Fulton Medicaid payments for national code services reach $3.3 million in 2024

In 2024, Medicaid providers in Fulton submitted claims totaling $3,326,915 for services grouped under National Codes Established for State Medicaid Agencies, according to data reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 30.2% uptick from 2023, when providers billed $2,555,131 for the same service category.

Medicaid is administered by the states and financed through federal and state partnerships. The program serves low-income individuals and families, along with seniors, children, and individuals with disabilities, making it a major element of the U.S. health care landscape.

Since Medicaid funding is sourced from taxpayers, variations in local billing levels demonstrate how health care resources are distributed in a locality.

The “National Codes Established for State Medicaid Agencies” group encompasses a classification of Medicaid-billed services defined by specific types of care, as sorted by standard HCPCS and CPT codes. For this report, each code was matched to a single group using regular code prefixes and ranges, so that related services could be analyzed together while avoiding duplication and retaining accurate yearly rankings.

Spending climbed for several Medicaid service classes, with National Codes Established for State Medicaid Agencies taking the second spot by total payments in Fulton for 2024.

Across Maryland, this service category was ranked fourth in total Medicaid outlay in 2024.

Over the five years preceding 2024, Medicaid spending in Fulton tied to the National Codes Established for State Medicaid Agencies group grew by $175,586, or 5.6%, including notable spikes in both 2023 and 2022.

Medicaid payments for services in this category were dispersed throughout city ZIP codes, but most payments were concentrated in a few areas. In 2024, ZIP code 20759 recorded $3,326,914 in related Medicaid payments. The listing shows that the single leading ZIP accounted for 100% of payments tied to this category in Fulton that year.

Within this service group, a small number of billing codes were responsible for the bulk of Medicaid payments.

Between 2023 and 2024, Medicaid payments for National Codes Established for State Medicaid Agencies in Fulton increased by 30.2%, while payments across all claim categories citywide changed by 9.5% during that period.

According to the Centers for Medicare & Medicaid Services, in fiscal 2023 combined state and federal Medicaid spending was estimated at about $871.7 billion—roughly 18% of total U.S. health expenditures—a significant increase from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This marks an increase of about 40% over just a few years, largely due to expanded enrollment and increased service use during and after the pandemic.

Recent federal budget measures under the Trump administration contained notable efforts to reduce Medicaid’s federal funding and change its structure. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to shrink federal Medicaid spending by more than $1 trillion over 10 years and institute requirements such as work provisions and higher cost-sharing, potentially cutting coverage or funding for some recipients. As a result, states are expected to assume more of the cost burden, with constraints on growth in federal Medicaid contributions even as the program continues to cover tens of millions nationwide.

Note: HCPCS codes are included for context within this category. Category totals and article rankings are based on standardized groupings rather than individual billing codes.

Details in this story were derived from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the original data here.