Mills River Medicaid providers billed $110,242 for services in the National Codes Established for State Medicaid Agencies category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount marked a 77.5% rise over 2023, when $62,112 was submitted in claims for the same services.
Medicaid is a public health coverage program operated by states with funding shared between federal and state governments. It provides insurance for low-income individuals and families, seniors, children, and people with disabilities, making it one of the largest components of the U.S. health system.
Because taxpayer funds support Medicaid, fluctuations in local billing directly reflect how community public health dollars are spent.
The category “National Codes Established for State Medicaid Agencies” is defined by specific care types, which use groups of standardized HCPCS and CPT codes. For this analysis, billing codes were mapped to single service categories based on code prefixes and numbers, allowing for grouping related services, clear ranking, and avoiding duplicate counts over time.
Medicaid spending climbed in several categories, but Mills River’s top-ranked service by payment in 2024 was the National Codes Established for State Medicaid Agencies group.
Statewide in North Carolina, this category also led by overall Medicaid payment total in 2024.
Across the five years before 2024, Mills River saw Medicaid payments for National Codes Established for State Medicaid Agencies increase by $110,242, a 0% change. Some periods showed stronger yearly growth, with considerable increases in both 2023 and 2022.
Though spending in this category was dispersed throughout the city, most payments came from a small number of ZIP codes. In 2024, ZIP code 28759 accounted for $110,242, amounting to 100% of Mills River’s Medicaid spending tied to this category.
Payments in the National Codes Established for State Medicaid Agencies category were further focused on a handful of individual billing codes.
Between 2024 and 2023, Mills River saw Medicaid payments in this category increase 77.5%, compared to a 167.9% rise across all Medicaid categories in the city for the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures totaled approximately $871.7 billion in fiscal year 2023, around 18% of U.S. health spending, up from about $613.5 billion in 2019 prior to the COVID-19 pandemic.
This represents roughly 40% growth in a few years, mainly because of higher enrollment and increased service use during and after the pandemic.
Federal budget laws from the Trump administration included major measures to cut Medicaid spending and alter the program. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to trim federal Medicaid spending by over $1 trillion in the coming decade. It includes work requirements and higher cost-sharing policies that could reduce coverage for some and increase costs for states, while limiting federal support even as millions continue to rely on Medicaid.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $14,811 | – |
| 2023 | $62,112 | 319.3% |
| 2024 | $110,242 | 77.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $110,242 | 56.7% |
| 2 | Medicine Services and Procedures | $42,733 | 22% |
| 3 | Evaluation and Management | $41,584 | 21.4% |
| 4 | Surgery | $27 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $110,242 | 27 |
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.
