Oak Hill Medicaid payments for National Codes Established for State Medicaid Agencies total $5,595,474 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Oak Hill Medicaid providers submitted $5,595,474 in claims for services within the National Codes Established for State Medicaid Agencies category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This sum reflects a 3.1% increase over the prior year, when claims for the category totaled $5,428,819.

Medicaid is the public insurance initiative operated by states with support from both federal and state government funding. The program serves low-income individuals, children, seniors, and those with disabilities, making it one of the nation’s primary health care payors.

Because Medicaid resources are public funds, variations in local spending patterns track changes in how taxpayer dollars support health care in each community.

The “National Codes Established for State Medicaid Agencies” group consists of services defined by the type delivered, utilizing standardized HCPCS and CPT code groupings. In this study, billing codes were linked to a single category through consistent prefixes and numeric ranges, allowing related services to be analyzed together while avoiding double-counting and retaining accurate rankings over time.

In addition to increases seen in various categories, National Codes Established for State Medicaid Agencies received the highest sum of Medicaid payments among all service segments in Oak Hill in 2024.

On a state level, this same category topped the list for Medicaid payments statewide in West Virginia in 2024.

From 2019 through 2024, funds for the National Codes Established for State Medicaid Agencies category in Oak Hill increased by $5,374,104—a growth of 2,427.7%. Some years, such as 2022 and 2023, recorded especially large year-over-year increases.

While such Medicaid spending extended throughout Oak Hill, payment volume largely originated in only a few ZIP codes. In 2024, ZIP code 25901 made up $5,595,473, accounting for 100% of Oak Hill’s Medicaid category payments for National Codes Established for State Medicaid Agencies.

Spending within the category also concentrated across just a few top individual billing codes.

Between 2023 and 2024, Oak Hill’s Medicaid spending for the National Codes Established for State Medicaid Agencies category grew by 3.1%, while across all Medicaid claim categories the city saw a 0.6% shift during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined Medicaid spending from federal and state sources was about $871.7 billion in fiscal 2023, representing approximately 18% of overall U.S. health spending, up from $613.5 billion in 2019 before the start of the COVID-19 pandemic.

The result is around 40% growth in just several years, with enrollment expansion and greater utilization driving trends both during and following the pandemic period.

Congress passed notable federal budget packages under the Trump administration aimed at reducing federal Medicaid contributions and shifting structural changes to the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is projected to cut over $1 trillion in federal Medicaid expenditures for the coming decade, introducing work mandates and increased beneficiary cost-sharing that may affect coverage and financing for certain groups. These changes could pass more fiscal responsibility to states and curb future federal support, even as Medicaid continues to provide health coverage to millions.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Oak Hill, West Virginia Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $221,369 -2.9%
2021 $236,229 6.7%
2022 $1,560,277 560.5%
2023 $5,428,818 247.9%
2024 $5,595,473 3.1%
Top Categories by Medicaid Payments in Oak Hill, West Virginia, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $5,595,473 64.6%
2 Evaluation and Management $1,119,634 12.9%
3 Alcohol and Drug Abuse Treatment $789,242 9.1%
4 Radiology Procedures $420,349 4.8%
5 Pathology and Laboratory Procedures $303,231 3.5%
6 Medicine Services and Procedures $244,404 2.8%
7 Surgery $145,037 1.7%
8 Drugs Administered Other than Oral Method $17,580 0.2%
9 Vision Services $16,034 0.2%
10 Dental Services $7,221 0.1%
11 Temporary National Codes (Non-Medicare) $4,477 0.1%
12 Medical And Surgical Supplies $2,328 <0.1%
13 Temporary Codes $1,896 <0.1%
14 Outpatient PPS $730 <0.1%
15 Procedures / Professional Services $703 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Oak Hill, West Virginia, 2024

HCPCS Code Description Medicaid Payments Claims
T1015 Clinic service $5,595,473 332

Note: HCPCS codes are provided for clarity within the category. The totals and rankings in this article derive from cohesive service categories, not by each billing code.

All data in this article originates from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.



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