Medicaid payments for National Codes Established for State Medicaid Agencies in Bonifay up 6.7% in 2024

In 2024, Bonifay Medicaid providers submitted $523,660 in claims for services classified in the National Codes Established for State Medicaid Agencies category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 6.7% rise over 2023, when the total was $490,622 for the same group of services.

Medicaid is a state-administered public health insurance program with costs shared by the federal and state governments. The program serves low-income individuals and families, seniors, children and those with disabilities, making it a significant component of the nationwide health system.

Since Medicaid funding uses taxpayer resources, fluctuations in local billing levels reflect how community health care dollars are spent.

The category “National Codes Established for State Medicaid Agencies” includes a selection of Medicaid-billed services defined by type of care, grouped using standardized HCPCS and CPT code structures. This analysis assigned each billing code to one unique service grouping based on code prefixes and numeric sequences to keep related services together and ensure accuracy in ranking while avoiding duplicate counting.

Medicaid spending rose for several service groups, with National Codes Established for State Medicaid Agencies recording the second-largest total Medicaid payments in Bonifay for 2024.

Statewide, this service category also ranked second for total Medicaid payments in Florida for the year.

From 2019 through 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Bonifay grew by $368,850, or 238.3%. Some years, especially 2022 and 2023, saw particularly significant year-over-year increases.

Payments in this category were spread geographically across the city but were concentrated mostly in a few ZIP codes. In 2024, ZIP code 32425 saw Medicaid payments in this category total $523,659, representing the entirety—100%—of such spending in Bonifay for the year.

Among related billing codes, Medicaid payments in the National Codes Established for State Medicaid Agencies group were similarly concentrated among only a few codes.

Between 2024 and 2023, Medicaid payments in this service category rose 6.7% in Bonifay. In comparison, all Medicaid claim categories across the city experienced a 21.7% change in the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached roughly $871.7 billion in fiscal 2023. This accounted for nearly 18% of national health spending, up significantly from $613.5 billion in 2019, just prior to the COVID-19 pandemic.

This growth marks an increase of about 40% in only a few years, driven primarily by greater enrollment and higher service use during and after the pandemic period.

Recent federal budget legislation signed during the Trump administration included major plans to reshape Medicaid funding. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid funding by more than $1 trillion over the coming decade, while imposing work requirements and increasing cost-sharing that may reduce both coverage and dollars for some recipients. These provisions are likely to increase the financial burden on states and cap federal funding growth even as millions continue to rely on the program.

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.