Godfrey sees 18.7% increase in Medicaid payments for national codes established category in 2024

Providers in Godfrey charged a total of $742,419 in Medicaid claims for services grouped under the National Codes Established for State Medicaid Agencies category in 2024, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That represented a 18.7% rise from 2023, when providers billed $625,294 for similar services.

Medicaid serves as a state-managed public health insurance program, with funding provided by both federal and state governments. It helps cover low-income residents, families, the elderly, children, and people with disabilities, making it a key part of health care in the United States.

Since Medicaid payments rely on taxpayer funding, shifts in local spending levels reflect how public health care resources are distributed throughout the community.

The “National Codes Established for State Medicaid Agencies” category includes services billed to Medicaid based on care type, grouped using standardized HCPCS and CPT code classifications. For this report, each billing code was mapped to one service category through uniform code prefixes and number ranges, which enabled the analysis of service groupings and offered accurate rankings across reporting periods without double-counting.

National Codes Established for State Medicaid Agencies led all service categories in Godfrey by total Medicaid payments in 2024 as Medicaid expenditures grew across several categories.

Statewide, this category also ranked highest in total Medicaid payments across Illinois for 2024.

From five years prior to 2024, Godfrey’s Medicaid payments for this group increased by $600,429, or 422.9%. Some time periods saw faster growth in spending, especially in 2021 and 2022.

The data show that, while claims in this billing category covered providers citywide, a small number of ZIP codes saw most payments concentrated. In 2024, ZIP code 62035 accounted for $742,419 in payments, amounting to 100% of Medicaid claims in this group in Godfrey that year.

Within this Medicaid category, a limited set of individual billing codes captured the majority of the payment totals.

Looking at growth rates, Medicaid spending on these services in Godfrey advanced 18.7% between 2024 and 2023, which matches the change observed for all Medicaid claim categories in the city over the same period.

The Centers for Medicare & Medicaid Services report that combined federal and state Medicaid spending reached around $871.7 billion in fiscal 2023, or about 18% of all national health expenditures, a notable increase from the $613.5 billion spent in 2019, before the pandemic.

This rise represents an increase of close to 40% over a few years, fueled largely by greater enrollment and higher use of services during and after the pandemic crisis.

Recent federal budget actions during the Trump administration put forward significant proposals to reduce federal Medicaid financing and alter the program. Legislation, such as the “One Big Beautiful Bill Act,” passed in 2025, is anticipated to cut more than $1 trillion from federal Medicaid spending over 10 years, with new requirements including work stipulations and increased cost-sharing, leading to potential decreases in coverage and support for certain beneficiaries. These measures are likely to increase the fiscal burden on states and curb the growth of federal funding to the program, even as Medicaid continues to serve tens of millions of people.

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.