Kaufman Medicaid claims for National Codes Established for State Medicaid Agencies total $114,390 in 2024

In 2024, Medicaid providers in Kaufman reported $114,390 in claims for services under the National Codes Established for State Medicaid Agencies, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 5.6% rise compared to 2023, during which providers submitted $108,335 in claims for the same classification.

Medicaid operates as a state-administered public health insurance program funded jointly by federal and state governments. It serves low-income individuals and families, seniors, children and those with disabilities, making it a significant component of the U.S. health care system.

Since taxpayer funding supports Medicaid payments, shifts in local billing activity reflect how health care resources are distributed within a community.

The “National Codes Established for State Medicaid Agencies” grouping encompasses Medicaid-billed services defined by specific care types, using standardized HCPCS and CPT code categories. For this data, each code was assigned to one service group by examining shared code prefixes and range segments, allowing for analysis without duplicate counting and maintaining consistent historical rankings.

Medicaid expenditures rose in multiple service areas, and in 2024, National Codes Established for State Medicaid Agencies ranked fifth by total Medicaid payments in Kaufman.

Statewide in Texas, National Codes Established for State Medicaid Agencies ranked second for total Medicaid reimbursements in 2024.

Between the five years preceding 2024, Medicaid payments belonging to the National Codes Established for State Medicaid Agencies in Kaufman grew by $12,520, or 9.9%. Growth rates accelerated in particular years, with notable year-over-year gains in 2021 and 2022.

Despite being distributed citywide, spending in this category was concentrated in a limited set of ZIP codes. In 2024, all Medicaid claims in this category were in ZIP code 75142, accounting for $114,390 total. Altogether, the top 1 ZIP code represented 100% of spending in the National Codes Established for State Medicaid Agencies category in Kaufman for the year.

Within this category, Medicaid spending focused on a small number of distinct billing codes.

Comparing periods, Medicaid payments tied to National Codes Established for State Medicaid Agencies in Kaufman rose by 5.6% from 2023 to 2024, whereas all Medicaid claim categories combined experienced a 41.4% change across the city during this same time frame.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays reached about $871.7 billion in fiscal year 2023, accounting for an estimated 18% of overall U.S. health spending, a sharp increase from approximately $613.5 billion in 2019 before the COVID-19 pandemic.

This represents a growth rate near 40% over several years, largely attributed to greater enrollment and higher usage during and following the pandemic.

Recent federal budget actions under the Trump administration have included legislative plans to restrict federal Medicaid dollars and alter program terms. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to reduce federal Medicaid spending by over $1 trillion across the next 10 years. It introduces elements such as work requirements and increased cost-sharing, potentially reducing benefits and funding for some recipients. These changes are expected to shift greater costs to state governments and could limit growth in federal support, even as tens of millions of Americans depend on Medicaid for care.

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.