Davie Medicaid payments for National Codes Established for State Medicaid Agencies climb to $10.6 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Davie submitted $10,625,957 in claims for services coded under the National Codes Established for State Medicaid Agencies category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 62.2% rise from 2023, when total claims reached $6,551,389 for the same category.

Medicaid, a public health insurance program administered by states and co-funded by federal and state governments, provides coverage for low-income individuals and families, seniors, children, and people with disabilities. As one of the largest segments of the health care system in the U.S., Medicaid plays a major role in delivering medical services.

Because taxpayer funding supports Medicaid payments, shifts in local billing reflect how health care resources are distributed at a community level.

The “National Codes Established for State Medicaid Agencies” group includes various Medicaid-billed services defined by provided care type, organized using standard HCPCS and CPT code clusters. For this analysis, each code was placed within one service group by using consistent code prefixes and numbering, which allows similar services to be compared over time without overlap or double counting and ensures reliability in rankings.

Among all Medicaid billing categories, National Codes Established for State Medicaid Agencies had the highest total Medicaid payments in Davie in 2024.

Statewide, in Florida, this category represented the second-highest total Medicaid payments in 2024.

Looking at the five-year period before 2024, Davie’s Medicaid payments for the National Codes Established for State Medicaid Agencies category rose by $7,261,215, a 215.8% increase. Substantial year-over-year payment gains took place in 2023 and 2022, underscoring periods of faster growth.

While payments for this category spanned the city, they were focused primarily in select ZIP codes. In 2024, ZIP code 33328 received $6,593,281, 33314 received $3,780,562, and 33324 received $252,113 in related Medicaid payments. These top 3 ZIP codes represented the entire volume of local Medicaid payments tied to the National Codes Established for State Medicaid Agencies category that year in Davie.

Within this category, a small subset of specific billing codes accounted for the bulk of Medicaid payments.

To offer broader context, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Davie were up 62.2% between 2024 and 2023, outpacing the 32.4% growth seen across all Medicaid service categories in the city during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled approximately $871.7 billion in fiscal 2023, making up about 18% of all national health expenditures and reflecting a steep rise from $613.5 billion in 2019, prior to the COVID-19 pandemic.

The roughly 40% hike in spending was mostly triggered by wider enrollment and greater use of services during and after the pandemic.

Federal budget legislation under the Trump administration has contained major proposals to cut federal Medicaid funds and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid funding by over $1 trillion over 10 years and includes policies such as work requirements and higher cost-sharing, potentially narrowing coverage and funding for certain beneficiaries. This is expected to shift additional fiscal responsibility to states and suppress federal Medicaid increases, while the program remains critical for millions of Americans.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Davie, Florida Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $3,364,741 3.6%
2021 $2,817,736 -16.3%
2022 $3,985,635 41.4%
2023 $6,551,388 64.4%
2024 $10,625,956 62.2%
Top Categories by Medicaid Payments in Davie, Florida, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $10,625,956 54.5%
2 Temporary National Codes (Non-Medicare) $5,070,880 26%
3 Medicine Services and Procedures $2,060,077 10.6%
4 Evaluation and Management $588,916 3%
5 Orthotic Procedures and services $483,443 2.5%
6 Pathology and Laboratory Procedures $280,072 1.4%
7 Ambulance and Other Transport Services and Supplies $125,577 0.6%
8 Alcohol and Drug Abuse Treatment $78,593 0.4%
9 Enteral and Parenteral Therapy $53,553 0.3%
10 Durable Medical Equipment $42,916 0.2%
11 Dental Services $34,408 0.2%
12 Pathology and Laboratory Services $22,764 0.1%
13 Surgery $15,908 0.1%
14 Durable medical equipment (DME) Medicare administrative contractors (MACs) $10,765 0.1%
15 Radiology Procedures $4,270 <0.1%
16 Drugs Administered Other than Oral Method $3,002 <0.1%
17 Vision Services $2,234 <0.1%
18 Medical And Surgical Supplies $1,039 <0.1%
19 Coronavirus Diagnostic Panel $723 <0.1%
20 Procedures / Professional Services $606 <0.1%
21 Administrative, Miscellaneous and Investigational $16 <0.1%
22 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Davie, Florida, 2024

HCPCS Code Description Medicaid Payments Claims
T1019 Personal care ser per 15 min $6,012,651 40
T1017 Targeted case management $1,658,261 39
T1025 Ped compr care pkg, per diem $1,479,479 12
T1004 Nsg aide service up to 15min $897,863 17
T2023 Targeted case mgmt per month $576,399 8
T1015 Clinic service $1,301 2

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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