In 2024, Medicaid providers in Farmington submitted $1,077,712 in claims for services classified under the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount reflects a 12.4% rise compared with 2023, when $958,710 was billed for the same set of services.
Medicaid is a publicly funded health insurance initiative run at the state level with joint state and federal financing, covering low-income groups including families, seniors, children, and those with disabilities, making it one of the largest health programs in the nation.
As Medicaid is funded by taxpayers, fluctuations in local billing indicate how community resources are allocated to health care expenses.
The “National Codes Established for State Medicaid Agencies” category is based on a set of Medicaid billing codes compiled through standardized HCPCS and CPT code groupings. The analysis organized each billing code into a single designated service category by code prefix and numeric scope, grouping related services together while maintaining accurate ranking and preventing repeat counts over time.
Medicaid spending rose across multiple service categories, but in Farmington, National Codes Established for State Medicaid Agencies led all others in 2024 by total payments.
Statewide in Arkansas, the National Codes Established for State Medicaid Agencies also held the top spot for total Medicaid payments during 2024.
From 2019 through 2024, Farmington saw Medicaid payments for the National Codes Established for State Medicaid Agencies category climb by $403,630, or 59.9%. The most rapid annual increases were noted in 2021 and 2022.
While such Medicaid payments were distributed throughout the city, funds were concentrated in a handful of ZIP codes. For 2024, ZIP code 72730 billed $1,012,779 and 72753 totaled $64,932. Together, the two ZIP codes made up 100% of all Medicaid payments for the category in Farmington that year.
Payments within the National Codes Established for State Medicaid Agencies category were also clustered in a small number of billing codes.
Between 2023 and 2024, Farmington’s Medicaid payments for the National Codes Established for State Medicaid Agencies category grew by 12.4%, outpacing the city’s overall Medicaid claim category change of 0.6% during that period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined totaled approximately $871.7 billion in fiscal year 2023, making up around 18% of the nation’s health expenditures—up significantly from roughly $613.5 billion in 2019, before the COVID-19 pandemic.
This surge represents close to 40% growth in just a few years, with higher enrollments and utilization during and after the pandemic serving as primary factors.
New federal budget legislation enacted under the Trump administration includes major initiatives to cut federal Medicaid support and change aspects of the program. For instance, the “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years, introducing policies such as work requirements and greater cost-sharing that could affect coverage and funding for certain beneficiaries. The policy changes are projected to shift more program costs to the states and restrict federal funding growth even as Medicaid continues to serve millions across the U.S.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $674,081 | -11% |
| 2021 | $898,717 | 33.3% |
| 2022 | $1,017,265 | 13.2% |
| 2023 | $958,710 | -5.8% |
| 2024 | $1,077,712 | 12.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $1,077,712 | 52.3% |
| 2 | Medicine Services and Procedures | $888,389 | 43.1% |
| 3 | Ambulance and Other Transport Services and Supplies | $61,467 | 3% |
| 4 | Evaluation and Management | $23,161 | 1.1% |
| 5 | Dental Services | $4,407 | 0.2% |
| 6 | Pathology and Laboratory Procedures | $4,071 | 0.2% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $1,077,712 | 30 |
Note: HCPCS codes are included for context within the category. All category totals and rankings use grouped service categories and not individual billing codes.
The information in this report is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database, which can be found here.

