Midlothian Medicaid payments for National Codes Established for State Medicaid Agencies climb to $1,086,843 in 2024

In 2024, providers in Midlothian billed a total of $1,086,843 to Medicaid for services listed in 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. That represents a 16% rise from $936,777 billed for the same services during 2023.

Medicaid operates as a state-administered public health insurance plan funded jointly by state and federal governments. The program includes coverage for low-income individuals and families, children, seniors, and people with disabilities, making it a cornerstone of the U.S. health care system.

Because Medicaid funding relies on public tax dollars, local changes in claims activity reflect community-level allocation of health care resources.

The “National Codes Established for State Medicaid Agencies” category encompasses Medicaid-billed services grouped by care type using standardized HCPCS and CPT code structures. For this report, each service code was assigned to a unique category according to code prefixes and numeric sequences, which allows detailed examination by group, avoids overlap, and helps maintain accurate historical comparisons.

While Medicaid expenditures grew across several service types, National Codes Established for State Medicaid Agencies led in total payments among all Medicaid categories in Midlothian for 2024.

This category ranked second in total Medicaid payments in Texas during 2024.

Across the five years before 2024, Medicaid disbursements in Midlothian under this category climbed by $889,672, or 451.2%. Spending escalated most sharply during select years, including notable increases in 2023 and 2021.

Spending for the National Codes Established for State Medicaid Agencies category was distributed across Midlothian but was highly concentrated in just a few ZIP codes. In 2024, ZIP code 76065 accounted for almost all Medicaid payments, totaling $1,086,842 and making up 100% of the city’s Medicaid spending in this category during the year.

The bulk of Medicaid payments within this category was concentrated among a small number of billing codes.

Between 2023 and 2024 in Midlothian, Medicaid expenditures for this service category increased by 16%. This compares to a 20.3% change observed for all Medicaid service categories in the city over the same period.

According to the Centers for Medicare & Medicaid Services, total state and federal Medicaid costs reached about $871.7 billion in fiscal 2023, making up roughly 18% of total national health spending, and have grown significantly from about $613.5 billion in 2019, before the COVID-19 pandemic.

This growth equates to an increase of around 40% within several years, mainly due to expanded enrollment and greater utilization during and after the pandemic period.

Recent federal budget acts during the Trump administration have proposed substantial cuts to federal Medicaid support and called for various structural changes. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over the coming decade. It sets forth policies such as work requirements and higher cost-sharing that could affect coverage and funding for certain beneficiaries. These changes are anticipated to shift more of Medicaid’s financial responsibility to states and cap federal growth, though the program continues to cover 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.