In 2024, Luverne Medicaid providers billed $43,022 for services grouped under the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 39.6% jump from 2023, when $30,812 was billed for the same category.
Medicaid is a government health insurance program jointly funded by federal and state governments and administered by the states. It provides coverage to low-income families and individuals, seniors, children, and people with disabilities, making it a major component of the U.S. health care system.
Since Medicaid payments are publicly funded, shifts in local billing highlight the allocation of taxpayer health dollars within a community.
The “National Codes Established for State Medicaid Agencies” category consists of Medicaid services that are defined by the type of care, using standardized HCPCS and CPT code groupings. For this report, each billing code was assigned to one category through consistent code prefixes and number ranges, enabling grouped analysis while preventing duplicate counts and maintaining reliable rankings over time.
This category was the second largest in total Medicaid payments in Luverne in 2024, even though overall spending increased across several service groups.
Statewide in Alabama, National Codes Established for State Medicaid Agencies ranked as the top service category in total Medicaid payments in 2024.
From five years before 2024, Medicaid payments associated with this category in Luverne grew by $21,815, or 33.6%. Growth in spending picked up during some periods, with especially notable increases seen in 2021 and 2022.
While payments for this care occurred throughout Luverne, spending was concentrated in a small number of ZIP codes. In 2024, ZIP code 36049 accounted for $43,021 in Medicaid payments tied to this category, representing 100% of related payments in Luverne for the year.
Within the National Codes Established for State Medicaid Agencies category, most Medicaid payments were focused on a few individual billing codes.
For additional perspective, Medicaid payments in Luverne for this category grew 39.6% from 2023 to 2024, compared with an 8.8% change across all Medicaid claim categories locally over the same timeframe.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending was about $871.7 billion in fiscal year 2023, making up nearly 18% of national health spending, increasing from about $613.5 billion in 2019, before the COVID-19 pandemic.
The 40% growth in just a few years is attributed largely to expanded enrollment and higher use of services during and after the pandemic.
Recent federal budget laws enacted under the Trump administration have featured significant changes to federal Medicaid funding and the overall structure of the program. The “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade, adding provisions such as work requirements and increased cost-sharing that may curtail coverage and funding for some recipients. These adjustments are expected to place more responsibility on states and limit the increase of federal Medicaid support, even as the program continues to cover millions in the U.S.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $64,836 | -8.4% |
| 2021 | $80,517 | 24.2% |
| 2022 | $80,858 | 0.4% |
| 2023 | $30,812 | -61.9% |
| 2024 | $43,021 | 39.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $240,438 | 68.1% |
| 2 | National Codes Established for State Medicaid Agencies | $43,021 | 12.2% |
| 3 | Ambulance and Other Transport Services and Supplies | $30,726 | 8.7% |
| 4 | Medicine Services and Procedures | $23,540 | 6.7% |
| 5 | Pathology and Laboratory Procedures | $12,452 | 3.5% |
| 6 | Medical And Surgical Supplies | $2,703 | 0.8% |
| 7 | Temporary National Codes (Non-Medicare) | $190 | 0.1% |
| 8 | Drugs Administered Other than Oral Method | $23 | <0.1% |
| 9 | Surgery | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $43,021 | 11 |
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.


