Comfort Medicaid providers billed $3,254 for National Codes Established for State Medicaid Agencies in 2024

In 2024, Medicaid providers in Comfort billed $3,254 for services classified under the 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 was a 2.9% increase over 2023, when providers billed $3,163 for these services.

Medicaid is a public health insurance program managed by the states and funded jointly by federal and state governments. It provides health coverage to low-income individuals and families, seniors, children and people with disabilities, which makes it a major part of the U.S. health care system.

Since Medicaid payments are taxpayer funded, shifts in local billing provide insight into how public health care funds are used within communities.

The “National Codes Established for State Medicaid Agencies” category encompasses a range of Medicaid services defined by the type of care, relying on standardized HCPCS and CPT code groupings. This analysis assigns each billing code to a service category using consistent code prefixes and numeric ranges. This standardization ensures related services are grouped accurately and double counting is avoided when comparing and ranking services over time.

Medicaid spending increased for several service types, but National Codes Established for State Medicaid Agencies led all categories in Comfort by total Medicaid payments during 2024.

Within Texas as a whole, the National Codes Established for State Medicaid Agencies category ranked as the second highest by total Medicaid payments in 2024.

During the five years up to 2024, Medicaid payments associated with the National Codes Established for State Medicaid Agencies in Comfort rose by $3,254, a change of 0%. Growth accelerated during some periods, with substantial year-over-year increases occurring in 2021 and 2022.

While spending in this category was distributed throughout the city, the largest share was concentrated in specific ZIP codes. In 2024, ZIP code 78013 accounted for $3,254 in Medicaid payments related to this service category. That represents 100% of Medicaid dollars tied to National Codes Established for State Medicaid Agencies in Comfort for the year.

Additionally, Medicaid payments in the National Codes Established for State Medicaid Agencies category were primarily from a few individual billing codes.

For reference, payments linked to this service category in Comfort climbed 2.9% from 2023 to 2024, mirroring the 2.9% change seen across all Medicaid claim categories in Comfort during the period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending was approximately $871.7 billion in fiscal year 2023—about 18% of all national health expenditures—up substantially from $613.5 billion in 2019, before the COVID-19 pandemic.

The rise amounts to a roughly 40% increase in just a few years, propelled primarily by expanded enrollment and increased utilization during and after the pandemic period.

Recent federal budget proposals during the Trump administration included major plans to reduce Medicaid funding and restructure the program. As an example, the “One Big Beautiful Bill Act”, signed into law in 2025, is expected to decrease federal Medicaid funding by more than $1 trillion over the next decade, introducing measures such as work requirements and greater cost-sharing that could cut coverage and funding for some recipients. These policy shifts are anticipated to increase financial pressure on states and curtail federal Medicaid growth, even as the program remains a critical element for 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.