Ozark Medicaid payments for state-specific national codes climb to $607,201 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Ozark billed $607,201 for services grouped under 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 represents a 6% rise from 2023, when claims for this category totaled $572,769.

Medicaid is a public insurance program administered by individual states and funded in partnership with federal and state governments. The program primarily serves low-income individuals and families, seniors, children, and those with disabilities, making it one of the nation’s largest health care coverage sources.

Because Medicaid comes from taxpayer funding, fluctuations in local billing reveal shifts in how community resources for public health are distributed.

The “National Codes Established for State Medicaid Agencies” group covers Medicaid-billed services classified by care type, using standard HCPCS and CPT code groupings. This analysis assigned each code to a single service category using uniform code prefixes and numeric ranges to prevent double counting and maintain ranked data integrity across time.

While Medicaid spending increased across various service categories, National Codes Established for State Medicaid Agencies placed first in Ozark by overall Medicaid expenditures in 2024.

Statewide in Arkansas, the National Codes Established for State Medicaid Agencies group was also the leading category by total payments for that year.

Since five years prior to 2024, Medicaid spending linked to the National Codes Established for State Medicaid Agencies in Ozark rose by $182,828, or 43.1%. This growth included periods of sharper increases, particularly in 2021 and 2023.

Spending in the National Codes Established for State Medicaid Agencies category spread throughout Ozark was most concentrated in a few ZIP codes. For 2024, ZIP code 72949 accounted for $607,200 in Medicaid payments for this category. Altogether, the top 1 ZIP codes represented 100% of all Medicaid expenditures connected with this category in Ozark that year.

Within this service group, Medicaid expenditures were focused on a smaller subset of individual billing codes.

Comparing different categories, Medicaid payments for the National Codes Established for State Medicaid Agencies in Ozark grew 6% from 2023 to 2024, surpassing the 3.8% increase observed across all Medicaid claim categories in the city for the same period.

Centers for Medicare & Medicaid Services data indicate total federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023. This was about 18% of all U.S. health spending, up from about $613.5 billion in 2019, before the COVID-19 pandemic.

This change represents a roughly 40% increase in just a few years, much of it driven by growth in enrollment and higher service use during and after the pandemic.

Recent budget laws under the Trump administration enacted major proposals to decrease federal Medicaid support and change the program’s structure. The “One Big Beautiful Bill Act,” introduced in 2025, is expected to cut more than $1 trillion in federal Medicaid spending over the next 10 years, adding requirements such as work obligations and more cost-sharing that may reduce coverage and funds available for some recipients. These measures are projected to shift a larger share of Medicaid expenses to states while limiting future growth in federal funding, despite the program’s coverage of tens of millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $424,372 -31.8%
2021 $544,192 28.2%
2022 $516,265 -5.1%
2023 $572,768 10.9%
2024 $607,200 6%
Top Categories by Medicaid Payments in Ozark, Arkansas, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $607,200 45.7%
2 Medicine Services and Procedures $345,261 26%
3 Ambulance and Other Transport Services and Supplies $94,490 7.1%
4 Evaluation and Management $74,304 5.6%
5 Pathology and Laboratory Procedures $69,084 5.2%
6 Dental Services $61,689 4.6%
7 Alcohol and Drug Abuse Treatment $45,631 3.4%
8 Radiology Procedures $24,843 1.9%
9 Durable Medical Equipment $2,111 0.2%
10 Surgery $1,741 0.1%
11 Drugs Administered Other than Oral Method $1,501 0.1%
12 Procedures / Professional Services $216 <0.1%
13 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Ozark, Arkansas, 2024

HCPCS Code Description Medicaid Payments Claims
T1015 Clinic service $605,176 12
T1027 Family training & counseling $2,024 1

Note: HCPCS codes are included for category context. Full category totals and rankings are based on standardized groups, not individual billing codes.

The information in this report was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database, available here.



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