Medicaid spending linked to National Codes Established for State Medicaid Agencies up 40.3% in Tatum for 2024

Medicaid providers in Tatum billed a total of $32,723 for services under the National Codes Established for State Medicaid Agencies category in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 40.3% jump from 2023, when providers filed $23,321 in claims for the same services.

Medicaid is a public health insurance program administered by states and financed jointly by federal and state governments. The program provides coverage for low-income people and families, seniors, children, and individuals with disabilities, making it a major part of the U.S. health care system.

Since Medicaid funding is sourced from taxpayers, changes in local billing amounts reveal how public health care resources are distributed across a community.

The “National Codes Established for State Medicaid Agencies” category covers a set of Medicaid-billed services defined by the care delivered, using standardized HCPCS and CPT code groupings. For this report, every billing code was placed into one service category using consistent code prefixes and ranges, which permitted analysis of related services as a group and prevented double counting for accurate rankings over time.

While Medicaid expenditures rose in several categories, National Codes Established for State Medicaid Agencies ranked first in Tatum by total Medicaid payments for 2024.

Statewide in Texas, the National Codes Established for State Medicaid Agencies category finished second overall in Medicaid payments in 2024.

During the five years before 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Tatum grew by $18,448, up 129.2%. Some periods saw accelerated growth, with year-over-year increases most notable in 2022 and 2021.

Though National Codes Established for State Medicaid Agencies payments were made in different parts of the city, the majority of funding was concentrated in a few ZIP codes. In 2024, ZIP code 75691 accounted for $32,723 of Medicaid payments for this category, representing 100% of the total in Tatum that year.

Payments associated with the National Codes Established for State Medicaid Agencies category were also concentrated in a small group of specific billing codes.

To compare, National Codes Established for State Medicaid Agencies payments in Tatum increased 40.3% from 2023 to 2024, while Medicaid claim categories overall in the city saw a 31.8% change during that same time frame.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion for fiscal year 2023. That made up about 18% of national health expenditures, rising sharply from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

This represents growth of close to 40% over a few years, driven mainly by higher enrollment and greater use throughout and following the pandemic.

Recent federal budget measures under the Trump administration have proposed significant reductions to federal Medicaid funding and changes to the program structure. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and adds rules such as work requirements and higher cost-sharing, which could limit access and funding for certain recipients. These changes are anticipated to shift a greater share of costs to states and curb federal Medicaid growth, while the program continues to cover 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.