Everett Medicaid payments for National Codes Established for State Medicaid Agencies reach $19.3 million in 2024

In 2024, Medicaid providers in Everett submitted $19,344,173 in claims under the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 14.9% rise from 2023, when claims for the same service type amounted to $16,838,159.

Medicaid operates as a state-administered public health insurance program funded through a partnership between federal and state governments. The program insures low-income residents, seniors, children, and individuals with disabilities, making it a major component of the U.S. health care landscape.

Taxpayer contributions fund Medicaid payments, meaning changes in local billing help illustrate the distribution of public health care dollars within a community.

The “National Codes Established for State Medicaid Agencies” category consists of a variety of Medicaid-billed services defined by care type, which are grouped using standardized HCPCS and CPT code prefixes and ranges. For this reporting, each billing code was designated to one service category by these standardized criteria, supporting valid comparisons and accurate long-term rankings without duplication.

National Codes Established for State Medicaid Agencies was the top Medicaid payment category in Everett for 2024, alongside growth in several other service areas.

Statewide, the National Codes Established for State Medicaid Agencies category also ranked first for total Medicaid payments in Washington in 2024.

During the five years prior to 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Everett grew by $7,513,184, a 63.5% increase. Some years, such as 2023 and 2021, experienced especially strong year-over-year spending increases.

Spending related to this category was distributed citywide but mainly concentrated in specific ZIP codes. In 2024, highest Medicaid payment totals were reported in ZIP code 98201 at $18,168,422, followed by 98208 with $714,485, and 98203 at $461,265. Collectively, these 3 ZIP codes represented all Medicaid payments for this category in Everett that year.

Within the National Codes Established for State Medicaid Agencies group, payments were most heavily weighted toward a select few individual billing codes.

Comparatively, the 14.9% growth in the National Codes Established for State Medicaid Agencies category from 2023 to 2024 outpaced the citywide change of 10% for all Medicaid claim types during that period.

Centers for Medicare & Medicaid Services data indicates combined federal and state Medicaid expenses totaled about $871.7 billion in fiscal year 2023—roughly 18% of total U.S. health spending—and sharply increased from approximately $613.5 billion in 2019, before COVID-19.

This increase marks about 40% growth over several years, primarily tied to boosted enrollment and greater service use during and after the pandemic.

Federal budget measures under the Trump administration have introduced substantial proposals to reduce federal Medicaid funding and rework the program. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to trim federal Medicaid spending by more than $1 trillion over the decade and includes provisions like work requirements and added cost-sharing, which may reduce both coverage and financial support for some. These changes will likely increase the share of costs borne by states and constrain future federal Medicaid funding, though the program will continue serving millions nationwide.

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.