Elfrida Medicaid payments for National Codes top $176,700 in 2024

In 2024, Elfrida Medicaid providers submitted $176,700 in claims for services labeled under the National Codes Established for State Medicaid Agencies category, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount reflects a 2.6% rise compared with 2023, when claims for the category amounted to $172,187.

Medicaid, a public health insurance program funded in partnership by federal and state governments and administered by the states, provides coverage for low-income individuals and families, children, seniors, and people with disabilities. It is among the nation’s largest health care programs.

Since Medicaid funding is sourced from taxpayers, fluctuations in local claim levels reveal shifts in how public health care funds are distributed in communities.

The “National Codes Established for State Medicaid Agencies” category groups Medicaid-reimbursed services using standardized HCPCS and CPT codes, organized by the service provided. For this report, analysts sorted each billing code into a single service category, grouping related services with consistent code prefixes and number ranges. This avoids duplicate counting and preserves accurate category rankings over time.

National Codes Established for State Medicaid Agencies emerged as the largest service category by total Medicaid payments in Elfrida for 2024, as overall Medicaid spending climbed across various service categories.

Statewide in Arizona, the National Codes Established for State Medicaid Agencies category held the top rank by total Medicaid claims in 2024.

Between the five years preceding 2024, Elfrida’s Medicaid payments attributed to the National Codes Established for State Medicaid Agencies category rose by $76,154, or 30.1%. Growth in spending quickened during certain periods, especially in 2020 and 2022, when year-over-year increases were pronounced.

While spending under the Local Medicaid Codes category was seen throughout the city, claim activity was focused in just a small selection of ZIP codes. In 2024, ZIP code 85610 accounted for $176,699 in Medicaid payments—representing 100% of claims tied to this category in Elfrida for the year.

Payments under the National Codes Established for State Medicaid Agencies category primarily went to select individual billing codes.

Comparatively, from 2023 to 2024, Elfrida’s Medicaid payments in this category rose 2.6%, mirroring the 2.6% increase observed among all claim categories locally for the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, roughly 18% of overall U.S. health expenditures, up sharply from approximately $613.5 billion in 2019 prior to the COVID-19 pandemic.

This rise equates to roughly 40% growth in just a few years, largely due to increases in enrollment and greater use of services during and after pandemic conditions.

Recently passed federal budget legislation under the Trump administration has put forward significant proposals to decrease Medicaid appropriations and restructure the program. The “One Big Beautiful Bill Act,” which became law in 2025, is projected to reduce federal Medicaid outlays by over $1 trillion over the next decade, introducing measures like work requirements and expanded cost-sharing. These shifts, analysts say, may narrow coverage and financing for some members, shift a larger financial burden to states, and slow the pace of federal Medicaid aid while the program continues providing for tens of millions.

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.