Cooleemee Medicaid outlays for National Codes Established category reach $65,586 in 2024

Medicaid providers in Cooleemee submitted $65,586 in claims for services in the National Codes Established for State Medicaid Agencies category in 2024, based on data compiled from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a jump of 123.3% compared with the prior year, when claims for the same service type totaled $29,370.

Medicaid operates as a state-managed public health insurance program, jointly funded by federal and state governments, according to available sources. The program serves low-income people and families, seniors, children and those with disabilities, making it a significant component of the national health care system.

Since Medicaid funding is taxpayer-driven, local changes in billing reflect how health care funds are dispersed within the community.

The “National Codes Established for State Medicaid Agencies” grouping corresponds to a set of Medicaid claims categorized according to the care delivered and determined by specific HCPCS and CPT code groupings. For this assessment, billing codes were sorted to a single service grouping via consistent prefixes and code range methods, permitting tracking of related services and maintaining clear year-over-year comparisons.

Medicaid payments increased in several service areas, but National Codes Established for State Medicaid Agencies accounted for the highest total in Cooleemee for 2024.

On a statewide basis in North Carolina, the National Codes Established for State Medicaid Agencies group also topped the list for Medicaid payments in 2024.

From five years before 2024, Cooleemee saw no net growth in Medicaid payments in this category—the total rose by $65,586, equating to a 0% change. Notably, stronger annual increases occurred in 2022 and 2023.

Distribution of these payments throughout Cooleemee revealed concentrations in select ZIP codes. In 2024, ZIP code 27014 was the leading source, with $65,585 in Medicaid payments within this service category. Altogether, the leading ZIP code represented 100% of all such Medicaid payments in the city during the year.

Within the National Codes Established for State Medicaid Agencies group, claim payments were clustered among only a few billing codes.

In comparison, Cooleemee Medicaid payments for this category climbed by 123.3% between 2023 and 2024, mirroring the 123.3% change seen across all Medicaid claim categories locally during that interval.

The Centers for Medicare & Medicaid Services report that federal and state Medicaid expenditures reached roughly $871.7 billion in fiscal 2023—making up about 18% of total U.S. health costs. This marked a significant increase from about $613.5 billion in 2019, before the COVID-19 outbreak.

That reflects nearly 40% growth in just a few years, fueled in part by increased participation and higher service use during and in the aftermath of the pandemic.

Recent Trump-era budget measures have included proposals to curb federal Medicaid contributions and alter aspects of the program. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is set to slash more than $1 trillion from federal Medicaid spending over a decade, bringing reforms like work requirements and higher cost-sharing that could limit access or funding for some recipients. These modifications are anticipated to increase states’ share of expenses while capping federal growth, even as Medicaid continues to serve tens of millions.

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.