

This jump marks nearly 40% growth in just a few years, driven primarily by expanded program enrollment and greater use of services amid and following the pandemic.

Laws enacted under the Trump administration in recent years have included efforts to reduce federal Medicaid spending and adjust its structure. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid outlays by more than $1 trillion over the next decade. It introduces new conditions such as work requirements and increased out-of-pocket costs, which could impact both funding and coverage for some enrollees. These measures are expected to lead to increased funding responsibility for states and restrain federal Medicaid support even as the program serves millions of people nationwide.

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.