Alvord Medicaid providers billed $118,540 for National Codes Established for State Medicaid Agencies in 2024

In 2024, Medicaid providers in Alvord billed $118,540 for services identified under the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 16.8% increase over 2023, when $101,475 in claims for this service group were reported.

Medicaid is a public insurance program operated by states with joint funding from federal and state governments. It provides coverage for low-income families and individuals, seniors, children, and people with disabilities, making it a major component of the U.S. health care system.

Since Medicaid is funded by taxpayers, shifting billing patterns help illustrate how local public health care resources are distributed.

The National Codes Established for State Medicaid Agencies category encompasses a range of Medicaid services defined by specific care types, organized using standardized HCPCS and CPT groupings. Billing codes were consistently sorted within a single category by shared code prefixes and number ranges for this analysis, enabling clustering of comparable services while preventing duplicates and ensuring accurate year-over-year rankings.

Although there were increases in Medicaid spending for multiple service types, the National Codes Established for State Medicaid Agencies category led Alvord by total payments in 2024.

Statewide in Texas, National Codes Established for State Medicaid Agencies ranked second by payment total among all categories in 2024.

Between 2019 and 2024, Medicaid payments related to National Codes Established for State Medicaid Agencies in Alvord grew by $96,132, a jump of 429%. Payment increases were particularly pronounced during certain years, including 2021 and 2023.

While Medicaid payments in this service category covered the entire city, most disbursements were concentrated in a small number of ZIP codes. For 2024, ZIP code 76225 registered the highest payments, amounting to $118,540. In fact, the top ZIP code accounted for the entirety—100%—of payments tied to National Codes Established for State Medicaid Agencies in Alvord for the period.

Within this category, only a handful of specific billing codes generated most Medicaid payment volume.

For perspective, from 2023 to 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category rose 16.8% in Alvord, while overall Medicaid claim categories in the city grew 19.6% over the same interval.

Centers for Medicare & Medicaid Services data show combined federal and state Medicaid expenditures reached about $871.7 billion in the 2023 fiscal year. That sum accounted for nearly 18% of all U.S. health expenditures, a significant increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.

The roughly 40% increase occurred over several years, largely a result of higher enrollment and service utilization during the pandemic and its aftermath.

Recent legislative changes under the Trump administration include proposals to reduce federal Medicaid outlays and modify program structure. For instance, the “One Big Beautiful Bill Act,” made law in 2025, is forecasted to cut more than $1 trillion in federal Medicaid funding over a decade and implements initiatives like work requirements and raised cost-sharing, potentially reducing coverage and payments for some enrollees. These adjustments are expected to increase the share of costs for states and curtail federal Medicaid growth, even as the program serves 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.