Medicaid payments linked to National Codes Established for State Medicaid Agencies surge 6,422.8% in Dinwiddie for 2024

In Dinwiddie, Medicaid providers reported $672,761 in 2024 billings for services within the National Codes Established for State Medicaid Agencies category, U.S. Department of Health and Human Services Medicaid Provider Spending data shows. That amount was up 6,422.8% from 2023, when providers billed $10,314 for this service group.

Medicaid, a state-run program financed with state and federal funds, covers people and families with low incomes, seniors, children and those with disabilities. It remains one of the main components of the U.S. health care system.

Shifts in local Medicaid billing levels reflect how publicly funded health dollars are deployed across communities.

The “National Codes Established for State Medicaid Agencies” service category represents Medicaid-billed services grouped by care type using standardized HCPCS and CPT coding structures. For this report, codes were categorized by consistent prefixes and number sequences to analyze related care services together, ensuring rankings over time are reliable and without duplicate counting.

While Medicaid spending rose in several categories, National Codes Established for State Medicaid Agencies was the top-ranked category by total Medicaid payments in Dinwiddie for 2024.

Across Virginia, National Codes Established for State Medicaid Agencies similarly ranked first in total Medicaid payments statewide for 2024.

From 2019 through 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Dinwiddie climbed by $667,344, or 12,319.2%. Growth periods included especially significant year-over-year increases, particularly in 2022 and another in 2022.

Most spending in the National Codes Established for State Medicaid Agencies category was concentrated among a few ZIP codes citywide. The 23841 ZIP code saw $672,760 in Medicaid billings in 2024, accounting for 100% of the total category payments in Dinwiddie that year.

Within this category, a small set of billing codes accounted for most of the Medicaid payments.

For context, the rise in Medicaid payments for this category in Dinwiddie—6,422.8% from 2023 to 2024—greatly outpaced the 186.1% growth seen across all Medicaid claim categories locally over the same span.

Centers for Medicare & Medicaid Services data show that in fiscal 2023, federal and state Medicaid spending reached about $871.7 billion, making up close to 18% of all U.S. health expenditures, and up sharply from $613.5 billion in 2019 prior to the COVID-19 pandemic.

The increase represents approximately 40% growth over several years, driven mainly by increased enrollment and greater care usage during and after the pandemic era.

Recent federal budget law under the Trump administration included large-scale proposals to reduce federal Medicaid outlays and restructure program requirements. The “One Big Beautiful Bill Act,” adopted in 2025, is projected to trim federal Medicaid spending by more than $1 trillion in the next decade, introducing measures like work requirements and higher cost sharing, which may depress coverage and funding for affected enrollees. These provisions are likely to push extra financial responsibility to states and temper the growth of federal Medicaid contribution, even as millions rely on the program.

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.