Collinsville reports $660,703 in 2024 Medicaid payments for national state-established codes

In 2024, Collinsville Medicaid providers billed $660,703 for services in the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount is up 1.7% from 2023, when providers filed $649,555 in claims for the same service category.

Medicaid, a public health insurance program managed by individual states and funded by both federal and state governments, serves low-income people and families as well as seniors, children, and those with disabilities, making it a major component of health care delivery in the U.S.

As Medicaid funding is sourced from taxpayers, shifts in billing amounts reflect how health care funds are distributed locally.

The “National Codes Established for State Medicaid Agencies” classification encompasses Medicaid-billed services grouped by care type, categorized using standardized HCPCS and CPT code groupings. In this analysis, each code was assigned to a single service group based on prefix and numeric range, ensuring related services are analyzed together and double counting is avoided while keeping rankings consistent over time.

Though Medicaid expenditures grew across various service types, payments for National Codes Established for State Medicaid Agencies ranked third in total Medicaid payments for Collinsville in 2024.

Across Illinois, the National Codes Established for State Medicaid Agencies category topped total Medicaid payment rankings statewide in 2024.

From 2019 to 2024, Medicaid payments in Collinsville associated with the National Codes Established for State Medicaid Agencies grew by $235,501—a 26.3% rise. Certain years saw more pronounced growth, such as 2020 and 2022, where year-to-year increases were notable.

While services in the National Codes Established for State Medicaid Agencies category were available citywide, payment totals were heavily weighted toward specific ZIP codes. In 2024, ZIP code 62234 reported $660,702 in related Medicaid payments, representing 100% of this billing category in Collinsville for the year.

Payments within the National Codes Established for State Medicaid Agencies category were also concentrated among a small number of billing codes.

For context, the 1.7% increase in this Medicaid category for Collinsville between 2024 and 2023 compares to a 2.6% overall change across all Medicaid claim categories in the city during that time.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled around $871.7 billion in fiscal 2023, making up roughly 18% of all national health expenditures, and rising sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth—about 40% over a few years—was primarily driven by increased enrollment and higher service use during and after the pandemic.

Recent federal budget legislation under President Trump introduced significant proposals to cut federal Medicaid funding and change its structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid expenditures by over $1 trillion over the next decade. It also introduces new requirements that may limit coverage and increase state spending, even as 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.