Medicaid payments for Denton’s National Codes grew 3% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Denton submitted $683,686 in claims for services under the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That total is a 3% rise compared to 2023, when $663,540 was billed for the same service category.

Medicaid is operated by states and jointly funded by federal and state governments through taxpayer dollars. It provides coverage to low-income individuals and families, seniors, children, and people with disabilities, and is a major component of the U.S. health care landscape.

Because Medicaid funding is publicly sourced, local billing shifts reflect how health care resources are apportioned within each community.

The “National Codes Established for State Medicaid Agencies” category identifies Medicaid-billed services defined by care type using standardized HCPCS and CPT code groupings. Analysts assigned each billing code to one service category using uniform code prefixes and number sequences, supporting accurate comparisons without double counting and maintaining consistent rankings across the years studied.

Medicaid spending climbed in several service categories, with National Codes Established for State Medicaid Agencies leading in Denton by total Medicaid payments for 2024.

Across North Carolina, the same service category also ranked first by Medicaid payment volume in 2024.

From 2019 through 2024, Denton’s Medicaid claims tied to the National Codes Established for State Medicaid Agencies category grew by $4,237, or 0.6%. Notably, rates of growth were higher during certain years, including significant increases observed in 2020 and 2023.

Although this category covers services across Denton, funds were mainly concentrated within a small group of ZIP codes. For 2024, ZIP code 27239 accounted for $683,685 in Medicaid claims tied to National Codes Established for State Medicaid Agencies, reflecting 100% of the city’s payments for this category during the year.

Within the National Codes Established for State Medicaid Agencies category, payment amounts were driven by a select grouping of individual billing codes.

For context, Medicaid payments for this service category in Denton increased by 3% between 2023 and 2024, whereas payments across all Medicaid claim types in the city saw a 10.3% change over the same interval.

Centers for Medicare & Medicaid Services data show that combined federal and state Medicaid outlays reached about $871.7 billion in fiscal year 2023, making up nearly 18% of total U.S. health spending. This is a steep increase from the $613.5 billion spent in 2019 before the COVID-19 pandemic.

This growth of about 40% in just a few years has been driven chiefly by expanded Medicaid rolls and heavier use of services during and following the pandemic.

Recent federal budget bills enacted during the Trump administration have included proposals to reduce federal Medicaid funding and overhaul the program. For example, the “One Big Beautiful Bill Act,” signed into law in 2025, is set to trim more than $1 trillion from federal Medicaid allocations over 10 years and institutes policies such as work requirements and greater cost-sharing, which could lessen coverage and federal support for certain recipients. As a result, states are expected to pick up a greater share of costs and see restrained federal growth, even as Medicaid continues to serve tens of millions nationwide.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Denton, North Carolina Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $679,448 111.7%
2021 $688,173 1.3%
2022 $640,305 -7%
2023 $663,540 3.6%
2024 $683,685 3%
Top Categories by Medicaid Payments in Denton, North Carolina, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $683,685 63.5%
2 Alcohol and Drug Abuse Treatment $160,671 14.9%
3 Medicine Services and Procedures $144,102 13.4%
4 Evaluation and Management $73,009 6.8%
5 Medical And Surgical Supplies $10,347 1%
6 Durable medical equipment (DME) Medicare administrative contractors (MACs) $4,039 0.4%
7 Durable Medical Equipment $292 <0.1%
8 Procedures / Professional Services $66 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Denton, North Carolina, 2024

HCPCS Code Description Medicaid Payments Claims
T1016 Case management $499,430 11
T2041 Support broker waiver/15 min $167,859 11
T2025 Waiver service, nos $8,311 5
T4527 Adult size pull-on lg $8,084 4

Note: HCPCS codes are presented for reference within the category. Category totals and rankings are reported using standard service groupings, not by individual codes.

This report utilizes information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data may be accessed here.



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