Medicaid payments for National Codes Established services surge 76.3% in Lady Lake in 2024

In Lady Lake, Medicaid providers billed $1,279,832 for services under the National Codes Established for State Medicaid Agencies category in 2024, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount represents a 76.3% increase over 2023, when claims for this category totaled $726,021.

Medicaid is a state-run public health insurance program that receives funding from both state and federal governments. It provides coverage for low-income individuals and families, children, seniors, and people with disabilities, making it a major component of health care in the U.S.

Because taxpayer dollars fund Medicaid payments, changes in local billing help show how health care resources are distributed within a community.

The “National Codes Established for State Medicaid Agencies” category refers to a set of Medicaid-billed services grouped by care type, using standardized HCPCS and CPT code prefixes and numeric ranges. For this report, each billing code was assigned to a single service category, supporting accurate comparisons and ensuring related services were tracked without overlaps.

Although multiple service categories saw growth in Medicaid spending, National Codes Established for State Medicaid Agencies topped the list in Lady Lake for total Medicaid payments in 2024.

Statewide in Florida, the National Codes Established for State Medicaid Agencies category placed second by overall payments in 2024.

Between the five years before 2024, Lady Lake Medicaid payments tied to the National Codes Established for State Medicaid Agencies increased by $933,643, or 269.7%. Periods of sharper growth were noted, especially in 2023 and 2022, with significant year-over-year gains.

While Medicaid spending for this category was spread throughout the city, payments mostly originated from just a few ZIP codes. In 2024, ZIP code 32159 accounted for $1,279,832, making up 100% of Medicaid payments tied to the category in Lady Lake for the year.

Within the category itself, a small number of individual billing codes were responsible for the bulk of Medicaid payments.

To put this in context, from 2023 to 2024, Lady Lake saw a 76.3% rise in Medicaid payments tied to the National Codes Established for State Medicaid Agencies, compared with a 4.9% increase across all Medicaid claim categories locally during the same period.

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 roughly 18% of U.S. national health expenditures. This is a significant rise from about $613.5 billion in 2019 prior to COVID-19.

The total marks a 40% increase in just a few years, mostly driven by more enrollments and greater use of services during and following the pandemic.

Federal budget legislation enacted during the Trump administration included major proposals for Medicaid restructuring and funding reductions. The “One Big Beautiful Bill Act,” became law in 2025 and is expected to cut federal Medicaid spending by more than $1 trillion over the next decade. The law also introduces work requirements and cost-sharing measures, potentially limiting coverage and federal funding for certain recipients. Such changes are expected to leave states with a larger share of costs, even as Medicaid continues providing coverage to tens of millions across the country.

Note: HCPCS codes are provided to illustrate context within the category. Totals and rankings in this article are based on overall standardized service groupings, not just individual billing codes.

Data in this report was gathered from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The underlying source is available here.