De Soto Medicaid payments for National Codes Established category total $758,336 in 2024

In 2024, Medicaid providers in De Soto billed $758,336 for services grouped in the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This represents a 2.8% increase compared with 2023, when claims for the same service category reached $737,741.

Medicaid is a publicly funded health insurance program operated by the states and financed in partnership by federal and state governments. It provides coverage for low-income individuals and families, seniors, children, and people with disabilities and forms a vital component of the U.S. health care system.

Because Medicaid payments rely on taxpayers, shifts in local billing levels reflect allocation decisions for public health care resources within communities.

The “National Codes Established for State Medicaid Agencies” group consists of Medicaid-billed services categorized based on standardized HCPCS and CPT coding systems. For analysis purposes, each billing code was sorted into a single service group using predefined code prefixes and number ranges for consistent year-over-year comparisons, preventing double counting and allowing for accurate rankings.

In De Soto, National Codes Established for State Medicaid Agencies ranked first among Medicaid service categories in 2024 by total payments, as spending climbed across multiple sectors.

Statewide, the same category led Medicaid payments in Missouri in 2024.

During the five years through 2024, Medicaid payments linked to the National Codes Established for State Medicaid Agencies in De Soto grew by $124,693, or 19.7%. Certain intervals, including 2020 and 2022, saw notable year-to-year growth in spending.

Payments for this category represented spending dispersed throughout the city, but the majority of funds were billed to a few ZIP codes. In 2024, the 63020 ZIP code accounted for $758,336—100% of Medicaid payments for this category in De Soto that year.

Medicaid spending within this service group was primarily tied to a limited set of billing codes.

Bills for the National Codes Established for State Medicaid Agencies in De Soto increased by 2.8% between 2024 and 2023. For all Medicaid claim categories in the city, the period saw an overall change of 11.7%.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenditures totaled about $871.7 billion in fiscal 2023, accounting for roughly 18% of total national health costs, rising from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

This jump amounts to about 40% growth over just a few years, driven largely by increased enrollment and higher service use during and after the pandemic period.

Federal budget legislation during the Trump administration introduced major proposals to cut Medicaid funding and restructure the program. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid spending by over $1 trillion over the next decade, with changes such as work mandates and higher cost-sharing potentially affecting benefits and funding for some recipients. These shifts are likely to move more financial responsibility to states and curb increases in federal support for Medicaid, even as millions of Americans remain enrolled in the program.

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.