In 2024, Medicaid providers in Weston submitted $2,345,606 in claims for services under the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending data. This was a 9% rise compared with 2023, when claims totaled $2,151,456 for the same service grouping.
Medicaid operates as a public health insurance initiative managed by individual states and financed by both federal and state governments. The program covers a wide range of Americans, including those with low incomes, elderly individuals, children, and people living with disabilities, and remains a major segment of the U.S. health care landscape.
Given that Medicaid is funded by taxpayers, changes in local billing activity reflect the allocation of public dollars within the health care system of a community.
The “National Codes Established for State Medicaid Agencies” category encompasses Medicaid claims for services identified by care type, using standardized HCPCS and CPT code sets. For this review, each billing code was assigned to one overarching service category using consistent prefixes and number groupings, ensuring related services could be collectively analyzed without overlap and with accuracy maintained for historical rankings.
While Medicaid spending rose across several categories, the National Codes Established for State Medicaid Agencies surpassed all others by total payments in Weston for 2024.
Statewide in West Virginia, services under the National Codes Established for State Medicaid Agencies category also led all others in Medicaid expenditures for 2024.
Over the five-year period prior to 2024, Weston saw Medicaid payments under this category climb by $1,147,482—an increase of 95.8%. Certain years, such as 2020 and 2022, experienced sharper year-over-year growth.
Spending on National Codes Established for State Medicaid Agencies services was found throughout Weston, but most payments were focused within a small group of ZIP codes. For 2024, ZIP code 26452 accounted for $2,345,605 in Medicaid claims in this category, representing 100% of such payments in the city during the year.
Payments within the National Codes Established for State Medicaid Agencies category were also heavily concentrated by specific billing codes.
To compare, the 9% rise in Medicaid spending for this group in Weston between 2024 and 2023 outpaced the aggregate growth of 5.1% recorded across all Medicaid categories in the area for the same period.
According to the Centers for Medicare & Medicaid Services, combined state and federal spending on Medicaid reached approximately $871.7 billion in fiscal year 2023. This was about 18% of national health expenses, and a substantial increase from roughly $613.5 billion in 2019, prior to the onset of the COVID-19 pandemic.
This reflects a nearly 40% rise over several years, largely attributed to greater Medicaid enrollment and service usage during and after the pandemic.
Recent federal budget laws enacted during the Trump administration have introduced proposals intending to scale back federal Medicaid funding and modify the program’s structure. Notably, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to reduce federal Medicaid funding by more than $1 trillion over 10 years. The legislation also includes work requirements and higher cost-sharing, potentially narrowing coverage and support for some recipients, shifting added financial responsibility to states, and reducing the rate of future federal spending on Medicaid, even as the program continues to serve millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,198,123 | 89% |
| 2021 | $1,439,795 | 20.2% |
| 2022 | $2,043,427 | 41.9% |
| 2023 | $2,151,455 | 5.3% |
| 2024 | $2,345,605 | 9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $2,345,605 | 57.1% |
| 2 | Evaluation and Management | $622,820 | 15.2% |
| 3 | Temporary National Codes (Non-Medicare) | $339,988 | 8.3% |
| 4 | Ambulance and Other Transport Services and Supplies | $324,837 | 7.9% |
| 5 | Procedures / Professional Services | $161,940 | 3.9% |
| 6 | Medicine Services and Procedures | $121,256 | 2.9% |
| 7 | Durable Medical Equipment | $78,690 | 1.9% |
| 8 | Pathology and Laboratory Procedures | $75,938 | 1.8% |
| 9 | Radiology Procedures | $17,778 | 0.4% |
| 10 | Surgery | $8,697 | 0.2% |
| 11 | Medical And Surgical Supplies | $6,545 | 0.2% |
| 12 | Drugs Administered Other than Oral Method | $3,593 | 0.1% |
| 13 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $2,293 | 0.1% |
| 14 | Temporary Codes | $659 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $2,326,221 | 174 |
| T1002 | Rn services up to 15 minutes | $19,161 | 22 |
| T1017 | Targeted case management | $223 | 1 |
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.
