Providers in Republic billed $192,156 to Medicaid for services under the National Codes Established for State Medicaid Agencies category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount is an 89.4% increase over 2023, when $101,430 in claims were submitted for the same category.
Medicaid, a joint state and federal public health insurance program, covers low-income people, families, seniors, children, and those with disabilities, making it a foundational element of the U.S. health care landscape. Learn more about Medicaid funding.
Since Medicaid is taxpayer-funded, shifting patterns in local billings provide a look into how public health dollars are deployed in each community.
The “National Codes Established for State Medicaid Agencies” group refers to a set of services billed according to specific care types. These are categorized by standardized HCPCS and CPT code sequences, with each billing code mapped consistently to a single group so that related services can be compared year-to-year without overlaps or double counting.
Among all types of Medicaid spending in Republic for 2024, National Codes Established for State Medicaid Agencies was the second-largest category by dollars paid out.
Across Washington state, this category topped Medicaid payments in 2024, ranking first overall outside Republic.
From five years prior to 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies group in Republic climbed by $241,855—a 55.7% increase. This spike was particularly evident during the periods with the largest year-over-year gains, including both 2023 and 2022.
Payments in this category spanned Republic but were largely confined to a small set of ZIP codes. During 2024, ZIP code 99166 alone accounted for $192,155 of Medicaid payments under the category, making up 100% of the city’s total in this area.
Also, within the National Codes Established for State Medicaid Agencies category, only a select number of billing codes drew most of the Medicaid payments in Republic.
Comparing all Medicaid claim groupings in Republic, spending in this single category climbed 89.4% between 2023 and 2024, as opposed to a 28.5% shift across all categories during that time frame.
According to the Centers for Medicare & Medicaid Services, both state and federal Medicaid expenditures totaled roughly $871.7 billion in the 2023 fiscal year—around 18% of all health dollars spent nationwide. This is up from approximately $613.5 billion in 2019, before the COVID-19 pandemic began.
This represents close to 40% growth in just a handful of years, driven mainly by more enrollees and increased medical service use during and after the pandemic era.
Recent federal budget measures introduced during the Trump administration brought forward notable plans to decrease federal Medicaid contributions and alter financing. One example is the “One Big Beautiful Bill Act,” enacted in 2025, which will reduce federal Medicaid spending by over $1 trillion in the coming decade. The legislation establishes policies such as work requirements and heightened cost-sharing obligations, potentially decreasing both funding and coverage for some populations. These initiatives are likely to place greater funding responsibility on states and restrain growth on the federal side even as the program covers millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $434,011 | -17.2% |
| 2021 | $420,551 | -3.1% |
| 2022 | $390,723 | -7.1% |
| 2023 | $101,430 | -74% |
| 2024 | $192,155 | 89.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $560,017 | 58.6% |
| 2 | National Codes Established for State Medicaid Agencies | $192,155 | 20.1% |
| 3 | Pathology and Laboratory Procedures | $109,417 | 11.5% |
| 4 | Medicine Services and Procedures | $63,166 | 6.6% |
| 5 | Surgery | $19,072 | 2% |
| 6 | Radiology Procedures | $7,853 | 0.8% |
| 7 | Drugs Administered Other than Oral Method | $3,004 | 0.3% |
| 8 | Dental Services | $569 | 0.1% |
| 9 | Administrative, Miscellaneous and Investigational | $63 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $192,155 | 46 |
Note: HCPCS codes are displayed for reference inside each category. The totals and rankings in this report are derived from standardized service categories rather than at the bill code level.
The information in this report comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Original source data can be found here.