Selma Medicaid spending on state agency national codes grows to $1,283,008 in 2024

Selma Medicaid providers submitted $1,283,008 in claims for services under the National Codes Established for State Medicaid Agencies in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 56.8% rise compared to 2023, when $818,311 was billed for the same service category.

Medicaid is a publicly funded health insurance program operated at the state level and financed through combined federal and state resources. It serves low-income individuals and families, older adults, children, and people with disabilities, standing as one of the country’s leading health care programs.

Changes in local Medicaid billing reflect how taxpayer-funded health care dollars are deployed in a given community, as Medicaid payments derive from public funds.

The “National Codes Established for State Medicaid Agencies” category covers a set of Medicaid service claims defined by care type and standardized HCPCS and CPT code groupings. For this report, each billing code is grouped into a single service category by matching code prefixes and numeric intervals, ensuring the analysis avoids double counting and maintains consistency over time.

Although Medicaid expenses rose across several categories, National Codes Established for State Medicaid Agencies represented the largest share of total Medicaid payments in Selma in 2024.

Statewide, the National Codes Established for State Medicaid Agencies also led all categories for total Medicaid spending in North Carolina in 2024.

In the five years before 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies in Selma increased by $906,966, or 241.2%. Certain years, including 2023 and 2021, showed notable spending jumps.

Payments for care under this category were made throughout Selma but were heavily concentrated in a small number of ZIP codes. In 2024, ZIP code 27576 accounted for $1,283,007 in Medicaid payments, representing 100% of spending for this service group in the city during the year.

Within this category, Medicaid reimbursement was centered on a few specific billing codes.

Comparatively, Medicaid billings for services in this category climbed 56.8% between 2024 and 2023, while the increase for all Medicaid claim categories in Selma was 10.4% over the same period.

Data from the Centers for Medicare & Medicaid Services shows that federal and state Medicaid expenditures totaled about $871.7 billion in fiscal 2023, accounting for approximately 18% of all U.S. health spending. That figure has risen sharply from around $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This represents an approximate 40% increase in just a few years, largely attributed to expanded enrollment and higher service utilization during and after the pandemic.

Recent federal budget changes under the Trump administration have included significant proposals to cut federal Medicaid funding and modify the structure of the program. One example is the “One Big Beautiful Bill Act,” signed in 2025, which is expected to reduce federal Medicaid contributions by over $1 trillion over the next decade and make policy changes like adding work requirements and greater cost-sharing, which could limit coverage and reduce funding for some recipients. These adjustments are likely to increase state-level spending responsibilities and curtail the growth of federal Medicaid funding, while the program continues to cover millions of Americans.

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.