Medicaid payments for National Codes Established for State Medicaid Agencies in Parksley rise to $1,303,607 in 2024

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Parksley received $1,303,607 in 2024 for services listed under the National Codes Established for State Medicaid Agencies category. This was a 36.2% increase from 2023, when providers billed $956,908 for the same category of services.

Medicaid, a state-administered public health insurance program funded by both federal and state governments, provides coverage to low-income individuals and families, seniors, children, and people with disabilities. It remains a major component of the U.S. health care system.

As Medicaid funding is taxpayer-supported, fluctuations in local billing levels illustrate how a community’s public health care resources are distributed.

The “National Codes Established for State Medicaid Agencies” classification includes a range of Medicaid-billed services defined by care type, based on established HCPCS and CPT code groups. For this data review, each code was tracked to a single service category using uniform code prefixes and ranges, enabling analysis of related services together without double counting or distorting annual rankings.

Medicaid spending increased broadly across several categories, with National Codes Established for State Medicaid Agencies finishing second among Parksley service categories by total payments in 2024.

Statewide in Virginia, National Codes Established for State Medicaid Agencies led all other categories in total Medicaid payments for the year.

Between 2019 and 2024, Medicaid payments tied to the National Codes Established for State Medicaid Agencies category in Parksley rose by $573,286—a 78.5% gain. Some periods saw faster growth, including notable increases in both 2023 and 2022.

Payments for care in the National Codes Established for State Medicaid Agencies category were spread throughout Parksley, but most were concentrated in specific ZIP codes. For 2024, ZIP code 23421 accounted for $1,303,607, representing 100% of Medicaid payments in this category in the city.

Payments within this category were also centralized among a small number of specific billing codes.

By comparison, the 36.2% rise in Medicaid payments for the National Codes Established for State Medicaid Agencies category in Parksley between 2024 and 2023 outpaced the 7.6% increase seen across all Medicaid claim categories locally during the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled approximately $871.7 billion during fiscal 2023. This represented about 18% of national health spending, climbing from around $613.5 billion in 2019 before the pandemic.

This reflects about 40% growth in just a few years, mainly due to increased enrollment and use during and after the pandemic.

Recent federal budget acts passed during the Trump administration introduced plans to reduce federal Medicaid contributions and restructure the system. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim more than $1 trillion from federal Medicaid spending over 10 years, adding policy shifts including work conditions and higher cost-sharing. These measures could decrease coverage and funding for some beneficiaries, increasing the fiscal responsibility of states even as Medicaid continues to support millions across the country.

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.