Memphis Medicaid providers bill $18,759 for state agency code services in 2024, up 113%

Memphis Medicaid providers billed $18,759 for services grouped under the National Codes Established for State Medicaid Agencies in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented a 113.1% rise from 2023, when $8,802 was billed for the same services.

Medicaid, funded by both federal and state governments and operated by individual states, offers health coverage to low-income individuals and families, seniors, children, and people with disabilities. It is one of the largest components of the health system in the United States.

Because Medicaid is funded with public tax dollars, shifts in local billing reflect how community health care resources are distributed.

The National Codes Established for State Medicaid Agencies category designates a set of services identified by standardized HCPCS and CPT codes. For this report, each billing code was assigned to a single category using systematic code prefixes and numbers, enabling an analysis that prevents double counting and maintains ranking accuracy over time.

Medicaid expenditures rose across multiple categories, but National Codes Established for State Medicaid Agencies led all categories in Memphis for total Medicaid payments in 2024.

Statewide in Michigan, the National Codes Established for State Medicaid Agencies category held the second spot for highest Medicaid payments in 2024.

During the five years preceding 2024, Medicaid payments for this category in Memphis rose by $13,229, or 239.2%. Spending growth surged most notably in specific years, including 2023 and 2021.

While Medicaid spending in the National Codes Established for State Medicaid Agencies category occurred throughout Memphis, most payments were seen in a small number of ZIP codes. In 2024, the highest amount—$18,759—was reported in ZIP code 48041, representing 100% of all Medicaid payments for this category in the city that year.

Within this category, Medicaid payments were primarily tied to a few key billing codes.

For context, Medicaid payments in Memphis associated with the National Codes Established for State Medicaid Agencies jumped 113.1% from 2023 to 2024, matching the 113.1% overall rise across all Medicaid claim types citywide during the same span.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together totaled about $871.7 billion in fiscal 2023, comprising approximately 18% of national health expenditures—up from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This surge, roughly 40% in several years, stems mainly from increases in enrollment and greater utilization throughout and following the pandemic.

Recent federal budget actions under the Trump administration have contained major proposals to reduce federal Medicaid funding and alter the program’s framework. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is anticipated to cut over $1 trillion in federal Medicaid funds over 10 years and to require work, higher cost-sharing, and other policies likely to restrict coverage and funding for certain participants. These changes are projected to shift a greater share of costs to states and curb the expansion of federal Medicaid support, while the program continues serving tens of millions of Americans.

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.