In 2024, Medicaid providers in Etowah recorded $211,239 in billing for services under the National Codes Established for State Medicaid Agencies category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 6.3% rise compared to 2023, when billings for these services reached $198,795.
Medicaid, a public insurance program operated by state governments and funded in partnership by federal and state resources, serves low-income individuals and families, seniors, children, and people with disabilities. It remains one of the largest functions of the U.S. health care system.
Since Medicaid is taxpayer-funded, variations in local claims provide insight into how public health dollars are distributed within different communities.
The “National Codes Established for State Medicaid Agencies” entry represents a consolidation of Medicaid service codes defined by care type. Standardized HCPCS and CPT code groupings were used for these analytic categories, assigning each service to a group based on code prefixes and ranges, helping ensure related services reflect accurate totals over time with no double counting.
National Codes Established for State Medicaid Agencies led all Medicaid service categories in Etowah by total billing amount in 2024 as spending rose across multiple types of care.
At the state level, the National Codes Established for State Medicaid Agencies category also topped all others in North Carolina by aggregate payments in 2024.
From 2020 to 2024, Medicaid payments in Etowah for the National Codes Established for State Medicaid Agencies category showed a gain of $211,239, or 0%. Notable periods of acceleration occurred, especially during 2022 and 2023 when annual increases were most pronounced.
Distribution of these Medicaid payments in Etowah was primarily limited to a few ZIP codes. Throughout 2024, ZIP code 28729 recorded the highest related Medicaid payments, totaling $211,239. Altogether, the top ZIP code made up 100% of Etowah’s Medicaid payments in this service grouping for the year.
Similarly, payments within the National Codes Established for State Medicaid Agencies classification clustered among a few specific billing codes.
Medicaid spending in this category for Etowah climbed 6.3% between 2024 and 2023, whereas billing across all local Medicaid outpatient service categories changed by 34.8% for the same time frame.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures together reached an estimated $871.7 billion in fiscal 2023, contributing to around 18% of nationwide health care spending, sharply up from about $613.5 billion in 2019 before the onset of COVID-19.
This increase amounts to roughly 40% growth over a period of several years, largely attributed to rising enrollment and service use during and after the pandemic.
Recent federal budget bills under the Trump administration have featured major proposals aimed at cutting federal Medicaid funding and altering the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid expenditures by more than $1 trillion through the next decade and introduces measures like work requirements and higher cost-sharing, which may affect access and government support for some enrollees. These policy changes are anticipated to increase state financial responsibility for Medicaid, even as enrollment and demand remain high nationally.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $46,763 | – |
| 2023 | $198,794 | 325.1% |
| 2024 | $211,239 | 6.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $211,239 | 74.6% |
| 2 | Evaluation and Management | $71,878 | 25.4% |
| 3 | Surgery | $27 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $211,239 | 33 |
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.


