Richmond Medicaid payments for national codes rise to $236,360 in 2024

Richmond Medicaid providers submitted $236,360 in claims for National Codes Established for State Medicaid Agencies in 2024, U.S. Department of Health and Human Services Medicaid Provider Spending data show. This represented an 80.1% rise over 2023, when $131,208 was billed for the same service group.

Medicaid, a public health insurance program run by each state with joint state and federal funding, covers low-income individuals, families, seniors, children and people with disabilities. This makes it one of the largest segments of the country’s health care system. For more information on its funding structure, see this explanation.

Because taxpayer money funds Medicaid, shifts in local billing levels show how a community allocates public health care resources.

The “National Codes Established for State Medicaid Agencies” grouping consists of Medicaid-billed services defined by the care delivered, structured using standardized HCPCS and CPT code groupings. For this report, analysts assigned each billing code to one service category using consistent prefixes and number ranges, so related services could be tracked together without double-counting, ensuring accurate year-over-year rankings.

While Medicaid outlays climbed across many categories, National Codes Established for State Medicaid Agencies ranked fifth in Richmond in total Medicaid payments in 2024.

Statewide in Michigan, National Codes Established for State Medicaid Agencies came in second for Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments tied to National Codes Established for State Medicaid Agencies in Richmond went up by $211,598, or 854.5%. Certain periods saw spending growth accelerate, with notable annual jumps in 2021 and 2023.

Spending on National Codes Established for State Medicaid Agencies services occurred across Richmond but was especially concentrated in a few ZIP codes. In 2024, ZIP code 48062 accounted for $236,360—the entirety of Richmond’s Medicaid payments for this category, representing 100% of the total.

Additionally, within this service category, Medicaid payments clustered around a small set of individual billing codes.

For context, Richmond’s Medicaid claims for National Codes Established for State Medicaid Agencies grew by 80.1% between 2024 and 2023. This compared to an overall 5.6% increase 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 during fiscal year 2023, making up about 18% of national health expenditures. That figure rose sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This equates to around 40% growth in only a few years, largely driven by higher enrollment and increased use of services during and following the pandemic.

Recent federal budget legislation passed under the Trump administration has brought significant proposals to reduce federal Medicaid funding and restructure the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid outlays by over $1 trillion in the next decade, adding policies like work requirements and greater cost-sharing. These changes are projected to reduce coverage and shift greater funding responsibility to states, limiting federal Medicaid growth, despite the program continuing to serve millions nationwide.

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.

The data for this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data is available here.