Clayton Medicaid spending on national codes climbs to $431,203 in 2024

In 2024, Clayton Medicaid providers billed $431,203 for services within the National Codes Established for State Medicaid Agencies category, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 12.1% rise from 2023, when claims for the same services totaled $384,568.

Medicaid is a state-operated public health insurance program with joint federal and state funding, as explained by the Commonwealth Fund. The program provides coverage to people with low incomes, seniors, children, and those with disabilities, making it a major element of the U.S. health care system.

Because Medicaid is funded by taxpayers, changes in local billing indicate how a community uses its share of public health care spending.

The “National Codes Established for State Medicaid Agencies” category encompasses a group of Medicaid-billed services classified by type of care, using standardized HCPCS and CPT code sets. In this analysis, billing codes were grouped under a single service category based on code prefixes and number ranges, which prevents double counting and maintains accurate year-over-year comparisons and rankings.

While Medicaid expenditures rose in several categories, the National Codes Established for State Medicaid Agencies group was the second-largest by total payments in Clayton for 2024.

Across New Mexico, the National Codes Established for State Medicaid Agencies category was also the second-ranked service by total Medicaid payments in 2024.

Over the previous five years leading up to 2024, Medicaid spending associated with the National Codes Established for State Medicaid Agencies category in Clayton rose $114,555, a 36.2% gain. Spending growth quickened at times, most notably in 2020 and 2021, reflecting marked annual increases during those periods.

Though Medicaid spending for these services was distributed citywide, a small number of ZIP codes saw the highest payments. In 2024, the primary ZIP code—88415—accounted for the full $431,203 in Medicaid payments for the category, meaning 100% of related payments came from just one ZIP code in Clayton for the year.

Medicaid reimbursement within the category also primarily involved a limited set of individual billing codes.

Comparing periods, Clayton saw Medicaid payments for this category rise 12.1% between 2024 and 2023. All Medicaid claim categories combined in Clayton had a 7.8% change over the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending hit about $871.7 billion in fiscal 2023, representing roughly 18% of total U.S. health expenditures. That is up sharply from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

This surge represents around 40% growth in just a few years. The increase has mainly been driven by higher enrollment and service use during and after the pandemic.

Recent Trump administration federal budget legislation introduced significant proposals to decrease federal Medicaid funding and change aspects of the program. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid outlays by more than $1 trillion over 10 years and implement policies like work requirements and increased cost-sharing that could restrict coverage and federal funding for some individuals. These shifts are likely to place more of the spending responsibility on states and restrain federal program growth, even as Medicaid continues to serve tens of millions across the country.

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.