In 2024, Medicaid providers in Mandeville billed $1,891,794 for services under 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 represented an 81.8% increase compared with 2023, when providers billed $1,040,476 for the same category of services.
Medicaid is a public insurance program administered by the states and funded jointly by federal and state governments. It provides coverage for low-income families and individuals, seniors, children, and those with disabilities, making it a significant component of the U.S. health care system.
Since Medicaid payments are funded by taxpayers, local billing trends reflect how a community’s public health care resources are spent.
The “National Codes Established for State Medicaid Agencies” category includes a group of Medicaid-billed services identified by care type, relying on standardized HCPCS and CPT code groupings. For this analysis, each code was associated with a single category through consistent code prefixes and numeric ranges, allowing analysts to review related services together while avoiding double counting and maintaining accurate annual rankings.
Although overall Medicaid spending increased across several categories, National Codes Established for State Medicaid Agencies was ranked fourth in Mandeville by total Medicaid payments in 2024.
At the state level, the National Codes Established for State Medicaid Agencies category ranked second in Louisiana in 2024 for total payments.
Between 2019 and 2024, Medicaid payments attributed to the National Codes Established for State Medicaid Agencies category in Mandeville rose by $1,883,930, a jump of 23955.5%. The rate of growth accelerated in certain years, with especially large year-over-year increases documented in 2021 and 2022.
While payments for this category of care were distributed throughout the city, most funds were concentrated in a small number of ZIP codes. In 2024, 70471 saw Medicaid payments of $1,536,329, and 70448 received $355,464. Combined, these 2 ZIP codes made up 100% of Medicaid payments for the National Codes Established for State Medicaid Agencies category in Mandeville for the year.
Medicaid spending within the National Codes Established for State Medicaid Agencies category was primarily focused on a small subset of individual billing codes.
In comparison, Medicaid payments linked to National Codes Established for State Medicaid Agencies in Mandeville grew 81.8% from 2023 to 2024, while overall Medicaid claims in the city changed by 3.4% in the same period.
According to the Centers for Medicare & Medicaid Services, total state and federal Medicaid spending reached approximately $871.7 billion in fiscal year 2023, making up about 18% of total U.S. health expenditures—up significantly from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This growth represents an increase of about 40% within a few years, largely because of expanded enrollment and greater utilization during and after the pandemic.
Recent federal budget measures under the Trump administration included major proposals to cut federal Medicaid dollars and restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade and introduce work requirements and increased cost-sharing, which could lessen coverage and funding for some enrollees. These changes are projected to shift more financial responsibility to states and restrict federal growth in Medicaid support, even as the program covers tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $7,864 | – |
| 2021 | $176,931 | 2149.8% |
| 2022 | $501,650 | 183.5% |
| 2023 | $1,040,475 | 107.4% |
| 2024 | $1,891,794 | 81.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $4,157,188 | 29.9% |
| 2 | Evaluation and Management | $2,539,976 | 18.3% |
| 3 | Alcohol and Drug Abuse Treatment | $2,162,597 | 15.6% |
| 4 | National Codes Established for State Medicaid Agencies | $1,891,794 | 13.6% |
| 5 | Pathology and Laboratory Procedures | $1,456,169 | 10.5% |
| 6 | Medicine Services and Procedures | $628,500 | 4.5% |
| 7 | Ambulance and Other Transport Services and Supplies | $584,862 | 4.2% |
| 8 | Vision Services | $273,395 | 2% |
| 9 | Dental Services | $134,224 | 1% |
| 10 | Procedures / Professional Services | $31,579 | 0.2% |
| 11 | Surgery | $19,445 | 0.1% |
| 12 | Radiology Procedures | $3,631 | <0.1% |
| 13 | Drugs Administered Other than Oral Method | $1,395 | <0.1% |
| 14 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 15 | Medical And Surgical Supplies | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2023 | Targeted case mgmt per month | $666,536 | 11 |
| T1019 | Personal care ser per 15 min | $634,985 | 12 |
| T1015 | Clinic service | $394,332 | 36 |
| T2022 | Case management, per month | $195,940 | 11 |
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.
