Somerton Medicaid payments for state-established national codes reach $21,266,272 in 2024

In 2024, Medicaid providers in Somerton billed $21,266,272 for services within the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represented a 0.5% rise from 2023, when claims for these services reached $21,158,123.

Medicaid, a state-administered program jointly funded by federal and state governments, covers low-income residents, seniors, children, and individuals with disabilities, making it a significant segment of the U.S. health care system.

As Medicaid is funded by taxpayers, fluctuations in community billing trends indicate how health care funds are distributed at the local level.

The “National Codes Established for State Medicaid Agencies” grouping refers to Medicaid-billed services organized by care type, rooted in specific HCPCS and CPT code clusters. This analysis assigns each billing code to only one service group by identifying consistent code prefixes and number ranges, ensuring related services are grouped and tracked without duplication for accurate year-over-year comparisons.

Of all Medicaid service categories in Somerton, National Codes Established for State Medicaid Agencies received the highest payments in 2024.

Statewide in Arizona, this category also ranked first for total Medicaid payments in 2024.

Between the five years before 2024, Medicaid payments related to the National Codes Established for State Medicaid Agencies in Somerton climbed by $8,283,923, or 63.8%. The pace of growth was higher during certain years, particularly in 2021 and 2022.

Spending in the National Codes Established for State Medicaid Agencies category was spread throughout the city but concentrated largely in select ZIP codes. In 2024, ZIP code 85350 accounted for $21,266,271 of these Medicaid payments, representing 100% of related spending in Somerton for the year.

Medicaid payments were further focused among a concentrated selection of individual billing codes within this category.

Comparing years, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Somerton went up 0.5% from 2023 to 2024, whereas citywide, all Medicaid claim categories together saw a 0.4% increase during the same time frame.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending was roughly $871.7 billion for fiscal year 2023, which was about 18% of total U.S. health care expenditures. That is up substantially from around $613.5 billion in 2019, prior to the COVID-19 pandemic.

The gain reflects about 40% overall growth in a few years, mainly due to increased participation and use during and after the pandemic.

Federal budget actions under the Trump administration have brought major proposals to reduce federal Medicaid funding and shift program structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid spending by more than $1 trillion over 10 years and add measures like work requirements and greater cost-sharing, potentially reducing benefits and funding for certain enrollees. These changes could push more costs to states and slow federal Medicaid spending growth, even as the program continues to serve 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.