Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Parkersburg billed $4,162,149 for services under the National Codes Established for State Medicaid Agencies category in 2024. This represents a 21.5% increase from 2023, when claims in this category totaled $3,425,320.
Medicaid, which is administered by the states and funded jointly by federal and state governments, provides health coverage for low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the U.S. health care system.
As Medicaid is funded by taxpayer dollars, local billing fluctuations reflect how public health care resources are distributed in communities.
The “National Codes Established for State Medicaid Agencies” category is made up of Medicaid-billed services defined by standardized HCPCS and CPT coding groupings, based on the specific kinds of care delivered. With this analysis, each billing code was placed into one service category using set prefixes and numeric groups, enabling the study of related service trends over time while preventing duplicate counts and ensuring accurate rankings.
Medicaid spending was up in several service categories, but the National Codes Established for State Medicaid Agencies ranked fourth in Parkersburg for total Medicaid payments in 2024.
Across West Virginia, the National Codes Established for State Medicaid Agencies was the top service category statewide by Medicaid payments in 2024.
For the five years preceding 2024, Parkersburg saw Medicaid payments for the National Codes Established for State Medicaid Agencies category grow by $654,631, or 18.7%. Certain years, notably 2022 and 2022, saw more rapid annual increases.
While these Medicaid payments were distributed throughout Parkersburg, the majority originated from a small number of ZIP codes. In 2024, ZIP code 26101 recorded $3,530,475 and ZIP code 26104 saw $631,673 related to this category, accounting together for 100% of Parkersburg’s Medicaid payments in the National Codes Established for State Medicaid Agencies category for the year.
Actual payments in this category were also heavily focused among a small set of billing codes.
Comparatively, while the National Codes Established for State Medicaid Agencies Medicaid payments in Parkersburg increased by 21.5% from 2023 to 2024, all Medicaid claim categories in the city saw a 16.3% rise during this period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, representing about 18% of all national health costs, and increasing sharply from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.
This amounts to growth of roughly 40% in only a few years, primarily driven by expanded enrollment and greater utilization during and after the pandemic.
Recent federal budgets under the Trump administration included several measures to reduce federal Medicaid funding and overhaul the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion from federal Medicaid spending over 10 years and may introduce requirements like work mandates and higher cost-sharing, potentially reducing benefit coverage and shifting greater funding responsibility to states.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,507,518 | -4.3% |
| 2021 | $2,656,808 | -24.3% |
| 2022 | $3,488,126 | 31.3% |
| 2023 | $3,425,320 | -1.8% |
| 2024 | $4,162,148 | 21.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $26,486,908 | 38.6% |
| 2 | Temporary National Codes (Non-Medicare) | $17,136,484 | 25% |
| 3 | Evaluation and Management | $10,874,855 | 15.8% |
| 4 | National Codes Established for State Medicaid Agencies | $4,162,148 | 6.1% |
| 5 | Medicine Services and Procedures | $2,621,158 | 3.8% |
| 6 | Ambulance and Other Transport Services and Supplies | $2,038,355 | 3% |
| 7 | Procedures / Professional Services | $1,746,252 | 2.5% |
| 8 | Pathology and Laboratory Procedures | $1,139,693 | 1.7% |
| 9 | Radiology Procedures | $674,547 | 1% |
| 10 | Surgery | $509,244 | 0.7% |
| 11 | Medical And Surgical Supplies | $370,762 | 0.5% |
| 12 | Dental Services | $253,375 | 0.4% |
| 13 | Durable Medical Equipment | $172,454 | 0.3% |
| 14 | Vision Services | $141,382 | 0.2% |
| 15 | Temporary Codes | $137,049 | 0.2% |
| 16 | Anesthesia | $111,827 | 0.2% |
| 17 | Drugs Administered Other than Oral Method | $23,328 | <0.1% |
| 18 | Administrative, Miscellaneous and Investigational | $11,621 | <0.1% |
| 19 | Coronavirus Diagnostic Panel | $11,251 | <0.1% |
| 20 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $972 | <0.1% |
| 21 | Outpatient PPS | $84 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $1,406,202 | 233 |
| T2021 | Day habil waiver per 15 min | $1,217,744 | 34 |
| T1040 | Comm bh clinic svc per diem | $991,789 | 73 |
| T1003 | Lpn/lvn services up to 15min | $276,946 | 22 |
| T1002 | Rn services up to 15 minutes | $167,321 | 22 |
| T1017 | Targeted case management | $73,555 | 31 |
| T2024 | Serv asmnt/care plan waiver | $28,588 | 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.