High Ridge Medicaid spending on state-established national codes totals $1,134,028 in 2024

Providers in High Ridge billed $1,134,028 in Medicaid claims for services part of the National Codes Established for State Medicaid Agencies category in 2024, based on U.S. Department of Health and Human Services Medicaid Provider Spending database figures. This amount represented a 26.9% uptick from 2023, when claims for these services reached $893,415.

Medicaid is a state-operated public health insurance program supported by both federal and state governments. The program provides coverage for low-income adults, seniors, children, and people with disabilities, ranking among the largest segments of the U.S. health care system.

Since Medicaid funding comes from taxpayers, shifts in local billing patterns indicate how public funds for health care are distributed in a region.

The “National Codes Established for State Medicaid Agencies” category includes a specific set of Medicaid-billed services differentiated by care type, utilizing standardized HCPCS and CPT code groupings. Each billing code for this analysis was aligned with one service category based on code prefixes and number ranges, ensuring related service types could be tracked without overlap and sustaining consistency in annual rankings.

National Codes Established for State Medicaid Agencies category led all Medicaid payment categories in High Ridge in 2024, following growth seen across several types of services.

At the state level, National Codes Established for State Medicaid Agencies also held the top spot for total Medicaid payments in Missouri in 2024.

Reviewing the five years ending in 2024, Medicaid spending for National Codes Established for State Medicaid Agencies in High Ridge climbed by $805,251, or 244.9%. Some years, including 2023 and 2022, saw especially rapid increases compared to others in the period.

Most 2024 Medicaid spending in this category was tied to a small number of ZIP codes in High Ridge. ZIP code 63049 accounted for $1,134,027, representing 100% of Medicaid payments linked to National Codes Established for State Medicaid Agencies in the city that year.

The majority of Medicaid payments in the National Codes Established for State Medicaid Agencies group was concentrated among only a few specific billing codes in 2024.

Between 2024 and 2023, this category saw a 26.9% rise in payments in High Ridge, compared to a general 5.1% increase across all Medicaid claim types in the city over the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid outlays reached an estimated $871.7 billion in fiscal year 2023, comprising about 18% of the country’s overall health care spending. That is up from nearly $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This growth amounts to approximately a 40% increase within a few years, fueled primarily by higher enrollment and utilization through and after the pandemic period.

Recent legislation during the Trump administration introduced sizable federal funding reductions and Medicaid policy changes. The “One Big Beautiful Bill Act,” passed in 2025, is expected to lower federal Medicaid spending by more than $1 trillion over 10 years and implement new work requirements and increased cost-sharing, which could limit funding and coverage for some individuals. These adjustments may increase states’ financial responsibilities and restrict federal Medicaid growth, even while millions continue to depend on 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.