Elkins Medicaid providers billed a total of $85,289 in 2024 for services categorized under National Codes Established for State Medicaid Agencies, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount marks a 47.2% increase from 2023, when providers generated $57,944 in claims for the same type of services.
Medicaid is a state-administered public health insurance program, jointly funded by the federal and state governments. It covers low-income individuals and families, seniors, children, and people with disabilities, making it among the largest components of the U.S. health care system.
Because funding for Medicaid relies on taxpayers, shifts in local billing highlight how public health care resources are distributed at the community level.
The “National Codes Established for State Medicaid Agencies” grouping comprises Medicaid claims organized by service type, based on HCPCS and CPT code groupings. Analysts assigned each billing code to a unique service category using standardized code prefixes and number ranges to maintain consistent methodology, minimize double counting, and preserve historical rankings.
Across several service categories, Medicaid spending rose, with National Codes Established for State Medicaid Agencies topping all Medicaid payments in Elkins for 2024.
Statewide in Arkansas, National Codes Established for State Medicaid Agencies also ranked at the top for total Medicaid payments in 2024.
From the five-year period ending in 2024, Medicaid payments related to National Codes Established for State Medicaid Agencies in Elkins grew by $85,289, registering no net percentage change overall. However, several years saw more rapid annual increases, notably in 2023 and 2022.
Although service payments in the National Codes Established for State Medicaid Agencies category were distributed throughout Elkins, most were concentrated in a small set of ZIP codes. In 2024, ZIP code 72727 represented the full $85,289 in Medicaid payments for this category. This top ZIP code accounted for 100% of Elkins’ Medicaid payments under National Codes Established for State Medicaid Agencies that year.
Payments within the category were also heavily focused among only a few individual billing codes.
Between 2024 and 2023, Medicaid payments under National Codes Established for State Medicaid Agencies in Elkins climbed 47.2%, which matched the overall rate of change for all Medicaid claim categories in the city during the same interval.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, comprising approximately 18% of all national health care expenditures. This is a sharp rise from the roughly $613.5 billion spent in 2019, before the onset of the COVID-19 pandemic.
The change equals an estimated 40% growth over several years, largely attributed to expanded enrollment and increased utilization during and after the pandemic.
Recent federal budget measures under the Trump administration have introduced proposals to curb federal Medicaid funding and adjust the structure of the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid expenditures by over $1 trillion over the coming decade and to implement work requirements and cost-sharing policies that could lower benefits and funding for certain recipients. These changes are likely to assign additional costs to states and slow the federal growth of the Medicaid program, which continues to cover tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $12,234 | – |
| 2023 | $57,943 | 373.6% |
| 2024 | $85,289 | 47.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $85,289 | 10<0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $85,289 | 13 |
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.

