Arlington Medicaid providers reached $563,058 in billed services within the National Codes Established for State Medicaid Agencies in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 22.8% increase compared with 2023, when claims under the same service category totaled $458,429.
Medicaid, a health insurance program funded jointly by state and federal governments and administered by states, provides coverage to low-income individuals and families, seniors, children and people with disabilities, making it a major component of the U.S. health care system.
Because Medicaid payments depend on taxpayer contributions, fluctuations in local billing signify shifts in how public health resources are distributed within the community.
The “National Codes Established for State Medicaid Agencies” category groups together Medicaid services as defined by care type, using standardized HCPCS and CPT code ranges and prefixes. For analytical purposes, each billing code is categorized under a single service class based on code structure, allowing for aggregated comparisons by service group, preventing duplicate counts and ensuring reliable rankings over time.
Although overall Medicaid spending went up in several service classes, National Codes Established for State Medicaid Agencies placed second by payment volume among all categories in Arlington for 2024.
At the state level in Tennessee, this category recorded the highest total Medicaid payments in 2024.
From 2020 through 2024, Medicaid billings linked to National Codes Established for State Medicaid Agencies in Arlington rose by $563,058, reflecting no net change. Certain years, such as 2021 and 2022, saw periods of accelerated expenditure growth.
Payments in this category, while present throughout Arlington, were mainly concentrated in a small group of ZIP codes. For 2024, ZIP code 38002 accounted for $563,057, making up 100% of Medicaid payments classified in this category.
Spending was also consolidated in a handful of specific billing codes within the category.
Between 2023 and 2024, Arlington’s National Codes Established for State Medicaid Agencies category saw a 22.8% increase in Medicaid payments, compared to a 32.1% change across all Medicaid categories citywide for the same period.
According to the Centers for Medicare & Medicaid Services, federally and state-funded Medicaid expenses reached approximately $871.7 billion for fiscal 2023, about 18% of total U.S. health expenditures and a sharp increase from nearly $613.5 billion in 2019 before the COVID-19 health emergency.
This approximately 40% growth is largely attributed to broader program enrollment and increased utilization arising during and after the pandemic years.
Federal budget legislation enacted during the Trump administration included major measures to decrease Medicaid funding at the federal level and revise program structure. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the next ten years through provisions such as work requirements and higher cost-sharing, potentially reducing coverage and federal funding for some enrollees. As a result, states are projected to shoulder a larger proportion of Medicaid cost growth, even as the health program continues to support tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2021 | $348,268 | 522.8% |
| 2022 | $402,530 | 15.6% |
| 2023 | $458,428 | 13.9% |
| 2024 | $563,057 | 22.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $932,353 | 38.5% |
| 2 | National Codes Established for State Medicaid Agencies | $563,057 | 23.2% |
| 3 | Medicine Services and Procedures | $402,608 | 16.6% |
| 4 | Procedures / Professional Services | $364,464 | 15% |
| 5 | Evaluation and Management | $121,880 | 5% |
| 6 | Pathology and Laboratory Procedures | $37,681 | 1.6% |
| 7 | Surgery | $1,990 | 0.1% |
| 8 | Medical And Surgical Supplies | $105 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $563,057 | 11 |
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.

