Boerne Medicaid payments linked to National Codes Established for State Medicaid Agencies reach $3,572,638 in 2024

In 2024, Medicaid providers in Boerne billed $3,572,638 for services associated with the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This amount reflects a 2.4% increase compared with 2023, when claims for the same category totaled $3,487,786.

Medicaid is a state-run, publicly funded health insurance program supported jointly by the federal and state governments. It provides coverage to low-income individuals and families, as well as seniors, children, and people with disabilities, making it a central component of the U.S. health care system.

Medicaid spending is funded through taxpayer dollars, so shifts in local billing demonstrate how public health care funding is distributed within a community.

The “National Codes Established for State Medicaid Agencies” category includes a set of Medicaid-billed services defined by care type, organized with standardized HCPCS and CPT code groupings. Each billing code was categorized as a single service for this analysis, based on uniform code prefixes and numeric ranges, which allowed for a consistent review of related services and accurate year-over-year comparisons without duplication.

National Codes Established for State Medicaid Agencies represented the top Medicaid payment category in Boerne in 2024, among several categories recording increased spending.

Statewide in Texas, National Codes Established for State Medicaid Agencies was the second-largest category by total Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments linked to the National Codes Established for State Medicaid Agencies category in Boerne grew by $2,823,081, or 376.6%. Some periods, such as 2020 and 2021, saw particularly strong year-to-year growth in costs.

Payments in the National Codes Established for State Medicaid Agencies category in Boerne during 2024 were focused in a few ZIP codes; ZIP code 78006 accounted for the full $3,572,638 in Medicaid payments, meaning the most-served ZIP code contributed 100% of total claims in this category for the year.

Services billed under the National Codes Established for State Medicaid Agencies category also concentrated on a small group of billing codes.

By comparison, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Boerne rose 2.4% from 2023 to 2024, while overall Medicaid claims in the city increased 33.4% during the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, which made up roughly 18% of the nation’s health expenditures. That figure rose notably from $613.5 billion in 2019, before the COVID-19 pandemic.

The growth reflects an approximately 40% increase over several years, driven in large part by greater enrollment and utilization during and following the pandemic era.

In recent years, federal budget measures during the Trump administration have proposed major reductions in federal Medicaid funding and restructuring of the program. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to decrease federal Medicaid spending by more than $1 trillion over the next decade and add policies such as work requirements and higher cost-sharing, which could curb coverage and funding for some recipients. These shifts are set to place more costs on states and curb the expansion of federal Medicaid funding, although the program continues to serve tens of millions of Americans.

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.