In 2024, Medicaid providers in Buhl billed a total of $536,166 for services classified within the National Codes Established for State Medicaid Agencies category, according to information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That figure reflects a 29.8% rise from the $413,097 recorded in 2023 for the same billing category.
Medicaid is a state-administered public health insurance program, funded jointly by both state and federal sources. The program covers individuals and families with low incomes, seniors, children, and people with disabilities, making it a significant part of the health care system in the United States.
With Medicaid funded by taxpayers, any fluctuations in local billing trends reflect the way health care resources are distributed throughout a community.
The “National Codes Established for State Medicaid Agencies” group encompasses a range of Medicaid-billed services defined by type of care, using standardized HCPCS and CPT code groupings. For the purposes of this analysis, each billing code was assigned to only one service category through the use of consistent code prefixes and numeric ranges, so related services were grouped together while preventing double counting and preserving correct rankings over time.
Medicaid spending increased in multiple service groups, but National Codes Established for State Medicaid Agencies recorded the highest Medicaid payments in Buhl for 2024.
Across Idaho, the National Codes Established for State Medicaid Agencies category was second overall in Medicaid payments in 2024.
Between 2019 and 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Buhl rose by $493,616, representing a 1,160.1% increase. Periods of rapid growth occurred, with particularly notable jumps reported in 2022 and 2023.
Although Medicaid spending in this service group was found throughout the city, the vast majority of payments came from a small group of ZIP codes. In 2024, ZIP code 83316 alone accounted for $536,165 in Medicaid payments in the category, making up 100% of those payments in Buhl for the year.
Payments within the National Codes Established for State Medicaid Agencies category were concentrated across a few core billing codes.
Comparing year-over-year growth, Medicaid payments linked to the National Codes Established for State Medicaid Agencies category in Buhl were up 29.8% from 2023 to 2024, while all Medicaid categories in the city combined grew by 7% in the same time frame.
According to the Centers for Medicare & Medicaid Services, national Medicaid spending by states and the federal government reached around $871.7 billion in fiscal 2023. That figure represents roughly 18% of U.S. health expenditures, a steep increase from about $613.5 billion in 2019, before the COVID-19 pandemic.
This uptick signals about a 40% increase in federal and state Medicaid spending in several years, driven mostly by greater enrollment and increased utilization during the pandemic and its aftermath.
Recent major budget legislation during the Trump administration included key measures intended to reduce federal Medicaid outlays and overhaul the program. For example, the “One Big Beautiful Bill Act,” signed in 2025, is expected to cut over $1 trillion from federal Medicaid support over the coming decade and institutes such policies as work requirements and higher cost-sharing, potentially limiting coverage and federal dollars for certain beneficiaries. These changes are likely to shift more cost responsibility to individual states and temper the rate of federal Medicaid funding growth, even though the program serves tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $42,549 | -59.9% |
| 2021 | $44,666 | 5% |
| 2022 | $155,866 | 249% |
| 2023 | $413,097 | 165% |
| 2024 | $536,165 | 29.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $536,165 | 71.6% |
| 2 | Medicine Services and Procedures | $109,174 | 14.6% |
| 3 | Alcohol and Drug Abuse Treatment | $102,678 | 13.7% |
| 4 | Evaluation and Management | $1,260 | 0.2% |
| 5 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $536,165 | 50 |
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.
