Medicaid payments linked to state-level national codes climbed 2.2% in Mullens during 2024

In 2024, Medicaid providers in Mullens billed $455,302 for services under the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented a 2.2% rise compared to the prior year, when $445,577 was claimed for the same services.

Medicaid, a public health insurance program managed by states with both federal and state funding support, covers low-income people, seniors, children, and individuals with disabilities. It remains a central part of the U.S. health care landscape.

With Medicaid spending sourced from taxpayer dollars, fluctuations in local billing levels reflect how health care resources are distributed across communities.

The “National Codes Established for State Medicaid Agencies” designation encompasses a set of Medicaid-billed services grouped by care type, based on standardized HCPCS and CPT code clusters. In this analysis, each billing code is assigned to one service category using uniform code prefixes and numeric ranges to group related services, prevent double counting, and support year-over-year ranking accuracy.

The National Codes Established for State Medicaid Agencies topped all other categories in Mullens by total Medicaid payments in 2024, reflecting its leading share across multiple service types.

Statewide in West Virginia, this same category finished first in terms of total Medicaid payments made during 2024.

Between 2019 and 2024, Medicaid payments connected to the National Codes Established for State Medicaid Agencies in Mullens rose by $178,090, or 64.2%. Certain years, including 2020 and 2021, saw more rapid growth, with notable increases from year to year.

Although spending for this category was distributed throughout the city, most payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 25882 accounted for $455,301, representing 100% of all Medicaid payments in Mullens tied to the National Codes Established for State Medicaid Agencies category that year.

Within the category, Medicaid payments were further focused on a few specific billing codes.

In Mullens, Medicaid payments for this group of codes grew 2.2% between 2024 and the preceding year, compared with a 10.2% increase across all Medicaid claim categories locally during the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023. This represented roughly 18% of all U.S. health spending, up from $613.5 billion in 2019 and influenced by the COVID-19 pandemic.

This growth equals an increase of approximately 40% over a few years, largely driven by rising enrollment and increased service use during and after the pandemic.

Recent federal budget legislation passed under the Trump administration included significant provisions to reduce federal Medicaid outlays and change the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over a decade and introduces work requirements and greater cost-sharing, which may affect coverage for some recipients. These adjustments are predicted to increase state funding responsibilities and restrict federal Medicaid growth, even as the program continues to cover 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.