Clarkston Medicaid payments for state-established national codes reach $2,127,274 in 2024

In 2024, Clarkston Medicaid providers submitted $2,127,274 in claims for services in 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 amount was 67.1% higher than in 2023, when providers billed $1,273,133 for the same category of services.

Medicaid, a state-run public health insurance program funded through federal and state resources, delivers coverage to low-income families and individuals, children, seniors and those with disabilities, making it a major component of the U.S. health care system.

Since Medicaid funding is sourced from taxpayers, shifts in local billing highlight how public health care resources are distributed in a specific community.

The “National Codes Established for State Medicaid Agencies” category summarizes a group of Medicaid services categorized by care type, according to standard HCPCS and CPT code groupings. For this analysis, each code was placed into a single service group by matching designated code prefixes and number ranges, which allows for analysis of related services without duplicate counting and supports accurate year-over-year rankings.

Spending on National Codes Established for State Medicaid Agencies saw the largest total Medicaid payments in Clarkston in 2024, exceeding other service groups.

Statewide in Washington, National Codes Established for State Medicaid Agencies also received the highest Medicaid payment total for the year.

During the five years preceding 2024, Clarkston’s Medicaid payments tied to the National Codes Established for State Medicaid Agencies grew by $1,197,480, representing a 128.8% increase. Growth in spending accelerated at certain points, with significant annual gains in 2023 and 2021.

Although payments for this category of care were spread throughout Clarkston, a small number of ZIP codes saw the majority of the Medicaid payments. In 2024, ZIP code 99403 recorded payments of $2,127,273 for this category, representing 100% of the city’s total for these services.

Most Medicaid payments within the National Codes Established for State Medicaid Agencies category in Clarkston centered on a small set of billing codes.

Between 2024 and 2023, Medicaid spending in Clarkston tied to this category surged by 67.1%, compared to a 25.5% change across all Medicaid claim types in the city during the same period.

According to the Centers for Medicare & Medicaid Services, Medicaid spending from federal and state sources reached about $871.7 billion in fiscal year 2023, which represented around 18% of total national health expenditures—up significantly from nearly $613.5 billion in 2019, before the COVID-19 pandemic.

This jump reflects an approximate 40% increase over several years, mainly attributed to expanded Medicaid enrollment and greater service use during and after the pandemic.

Federal budget laws under the Trump administration recently introduced major changes for Medicaid’s funding and structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid spending by over $1 trillion in the next decade. It also adds work requirements and more cost-sharing, which may reduce both funding and coverage for some beneficiaries. These changes are expected to increase states’ financial responsibility and limit federal funding growth, despite the program supporting tens of millions of people.

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.