Jonesboro Medicaid payments for National Codes Established for State Medicaid Agencies climb to $1,499,589 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Jonesboro reported $1,499,589 in claims for services coded under the National Codes Established for State Medicaid Agencies, based on the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount signifies a 0.6% increase, as providers sought $1,490,567 for such services in 2023.

Medicaid is a public health insurance initiative managed by the states and funded through joint federal and state allocations. It delivers coverage to eligible low-income people and families, seniors, children, and those with disabilities, making it a primary component of the nation’s health care system.

Since Medicaid funding relies on taxpayers, adjustments in citywide billing reflect shifts in how communities allocate their public health resources.

The “National Codes Established for State Medicaid Agencies” grouping references services defined by billing code types, using standard HCPCS and CPT codes. This reporting assigns billing codes to unique service categories by code range, letting related services be grouped while ensuring accurate long-term comparison and no double counting.

In 2024, among all service groupings, National Codes Established for State Medicaid Agencies received the highest total Medicaid reimbursement in Jonesboro.

Across Georgia, National Codes Established for State Medicaid Agencies stood as the second highest category in Medicaid payments in 2024.

From 2019 to 2024, Jonesboro saw Medicaid payments in this category increase by $292,668, or 24.2%. Notable periods of higher annual growth occurred in 2021 and 2023.

Although payments covered providers citywide, a small number of ZIP codes saw the largest shares. In 2024, ZIP code 30238 registered $1,495,954 and ZIP code 30236 accounted for $3,633; together, these two totaled 100% of Jonesboro’s Medicaid spend in this service grouping for the year.

Additionally, payments within the National Codes Established for State Medicaid Agencies grouping were distributed across only a select few billing codes.

Jonesboro’s Medicaid claims for this category rose 0.6% from 2023 to 2024, versus a 2.9% overall change in Medicaid claim categories throughout the city for that period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenses amounted to about $871.7 billion for fiscal year 2023, making up roughly 18% of total U.S. health care expenditures—a substantial rise from around $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase, about 40% in just several years, was largely due to expanded enrollment and higher usage during and following the pandemic era.

Recently enacted federal budget laws from the Trump administration have sought major reductions to federal Medicaid support and structural alterations to the program. The “One Big Beautiful Bill Act,” signed in 2025, will eliminate more than $1 trillion in federal Medicaid expenditures over the next decade, introducing mandates such as work requirements and increased cost-sharing—changes that could lower coverage and state allocations for some beneficiaries. The measures are expected to shift costs to states and further limit federal expansion even as the need persists nationwide.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Jonesboro, Georgia Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $1,206,921 0.9%
2021 $1,476,676 22.4%
2022 $1,386,315 -6.1%
2023 $1,490,567 7.5%
2024 $1,499,588 0.6%
Top Categories by Medicaid Payments in Jonesboro, Georgia, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $1,499,588 95.2%
2 Medicine Services and Procedures $36,011 2.3%
3 Alcohol and Drug Abuse Treatment $29,312 1.9%
4 Evaluation and Management $10,351 0.7%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Jonesboro, Georgia, 2024

HCPCS Code Description Medicaid Payments Claims
T1019 Personal care ser per 15 min $971,671 12
T2025 Waiver service, nos $461,879 10
T2028 Special supply, nos waiver $62,404 11
T1003 Lpn/lvn services up to 15min $3,633 6

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.



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