South Beloit Medicaid spending on National Codes Established for State Medicaid Agencies climbs to $51,972 in 2024

Providers in South Beloit billed $51,972 to Medicaid for services categorized under National Codes Established for State Medicaid Agencies in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 69.3% rise over 2023, when claims submitted for the same category totaled $30,699.

Medicaid, which is a public health insurance program jointly funded by federal and state governments, covers groups including low-income individuals and families, seniors, children, and those with disabilities. It is a major component of the U.S. health care system. More information is available at the Commonwealth Fund.

Since Medicaid dollars come from taxpayers, local billing trends reflect how health care funds are distributed within a community.

The “National Codes Established for State Medicaid Agencies” category includes a specific set of Medicaid-billed services designated by care type and grouped using standard HCPCS and CPT prefixes and codes. This analysis assigned each billing code to a single service group, allowing related services to be measured together and ensuring clear rankings over time without duplication.

Medicaid spending grew in several categories in South Beloit, but National Codes Established for State Medicaid Agencies ranked as the highest by total Medicaid payments in the city in 2024.

Statewide in Illinois, National Codes Established for State Medicaid Agencies also led in total Medicaid payments for 2024.

Between 2019 and 2024, South Beloit’s Medicaid payments for National Codes Established for State Medicaid Agencies rose by $39,479, equating to a 316% gain. Certain years, such as 2021 and 2020, saw especially sharp year-over-year increases.

Payments in this category were distributed citywide, but a small number of ZIP codes contributed the majority. In 2024, ZIP code 61080 accounted for $51,971, making up 100% of Medicaid payments tied to this category in South Beloit for the year.

Additionally, just a handful of billing codes were responsible for most of the Medicaid payments in the National Codes Established for State Medicaid Agencies category.

In terms of growth, South Beloit’s Medicaid payments linked to this category climbed 69.3% from 2023 to 2024, compared with an increase of 65.6% across all Medicaid claim categories during the same period.

Centers for Medicare & Medicaid Services data shows total federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up approximately 18% of total U.S. health expenditures. This is a significant jump from $613.5 billion in 2019, preceding the COVID-19 pandemic.

That growth is about 40% over several years, largely due to greater enrollment and increased service use during and after the COVID-19 pandemic period.

Federal budget actions under the Trump administration recently introduced several major policy changes for Medicaid. The “One Big Beautiful Bill Act,” enacted in 2025, is forecasted to reduce federal Medicaid spending by over $1 trillion over 10 years, bringing in measures like work mandates and greater cost-sharing that could lower coverage and federal support for some enrollees. The changes are expected to increase state financial responsibility while slowing federal Medicaid funding growth, even as Medicaid remains vital for tens of millions of Americans.

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.