Reeds Spring Medicaid providers reported $1,321,183 in service billings under the National Codes Established for State Medicaid Agencies category in 2024, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 5.8% increase compared with 2023, when the billing reached $1,248,742 for the same category of services.
Medicaid is a state-operated public health insurance program funded through both state and federal governments. It serves low-income families and individuals, children, seniors, and people with disabilities, making it one of the largest segments of the U.S. health system.
Because taxpayer contributions are the source of Medicaid dollars, fluctuations in local billing underscore how public health resources are distributed throughout communities.
The “National Codes Established for State Medicaid Agencies” group encompasses a collection of Medicaid-billed services identified by the type of care delivered, based on HCPCS and CPT code groupings. For this report, every billing code was grouped under a single service category using uniform code prefixes and numerical ranges, enabling comparison of related services, preventing double counting, and supporting accurate ranking over time.
Even though Medicaid expenditures grew in several service categories, National Codes Established for State Medicaid Agencies was the largest in Reeds Spring in 2024 for total Medicaid payments.
Across Missouri, the National Codes Established for State Medicaid Agencies also held the top position for Medicaid payments by category in 2024.
In the five years leading to 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Reeds Spring grew by $1,321,183, equaling 0% growth. Spending gains accelerated during specific periods, with significant yearly increases noted in 2022 and 2023.
While Medicaid spending within the National Codes Established for State Medicaid Agencies category occurred throughout the city, payments were mostly concentrated in a small set of ZIP codes. In 2024, the highest total, $1,321,182, came from ZIP code 65737. Altogether, the top 1 ZIP codes contributed 100% of Medicaid payments in this category for Reeds Spring during the year.
Payments within the National Codes Established for State Medicaid Agencies category were further focused among a select group of individual billing codes.
Looking at changes over time, Medicaid payments for this category in Reeds Spring went up by 5.8% between 2024 and 2023, while billing across all Medicaid claim types in the city increased by 3.5% over the same span.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending in fiscal year 2023 totaled about $871.7 billion—roughly 18% of all national health expenditures—rising sharply from the pre-pandemic total of $613.5 billion in 2019.
This expansion marks an approximate 40% increase in just a few years, attributed largely to broader enrollment and increased utilization during and after the pandemic era.
Recent federal budgeting measures under the Trump administration included large-scale proposals to cut federal Medicaid contributions and restructure the program. As an example, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to reduce federal Medicaid support by more than $1 trillion over a decade and introduces requirements like work mandates and greater cost-sharing for enrollees, which could lower coverage and funding for certain groups. These policy changes are expected to complicate state Medicaid financing and slow the increase of federal support, despite the program’s role in serving millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2021 | $134,150 | – |
| 2022 | $901,009 | 571.6% |
| 2023 | $1,248,741 | 38.6% |
| 2024 | $1,321,182 | 5.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $1,321,182 | 92.1% |
| 2 | Temporary National Codes (Non-Medicare) | $111,101 | 7.7% |
| 3 | Medicine Services and Procedures | $1,895 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2021 | Day habil waiver per 15 min | $1,321,182 | 11 |
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.


