Clermont Medicaid payments for National Codes Established for State Medicaid Agencies up 9.8% in 2024

In Clermont, Medicaid providers billed $3,247,185 in 2024 for services under the National Codes Established for State Medicaid Agencies category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflects a 9.8% rise from 2023, when providers filed $2,957,119 in claims in the same category.

Medicaid, a state-administered public health insurance program, receives joint funding from federal and state governments. It serves individuals and families with low incomes, seniors, children and people with disabilities, making it a central part of the nation’s health care landscape.

Since Medicaid is funded by taxpayers, fluctuations in local spending levels illustrate the ways public health care resources are directed within a locality.

The National Codes Established for State Medicaid Agencies category includes a defined collection of Medicaid-billed services determined by care type and standardized through groupings of HCPCS and CPT codes. For this review, every code was placed in one service category using consistent prefixes and numeric ranges, providing a clear analysis of related services while avoiding duplicate counts and maintaining accurate standings over time.

National Codes Established for State Medicaid Agencies represented the second-highest Medicaid payment category in Clermont for 2024, among several categories that saw higher overall Medicaid spending.

Across Florida, this service category also held the second spot in Medicaid payment totals for 2024.

In the five-year span ending in 2024, Clermont saw Medicaid payments in this category grow by $2,897,927, an 829.7% increase. Years such as 2022 and 2023 saw particularly high annual gains.

While spending classified as National Codes Established for State Medicaid Agencies was present across Clermont, the largest amounts concentrated in a small number of ZIP codes. In 2024, ZIP code 34711 alone accounted for $3,247,184, with the top ZIP code representing 100% of these Medicaid payments in Clermont that year.

Payments within this group were often associated with a limited set of distinct billing codes.

Between 2024 and 2023, Clermont Medicaid payments in this category climbed by 9.8%, whereas expenditures across all Medicaid claim categories in the city moved 27.6% higher in the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, about 18% of total U.S. health spending, rising sharply from around $613.5 billion in 2019 before the start of the COVID-19 pandemic.

This roughly 40% increase over just a few years is attributed in large part to greater program enrollment and increased utilization since the pandemic’s onset.

Federal budget laws passed during the Trump administration brought forward proposals to reduce federal Medicaid funding and modify the program’s structure. The “One Big Beautiful Bill Act,” which became law in 2025, aims to decrease federal Medicaid spending by more than $1 trillion over the next decade, adding policies such as work requirements and higher cost-sharing that could impact both coverage and funding for some recipients. The changes could place greater funding responsibility on states and curb the rate of future federal support, even as Medicaid continues to provide coverage for tens of 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.