Danville sees $484,639 in Medicaid payments for National Codes Established for State Medicaid Agencies in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Danville submitted $484,639 in claims for services classified under the National Codes Established for State Medicaid Agencies category, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 283.9% jump compared to 2023, when Medicaid claims for the same category totaled $126,226.

Medicaid is a state-administered public health insurance program funded by both federal and state governments. The program provides coverage for low-income individuals, families, seniors, children, and people with disabilities, making it a significant component of U.S. health care.

Since Medicaid is taxpayer-funded, fluctuations in local billing offer insights into how community health care resources are distributed.

The “National Codes Established for State Medicaid Agencies” category covers a range of Medicaid-billed services identified by the type of care based on standardized HCPCS and CPT code groupings. For analysis, each billing code was classified into a unique service group through standard code prefixes and ranges, ensuring similar services are considered together, rankings remain accurate, and double counting is avoided over time.

Among Medicaid service categories, National Codes Established for State Medicaid Agencies held the second-highest rank for total Medicaid payments in Danville during 2024.

Statewide in Arkansas, the category was the leading Medicaid payment category in 2024.

From five years before 2024 through that year, Medicaid payments for National Codes Established for State Medicaid Agencies in Danville climbed $363,735, a 300.8% increase overall. Periods of particularly rapid growth were seen in select years, with marked year-over-year gains in 2022 and 2022.

Distribution of these payments across Danville was not uniform, with most concentrated in a small number of ZIP codes. For 2024, ZIP code 72833 recorded the highest payment total, reaching $484,638. The top 1 ZIP codes accounted for all Medicaid payments in this service category that year.

Additionally, inside the National Codes Established for State Medicaid Agencies category, a relatively small set of billing codes comprised most Medicaid payment activity.

To compare trends, Medicaid payments for this category in Danville jumped 283.9% between 2024 and 2023; for all Medicaid claim categories citywide, the increase for the same period was 10.7%.

According to the Centers for Medicare & Medicaid Services, combined federal and state spending on Medicaid reached about $871.7 billion for fiscal year 2023, making up roughly 18% of all U.S. health expenditures. That figure was up sharply from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This means Medicaid spending grew by approximately 40% over several years, largely due to expanded enrollment and higher service use related to and following the pandemic.

Recent federal budget law under the Trump administration brought substantial proposals for federal Medicaid cuts and program restructuring. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over the next decade. It also enacts changes like work requirements and higher cost-sharing, anticipated to decrease coverage and federal funding for some individuals. These measures are projected to shift more costs to states and cap federal support as Medicaid continues to serve tens of millions nationwide.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Danville, Arkansas Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $120,904 -29.8%
2021 $114,647 -5.2%
2022 $130,301 13.7%
2023 $126,225 -3.1%
2024 $484,638 283.9%
Top Categories by Medicaid Payments in Danville, Arkansas, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $1,836,982 69%
2 National Codes Established for State Medicaid Agencies $484,638 18.2%
3 Ambulance and Other Transport Services and Supplies $115,336 4.3%
4 Evaluation and Management $80,670 3%
5 Pathology and Laboratory Procedures $79,018 3%
6 Medical And Surgical Supplies $38,147 1.4%
7 Procedures / Professional Services $14,676 0.6%
8 Radiology Procedures $6,823 0.3%
9 Drugs Administered Other than Oral Method $4,953 0.2%
10 Surgery $2,866 0.1%
11 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Danville, Arkansas, 2024

HCPCS Code Description Medicaid Payments Claims
T1015 Clinic service $416,860 59
T4531 Ped size pull-on sm/med $22,950 11
T4535 Disposable liner/shield/pad $18,279 12
T4526 Adult size pull-on med $13,238 12
T4532 Ped size pull-on lg $10,679 7
T4528 Adult size pull-on xl $1,662 2
T4527 Adult size pull-on lg $968 1

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.



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