Shallotte Medicaid payments for state-established national codes reach $292,322 in 2024

In 2024, Medicaid providers in Shallotte billed a total of $292,322 for services falling under the National Codes Established for State Medicaid Agencies category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 442.4% rise from 2023, when claims in the same category reached $53,892.

Medicaid operates as a state-administered public health insurance program that is funded collaboratively by both federal and state governments. It provides coverage for low-income individuals, families, seniors, children, and people with disabilities, making it a core element of the U.S. health care landscape.

Since Medicaid relies on public funding, variations in local billing show how health care resources are distributed within communities.

The “National Codes Established for State Medicaid Agencies” category includes a range of Medicaid-billed services identified by the nature of care delivered, determined through established groupings of HCPCS and CPT codes. Billing codes were grouped into single service categories for this analysis using pre-set code prefixes and number spans, ensuring similar services could be compared year-to-year without duplication and with accurate ranking.

Although overall Medicaid spending increased across different service types, the National Codes Established for State Medicaid Agencies category held the second-highest spot for Medicaid payments in Shallotte for 2024.

Statewide in North Carolina, this category ranked first among all Medicaid payment categories in 2024.

In the five-year period leading to 2024, Medicaid payments in Shallotte for services in this category grew by $241,408, an increase of 474.1%. Spending rose most sharply in certain years, with major jumps in both 2023 and 2021 on a year-over-year basis.

Though Medicaid dollars in this category were paid for care citywide, the bulk of payments were aggregated in just a few ZIP codes. In 2024, ZIP code 28470 accounted for a total of $292,322, representing 100% of Shallotte’s Medicaid payments in this service group for the year.

Within this category, pay-outs were concentrated among a small group of individual Medicaid billing codes.

To put the growth in context, between 2024 and 2023, Medicaid payments associated with this category in Shallotte rose by 442.4%, while all Medicaid claim categories together posted a 28.7% increase during the same period in the city.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending reached about $871.7 billion in the 2023 fiscal year, making up approximately 18% of the nation’s total health expenditures, up significantly from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This represents an increase of roughly 40% over several years, driven mainly by higher enrollment and greater demand for health care services during and after the pandemic.

Recent federal budget actions under the Trump administration have introduced measures to cut federal Medicaid funding and restructure the program. For example, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid expenditures by over $1 trillion during the next 10 years, adding requirements such as work rules and increased cost-sharing that could decrease funding and coverage for some enrollees. These policies are anticipated to shift larger financial responsibility to the states and slow the rise in federal Medicaid contributions, while the program continues to aid tens of millions.

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.