In 2024, Medicaid providers in Slidell billed $4,119,043 for services designated under the National Codes Established for State Medicaid Agencies, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 9.9% increase from 2023, when providers billed $3,746,611 for these services.
Medicaid, a public health insurance initiative managed by states and funded through a partnership between federal and state governments, offers coverage to low-income families and individuals, seniors, children, and people with disabilities. It is one of the largest components of the U.S. health care system.
Because Medicaid relies on taxpayer funding, fluctuations in local billing reflect changes in how public health resources are allocated within communities.
The “National Codes Established for State Medicaid Agencies” classification includes a set of Medicaid-billed services identified based on standardized HCPCS and CPT code ranges. For this analysis, each billing code is organized into a single service category based on consistent code prefixes and number groups, which allows grouping of similar services for analysis and avoids double counting, ensuring accurate tracking over multiple years.
While Medicaid expenditures rose in several categories, National Codes Established for State Medicaid Agencies was the third-largest category in terms of Medicaid spending in Slidell for 2024.
At the state level, the National Codes Established for State Medicaid Agencies category ranked second for total Medicaid payments in Louisiana in 2024.
Over the five years preceding 2024, Medicaid spending in Slidell for the National Codes Established for State Medicaid Agencies category increased by $2,558,277, or 163.9%. Some years saw steeper annual increases, particularly in 2021 and 2022.
Although the category’s Medicaid spending was distributed across the city, the payments were primarily concentrated in a few ZIP codes in 2024. The highest Medicaid payments for this category came from ZIP code 70458 with $2,918,479, followed by 70460 at $1,000,745, and 70461 at $199,818. Together, these 3 ZIP codes represented 100% of Slidell’s total for this category in 2024.
Among the services within the National Codes Established for State Medicaid Agencies group, a small number of specific billing codes accounted for the majority of Medicaid payments.
Comparatively, Medicaid payments in Slidell associated with this category grew by 9.9% from 2023 to 2024, while the overall growth across all Medicaid claim categories in the city for the same period was 12.6%.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures were approximately $871.7 billion during fiscal year 2023, making up about 18% of all national health spending. This is a significant jump from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This nearly 40% increase in a few years is attributed to higher enrollment and increased use of services during and following the pandemic.
Recent federal budget measures during the Trump administration have included major proposals to trim federal Medicaid funding and rework the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion from federal Medicaid funding over the coming decade and introduces requirements such as work mandates and greater cost-sharing, which may limit coverage and shift costs to states, even as Medicaid continues serving millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,560,766 | -36.9% |
| 2021 | $2,140,219 | 37.1% |
| 2022 | $2,870,121 | 34.1% |
| 2023 | $3,746,611 | 30.5% |
| 2024 | $4,119,043 | 9.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $6,922,776 | 26.5% |
| 2 | Alcohol and Drug Abuse Treatment | $4,379,603 | 16.8% |
| 3 | National Codes Established for State Medicaid Agencies | $4,119,043 | 15.8% |
| 4 | Temporary National Codes (Non-Medicare) | $3,876,100 | 14.9% |
| 5 | Dental Services | $2,181,383 | 8.4% |
| 6 | Medicine Services and Procedures | $1,868,153 | 7.2% |
| 7 | Surgery | $1,186,924 | 4.6% |
| 8 | Pathology and Laboratory Procedures | $643,061 | 2.5% |
| 9 | Durable Medical Equipment | $337,137 | 1.3% |
| 10 | Orthotic Procedures and services | $307,195 | 1.2% |
| 11 | Radiology Procedures | $61,419 | 0.2% |
| 12 | Medical And Surgical Supplies | $58,294 | 0.2% |
| 13 | Vision Services | $38,233 | 0.1% |
| 14 | Procedures / Professional Services | $27,574 | 0.1% |
| 15 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $22,479 | 0.1% |
| 16 | Enteral and Parenteral Therapy | $16,963 | 0.1% |
| 17 | Temporary Codes | $15,024 | 0.1% |
| 18 | Drugs Administered Other than Oral Method | $12,487 | <0.1% |
| 19 | Ambulance and Other Transport Services and Supplies | $8,177 | <0.1% |
| 20 | Outpatient PPS | $81 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $1,776,979 | 125 |
| T2003 | N-et; encounter/trip | $923,058 | 100 |
| T2021 | Day habil waiver per 15 min | $536,063 | 11 |
| T1019 | Personal care ser per 15 min | $292,208 | 14 |
| T2022 | Case management, per month | $184,636 | 22 |
| T2023 | Targeted case mgmt per month | $154,810 | 22 |
| T2002 | N-et; per diem | $122,980 | 11 |
| T4534 | Youth size pull-on | $105,926 | 12 |
| T1016 | Case management | $20,684 | 9 |
| T4535 | Disposable liner/shield/pad | $1,695 | 3 |
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.
