Riverton Medicaid payments for national state code services hit $10,873 in 2024

In 2024, providers in Riverton submitted $10,873 in Medicaid claims for services within the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount represents a 269.6% increase from 2023, when claims for this category totaled $2,942.

Medicaid, a state-administered public health insurance program funded by both federal and state governments, insures low-income families, seniors, children, and people with disabilities. It remains a core component of the U.S. health care infrastructure.

Shifts in Medicaid billing at the local level reflect how communities allocate public health care funding derived from taxpayer contributions.

The “National Codes Established for State Medicaid Agencies” group includes specific Medicaid-billed services identified by standardized HCPCS and CPT codes. For statistical purposes, each billing code is assigned to a single service category by matching code prefixes and number ranges, enabling analysis of related services together and preventing duplicate counts, which preserves trend accuracy over time.

Among several service categories with growing Medicaid outlays, National Codes Established for State Medicaid Agencies led all categories in Riverton for total Medicaid payments in 2024.

On a statewide level, this category also accounted for the most Medicaid payment dollars in Illinois in 2024.

Looking at the five years prior to 2024, Riverton’s Medicaid claims under National Codes Established for State Medicaid Agencies grew by $19,339, or 64%. The pace of spending growth sped up during particular years, especially in 2021 and 2022, which saw significant annual increases.

Payments for services in this category were spread around Riverton, but most dollars were billed in a small number of ZIP codes. In 2024, ZIP code 62561 saw $10,872 in Medicaid claims for the National Codes Established for State Medicaid Agencies category, making up 100% of payments of this type across the city that year.

Payments within this service group were further concentrated to a handful of individual billing codes.

Comparatively, the 269.6% jump in Riverton’s Medicaid payments tied to National Codes Established for State Medicaid Agencies from 2023 to 2024 far outpaced the 7.2% overall increase across all Medicaid categories over the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures together reached approximately $871.7 billion during fiscal 2023. That figure represented about 18% of national health spending and was a sharp increase from $613.5 billion in 2019, before the pandemic.

This roughly 40% growth over a few years reflects expanded program enrollment and increased care usage during and following the COVID-19 pandemic.

Recent federal budget measures under the Trump administration included major proposals to trim federal Medicaid funding and place new structures on the program. The “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid expenditures by more than $1 trillion in the next decade and brings in requirements such as work provisions and higher cost-sharing, potentially decreasing coverage and support for some recipients. States are likely to bear more costs as federal backing slows, even as tens of millions continue receiving services.

Note: HCPCS codes are presented for context within the category. Totals and rankings shown here rely on consolidated service groups, not on individual codes.

The data in this article are from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.