Medicaid payments in Warfield jump 77.3%, led by National Codes Established for State Medicaid Agencies

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Medicaid providers in Warfield submitted $94,264 in claims in 2024 for services associated with National Codes Established for State Medicaid Agencies, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. That represents a 77.3% rise from 2023, when these providers billed $53,169 for identical services.

Medicaid, a state-administered and federally and state-funded public health insurance program, serves low-income people, children, seniors, and individuals with disabilities. It is a major component of the U.S. health care system, with costs shared between federal and state governments.

Since taxpayer funds support Medicaid payments, fluctuations in local Medicaid billing signal shifts in how a community’s public health care funds are distributed.

The “National Codes Established for State Medicaid Agencies” category includes several Medicaid-billed services grouped by standardized HCPCS and CPT code ranges. For this report, each code was assigned to a single service category using consistent prefixes and numeric groupings in order to accurately track related services and uphold reliable rankings over time.

Although Medicaid outlays rose in multiple service areas, the National Codes Established for State Medicaid Agencies led all service categories in Warfield by total Medicaid payments for 2024.

Within Kentucky across the same period, this category also topped statewide totals for Medicaid payments.

Examining the trend over the five years prior to 2024, payments related to the National Codes Established for State Medicaid Agencies service group in Warfield grew by $94,264, or 0%. The pace of this growth showed periods of acceleration, with meaningful year-over-year gains noted in 2023 and 2022.

Although services under this Medicaid category are available throughout the city, payments were mostly concentrated in a small number of ZIP codes. In 2024, ZIP code 41267 received $94,263—the highest sum in Warfield—for these payments. This one ZIP code accounted for 100% of the city’s Medicaid outlays in this category that year.

Payments within this Medicaid service group were also clustered around a limited set of specific billing codes.

For context, Medicaid revenue for the National Codes Established for State Medicaid Agencies rose by 77.3% in Warfield from 2023 to 2024, compared to a 51.6% increase among all Medicaid claim categories citywide during that period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion in fiscal 2023, approximately 18% of U.S. health care costs. This is up significantly from $613.5 billion in 2019, before the COVID-19 pandemic.

The growth represents about a 40% increase over the course of several years, attributed mostly to expanded enrollment and higher service usage tied to the pandemic and its aftermath.

Recent federal budget laws during the Trump administration have featured substantial plans to limit Medicaid financing and alter the program’s framework. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim federal Medicaid funding by more than $1 trillion over a decade and adds work requirement policies as well as increased cost-sharing, potentially reducing benefits and funding for some recipients. This approach is forecasted to shift additional costs onto states and moderate the federal share of Medicaid support, even while the program remains integral for tens of millions across the country.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Warfield, Kentucky Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2021 $5,210
2022 $6,829 31.1%
2023 $53,168 678.5%
2024 $94,263 77.3%
Top Categories by Medicaid Payments in Warfield, Kentucky, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $94,263 34.1%
2 Evaluation and Management $92,021 33.3%
3 Pathology and Laboratory Procedures $81,931 29.7%
4 Medicine Services and Procedures $4,990 1.8%
5 Alcohol and Drug Abuse Treatment $2,885 1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Warfield, Kentucky, 2024

HCPCS Code Description Medicaid Payments Claims
T2023 Targeted case mgmt per month $82,994 10
T1007 Treatment plan development $11,269 8

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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