Peterstown Medicaid payments for state-level national codes total $22,989 in 2024

Peterstown Medicaid providers submitted $22,989 in claims for services grouped under the National Codes Established for State Medicaid Agencies category in 2024, U.S. Department of Health and Human Services Medicaid Provider Spending data show. This represents a 20.8% increase compared with 2023, when providers billed $19,028 for the same category.

Medicaid is a state-run public health insurance program funded in partnership by federal and state governments. It insures low-income people and families, children, seniors and those with disabilities, making it among the country’s largest health care programs.

Since Medicaid is paid for by taxpayer dollars, changes in local billing highlight how public health funding is distributed throughout a community.

The “National Codes Established for State Medicaid Agencies” category represents a collection of Medicaid services identified by care type, using established HCPCS and CPT code groupings. In this report, individual billing codes were assigned to one service group based on uniform code prefixes and number ranges, enabling an analysis of related services without duplication and supporting consistent rankings over time.

Though Medicaid payments rose across several service classifications, National Codes Established for State Medicaid Agencies was the second-largest category by dollar amount in Peterstown during 2024.

Statewide, the National Codes Established for State Medicaid Agencies category was ranked first in West Virginia for overall Medicaid payment totals in 2024.

Between 2019 and 2024, Medicaid payments tied to the National Codes Established for State Medicaid Agencies category in Peterstown grew by $33,453, or 59.3%. Spending expansion accelerated during certain years, particularly in 2023 and 2022.

Medicaid payments in the National Codes Established for State Medicaid Agencies category were present throughout Peterstown, but most funding was concentrated in only a few ZIP codes. In 2024, ZIP code 24963 accounted for $22,988 of Medicaid payments categorized under National Codes Established for State Medicaid Agencies. Collectively, the leading ZIP code represented 100% of Medicaid spending for this category in Peterstown that year.

Within this category, most Medicaid spending was attributed to a small number of specific billing codes.

For context, Medicaid payments for National Codes Established for State Medicaid Agencies in Peterstown increased 20.8% between 2024 and 2023. That compares with a 26.3% change across all claim types in the city during the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures totaled approximately $871.7 billion in fiscal year 2023, or about 18% of total U.S. health expenditures, up substantially from $613.5 billion in 2019 before the COVID-19 pandemic began.

This roughly 40% increase over several years was spurred in large part by enrollment expansion and increased demand during and following the pandemic.

Recent federal budget actions under the Trump administration included major proposals to cut Medicaid spending and organize the program differently. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over 10 years and implements policies like work requirements and greater cost-sharing, which could limit both coverage and funding for some recipients. These adjustments may raise state funding responsibilities and constrain federal Medicaid support even with the program continuing to serve millions nationwide.

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.