Logan Medicaid providers billed $3,485,296 in 2024 for services categorized under the National Codes Established for State Medicaid Agencies, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 6.4% uptick over 2023, when providers filed $3,275,082 in claims for these services.
Medicaid is a publicly run health insurance program managed at the state level and financed in partnership between federal and state governments. It serves low-income individuals and families, seniors, children, and those with disabilities, making it a major element of the U.S. health system.
Because taxpayer funds drive Medicaid payments, changes in community billing amounts help track public health care resource allocation.
The “National Codes Established for State Medicaid Agencies” category encompasses groups of Medicaid-billed services assigned by care type, based on established HCPCS and CPT code sets. In compiling this analysis, each code referenced was categorized once, using uniform prefixes and numeric groupings, which allowed for consistent service tracking and prevented overlap in tallies and rankings through the years.
While spending grew across many service types, in 2024, National Codes Established for State Medicaid Agencies had the highest Medicaid payment totals in Logan.
This category also held the top spot for total Medicaid payments statewide in West Virginia for 2024.
In the five-year period ending with 2024, Medicaid payments under the National Codes Established for State Medicaid Agencies in Logan rose $2,354,807, or 208.3%. Certain years showed pronounced growth, with significant jumps in 2022 and 2020.
Spending on care in this category occurred throughout Logan, but most payments were centered in a small number of ZIP codes. For 2024, ZIP code 25601 accounted for $3,485,296 in Medicaid payments for these services. The top ZIP code alone represented 100% of category payments in Logan for the year.
Within the National Codes Established for State Medicaid Agencies group, individual billing codes received the largest share of Medicaid dollars.
When comparing categories, Medicaid payments in Logan connected to this group increased 6.4% between 2024 and 2023, while all claim categories in the city combined showed a 13.3% change over the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined reached roughly $871.7 billion in fiscal year 2023, about 18% of the nation’s total health spending—an increase from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This surge represents a growth of approximately 40% in just a few years, largely driven by higher enrollment and increased service use during and following the pandemic.
Recent federal budget actions during the Trump administration have featured major proposals to cut back federal Medicaid appropriations and adjust the structure of the program. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to result in more than $1 trillion in federal Medicaid reductions over the next 10 years and imposes policies such as work requirements and higher cost-sharing, potentially lowering coverage and funding for some enrollees. These measures are anticipated to increase state-level costs and slow federal Medicaid growth as the program remains a vital resource for millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,130,488 | 54.3% |
| 2021 | $1,581,966 | 39.9% |
| 2022 | $2,764,561 | 74.8% |
| 2023 | $3,275,082 | 18.5% |
| 2024 | $3,485,296 | 6.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $3,485,296 | 25.7% |
| 2 | Evaluation and Management | $3,322,749 | 24.5% |
| 3 | Alcohol and Drug Abuse Treatment | $2,815,469 | 20.7% |
| 4 | Ambulance and Other Transport Services and Supplies | $1,471,706 | 10.8% |
| 5 | Procedures / Professional Services | $693,025 | 5.1% |
| 6 | Pathology and Laboratory Procedures | $621,039 | 4.6% |
| 7 | Medicine Services and Procedures | $350,606 | 2.6% |
| 8 | Surgery | $241,590 | 1.8% |
| 9 | Radiology Procedures | $185,816 | 1.4% |
| 10 | Durable Medical Equipment | $182,486 | 1.3% |
| 11 | Vision Services | $82,995 | 0.6% |
| 12 | Medical And Surgical Supplies | $40,563 | 0.3% |
| 13 | Temporary National Codes (Non-Medicare) | $21,384 | 0.2% |
| 14 | Temporary Codes | $19,866 | 0.1% |
| 15 | Anesthesia | $16,780 | 0.1% |
| 16 | Dental Services | $11,254 | 0.1% |
| 17 | Drugs Administered Other than Oral Method | $4,566 | <0.1% |
| 18 | Administrative, Miscellaneous and Investigational | $3,547 | <0.1% |
| 19 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $1,958 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $3,243,026 | 210 |
| T2021 | Day habil waiver per 15 min | $239,486 | 12 |
| T1002 | Rn services up to 15 minutes | $2,129 | 9 |
| T1001 | Nursing assessment/evaluatn | $653 | 1 |
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.
