National Medicaid codes drive $377,459 in Harrisville spending for 2024

Harrisville Medicaid providers billed $377,459 in 2024 under the National Codes Established for State Medicaid Agencies category, as shown by U.S. Department of Health and Human Services Medicaid Provider Spending data. This reflects a 4.5% uptick from 2023, when $361,351 in claims were made in the same category.

Medicaid, a public insurance initiative operated by the states and funded jointly by federal and state governments, provides coverage for low-income groups, seniors, children, and individuals with disabilities, making it a major component of the U.S. health care system.

Since taxpayer funding backs Medicaid payments, shifts in community billing signal changes in how public health care funds are deployed locally.

The “National Codes Established for State Medicaid Agencies” group encompasses a set of services defined by standardized HCPCS and CPT coding. Billing codes for this analysis were sorted into distinct service groups using established code prefixes and ranges, ensuring each related service was counted only once and accurately ranked year over year.

Medicaid expenditures climbed across various service groups, with the National Codes Established for State Medicaid Agencies ranking first in Harrisville Medicaid payment totals for 2024.

Statewide, this same category led all others for total Medicaid payments in West Virginia in 2024.

During the five years leading to 2024, Harrisville saw Medicaid payments for this category rise by $194,884, or 106.7%. The steepest year-over-year increases occurred in 2020 and 2022.

Although spending was citywide, a few ZIP codes saw the highest concentrations of Medicaid payments in the National Codes Established for State Medicaid Agencies category. For 2024, ZIP code 26362 accounted for the entire $377,459 in this category, making up 100% of related Medicaid payments in Harrisville that year.

Within the category, spending was largely allocated among just a handful of individual billing codes.

Medicaid payments for the National Codes Established for State Medicaid Agencies category increased 4.5% in Harrisville from 2023 to 2024, while overall payments for all Medicaid categories in the city saw no change.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays reached approximately $871.7 billion in fiscal 2023, about 18% of national health expenditures. That total rose from around $613.5 billion in 2019, before the COVID-19 pandemic.

This marks 40% growth over several years, fueled primarily by increased program enrollment and greater health service use during and after the pandemic.

Recent budget policies under the Trump administration have proposed major cuts to federal Medicaid funding and possible restructures. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over the next 10 years, introducing work requirements, higher cost-sharing, and measures that could lower funding or coverage for some. These policies are expected to leave states bearing more of the financial burden as federal support growth slows, even while Medicaid continues serving tens of millions nationwide.

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.