Central Point Medicaid providers billed $2.4 million under state national code category in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

Central Point Medicaid providers submitted $2,436,586 in claims for services grouped under the National Codes Established for State Medicaid Agencies in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represents a 44.9% increase compared with 2023, when providers filed $1,681,910 in claims for the same category.

Medicaid is a government health insurance program operated by states and funded jointly by federal and state governments. It provides coverage for low-income people and families, seniors, children, and people with disabilities, making up one of the largest segments of the U.S. health care system.

Since Medicaid is funded by taxpayers, shifts in billing levels highlight how public health care resources are distributed across communities.

The “National Codes Established for State Medicaid Agencies” classification includes a variety of Medicaid-billed services as defined by care type, using defined HCPCS and CPT code groups. This analysis assigned each billing code to a single service group, using consistent code prefixes and numeric ranges, ensuring related services are analyzed together while preventing duplicate counts and maintaining accuracy for trends over time.

While overall Medicaid outlays rose across several service areas, the National Codes Established for State Medicaid Agencies classification made up the largest Medicaid payment category in Central Point in 2024.

Statewide in Oregon, this category was fourth in terms of total Medicaid payments in 2024.

For the five years before 2024, Central Point’s Medicaid payments associated with the National Codes Established for State Medicaid Agencies grew by $2,436,586, remaining steady at 0%. Spending saw periods of faster growth, including notable year-over-year gains reported for 2022 and again in 2022.

Although Medicaid spending in the National Codes Established for State Medicaid Agencies was reported throughout the city, the vast majority occurred in just a few ZIP codes. In 2024, ZIP code 97502 alone accounted for $2,436,586. As a result, the top ZIP code represented 100% of all Medicaid payments attributed to this service category in Central Point for the year.

A small subset of individual billing codes captured the bulk of Medicaid spending within this category.

From 2023 to 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies in Central Point rose by 44.9%. By comparison, payments across all Medicaid claim categories in the city increased by 38.1% over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, making up roughly 18% of all national health spending. This marked a significant rise from approximately $613.5 billion in 2019, before the pandemic.

This change represents around 40% growth in just a few years, driven by factors such as greater enrollment and increased service use during and after the pandemic.

Budget legislation passed during the Trump administration has included major proposals to cut federal Medicaid support and alter its structure. The “One Big Beautiful Bill Act,” which became law in 2025, is projected to reduce federal Medicaid funding by more than $1 trillion over 10 years and implements measures such as work requirements and more cost-sharing, lowering coverage and funding for certain beneficiaries. This shift is expected to transfer more responsibility to states and slow growth of federal Medicaid assistance, even as the program remains a critical safety net nationally.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Central Point, Oregon Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2021 $412,407
2022 $2,049,689 397%
2023 $1,681,909 -17.9%
2024 $2,436,586 44.9%
Top Categories by Medicaid Payments in Central Point, Oregon, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $2,436,586 51.7%
2 Ambulance and Other Transport Services and Supplies $1,014,111 21.5%
3 Medicine Services and Procedures $683,540 14.5%
4 Evaluation and Management $397,617 8.4%
5 Durable medical equipment (DME) Medicare administrative contractors (MACs) $88,473 1.9%
6 Alcohol and Drug Abuse Treatment $64,397 1.4%
7 Durable Medical Equipment $26,085 0.6%
8 Pathology and Laboratory Procedures $1,019 <0.1%
9 Procedures / Professional Services $0 <0.1%
9 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Central Point, Oregon, 2024

HCPCS Code Description Medicaid Payments Claims
T1020 Personal care ser per diem $2,320,402 17
T2001 N-et; patient attend/escort $63,733 7
T2007 Non-emer transport wait time $32,200 5
T2005 N-et; stretcher van $20,250 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.



Related

Dave Daniel, Sheriff of Josephine County

Josephine County Sheriff’s Office arrests suspect after vehicle pursuit on May 13

A man was arrested after leading deputies from Josephine County Sheriff’s Office in a pursuit involving reckless driving. Authorities say no child was present in the fleeing vehicle despite initial reports. The suspect faces multiple charges including felony elude.

Cliff Bentz U.S. House of Representatives from Oregon's 2nd district

Congressman Cliff Bentz announces winner of the 2026 Congressional Art Competition

Congressman Cliff Bentz announced Yi-jia Lu as winner of Oregon’s Second District in this year’s Congressional Art Competition for her drawing “Still, She Rises.” Her work will be displayed at the U.S Capitol alongside other student winners nationwide.

Melanie Keller, Deputy Commissioner for Operations and Chief Operating Officer of FDA

Jackson County cities: 2 companies received FDA inspections in Q1

There were two companies in cities associated with Jackson County that received two FDA inspections in the first quarter of 2026, according to the U.S. Food and Drug Administration.

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from South Oregon News.