National Codes Established for State Medicaid Agencies drive $198,370 in Medicaid payments in Manito for 2024

In 2024, Manito Medicaid providers submitted $198,370 in claims for services categorized under the National Codes Established for State Medicaid Agencies, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 0.9% increase from $196,665 billed for these services during 2023.

Medicaid, funded through both federal and state resources, is operated by the states. It provides coverage for low-income groups, families, older adults, children, and those with disabilities, making it a core component of the U.S. health care infrastructure.

Because Medicaid funding is tax-supported, shifts in local billing reflect how community health expenditures are directed.

The “National Codes Established for State Medicaid Agencies” category denotes a range of services classified using standardized HCPCS and CPT codes. For these results, each code was grouped into one service category by specific prefixes and number ranges, helping prevent duplications and maintain accurate historical comparisons.

National Codes Established for State Medicaid Agencies led all Manito service categories in Medicaid payments for 2024, as spending in multiple segments showed gains.

Statewide, Illinois also saw National Codes Established for State Medicaid Agencies hold the highest rank by total Medicaid payments in 2024.

Between 2019 and 2024, Medicaid claims for the National Codes Established for State Medicaid Agencies category in Manito rose by $35,170, or 15.1%, with the fastest growth occurring in select years such as 2020 and 2023.

Although these service payments were distributed citywide, the largest amounts were concentrated in certain ZIP codes. For 2024, ZIP code 61546 accounted for $198,369 in payments, making up 100% of the related Medicaid claims in Manito that year.

Within this service category, billing was focused in a small set of Medicaid codes.

Looking at year-over-year change, Medicaid payments tied to these services rose 0.9% for Manito between 2024 and 2023, while all service categories combined increased by 5.6% in the same period.

Centers for Medicare & Medicaid Services data indicates total federal and state Medicaid outlays hit approximately $871.7 billion in fiscal 2023, amounting to about 18% of total national health expenditures, up significantly from $613.5 billion in 2019 before the onset of the COVID-19 crisis.

This change reflects an increase of about 40% over several years, mainly attributed to expanded Medicaid rolls and higher usage following the pandemic.

Recent federal budget actions under the Trump administration included major proposals to decrease federal support for Medicaid and alter its structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion in the next decade. It also introduces requirements such as employment mandates and higher cost-sharing, potentially curbing benefits and funding for some enrollees. These adjustments are anticipated to impose increased cost burdens on states and limit the expansion of federal funding, even as tens of millions remain enrolled in the program.

Note: HCPCS codes are provided as reference within the service group. Totals and rankings in this piece reflect aggregate service categories, not individual billing codes.

Medicaid Provider Spending data for this analysis came from the U.S. Department of Health and Human Services. The original datasets are available here.