Medicaid payments tied to National Codes Established for State Medicaid Agencies climb 79.5% in Oldsmar in 2024

In 2024, Medicaid providers in Oldsmar billed $851,830 for services designated under the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That sum represents a 79.5% increase from 2023, when providers submitted $474,470 in claims for these services.

Medicaid, a public health insurance program funded jointly by federal and state governments and administered by states, covers low-income people and families, seniors, children, and individuals with disabilities, making it a major component of the U.S. health care system.

Since Medicaid is taxpayer-funded, shifts in local billing reflect changes in how public health care dollars are spent within communities.

The “National Codes Established for State Medicaid Agencies” group encompasses Medicaid-billed services categorized by care type, using standardized HCPCS and CPT code groupings. For this study, each billing code was placed in a single service group using consistent code prefixes and numeric intervals to allow for direct comparison over time, prevent double counting, and preserve category rankings.

While Medicaid spending rose across several service areas, National Codes Established for State Medicaid Agencies was the second-ranked category by total Medicaid payments in Oldsmar in 2024.

Statewide in Florida, this category also ranked second in Medicaid payment totals for 2024.

From 2019 to 2024, Medicaid payments linked to the National Codes Established for State Medicaid Agencies category in Oldsmar grew by $727,415, or 584.7%. The pace of spending gains accelerated in certain years, notably with substantial increases in 2020 and 2021.

Although care payments in the National Codes Established for State Medicaid Agencies category were spread through the city, most were concentrated within select ZIP codes. In 2024, ZIP code 34677 alone reported $851,829 in Medicaid payments under this category, capturing 100% of Oldsmar’s Medicaid payments tied to the category that year.

Payments in the National Codes Established for State Medicaid Agencies group were also focused among a relatively small set of individual billing codes.

To compare, Medicaid payments linked to National Codes Established for State Medicaid Agencies in Oldsmar rose by 79.5% between 2024 and 2023, whereas all Medicaid claim categories in the city increased by 24.5% for the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays reached approximately $871.7 billion in fiscal 2023, making up around 18% of total national health spending—rising sharply from roughly $613.5 billion in 2019, before COVID-19.

This represents an increase of about 40% over several years, largely attributable to greater enrollment and higher utilization during and following the pandemic.

Recent federal budget laws passed under the Trump administration have introduced significant proposals to reduce federal Medicaid funding and alter the program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to cut more than $1 trillion from federal Medicaid spending over the next decade and adopts policies like work requirements and increased cost-sharing. These measures could limit coverage and funding for certain individuals, shifting additional costs to states even as Medicaid continues to serve 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.