In 2024, Medicaid providers in Rio Rico submitted $1,068,363 in claims for services within the National Codes Established for State Medicaid Agencies category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 1,466.6% jump compared with 2023, when $68,195 was billed in this same service category.
Medicaid, a public health insurance program jointly funded by state and federal governments, covers low-income individuals and families, seniors, children, and those with disabilities. As one of the largest components of the U.S. health system, it provides significant healthcare resources for vulnerable populations. Additional details on Medicaid’s funding can be found at this explainer.
Because Medicaid spending uses taxpayer funds, local trends in billing provide insight into how healthcare dollars are allocated across different communities.
The National Codes Established for State Medicaid Agencies category refers to a group of Medicaid-billed services defined by the specific type of care, categorized through standardized HCPCS and CPT code groupings. For analysis purposes, each code was linked to a single service group using consistent prefixes and numeric intervals, so related care types could be compared without double counting, ensuring reliable rankings and analysis over time.
Of all Medicaid-billed service types in Rio Rico, the National Codes Established for State Medicaid Agencies category accounted for the highest total payments in 2024.
The category was also the top ranked statewide in Arizona for total Medicaid payments in 2024.
Reviewing the five years prior to 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Rio Rico rose by $841,064, or 370%. Certain timeframes saw more rapid growth, including significant increases during both 2021 and 2023.
Though Medicaid spending for this category occurred throughout the city, it was concentrated in a small number of ZIP codes. In 2024, ZIP code 85648 led the city, with $1,068,363 in Medicaid payments—representing 100% of category spending for the year in Rio Rico.
These Medicaid payments were also focused among a select group of individual billing codes under the National Codes Established for State Medicaid Agencies category.
Comparatively, the 1,466.6% increase within this service category from 2023 to 2024 far exceeded the overall 50% change seen across all Medicaid claim categories in Rio Rico during the period.
According to the Centers for Medicare & Medicaid Services, combined federal and state spending on Medicaid was about $871.7 billion in fiscal year 2023, making up roughly 18% of overall national health expenditures, and marking a large uptick from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
That increase is roughly a 40% gain in a few years, largely due to greater enrollment and increased use of services during and after the pandemic period.
Federal budget legislation introduced under the Trump administration featured substantial proposals to reduce federal Medicaid funding and restructure various program elements. For example, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to trim over $1 trillion in federal Medicaid spending during the next decade. It also introduces new requirements such as work obligations and expanded cost sharing, which could result in decreased coverage and support for certain beneficiaries. These adjustments are expected to move more costs onto state budgets and limit future federal Medicaid growth, even as tens of millions of Americans remain covered.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $227,299 | -64.8% |
| 2021 | $617,796 | 171.8% |
| 2022 | $61,381 | -90.1% |
| 2023 | $68,194 | 11.1% |
| 2024 | $1,068,363 | 1466.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $1,068,363 | 51.3% |
| 2 | Ambulance and Other Transport Services and Supplies | $875,960 | 42.1% |
| 3 | Temporary National Codes (Non-Medicare) | $109,823 | 5.3% |
| 4 | Medicine Services and Procedures | $27,950 | 1.3% |
| 5 | Dental Services | $0 | <0.1% |
| 5 | Evaluation and Management | $0 | <0.1% |
| 5 | Pathology and Laboratory Procedures | $0 | <0.1% |
| 5 | Surgery | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $1,068,363 | 12 |
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.
