Burley Medicaid spending under National Codes Established for State Medicaid Agencies up 19% in 2024

In 2024, Medicaid providers in Burley submitted $1,710,671 in claims for services categorized under National Codes Established for State Medicaid Agencies, based on records from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 19% jump over 2023, during which providers billed $1,437,365 for these services.

Medicaid is a public health insurance program administered at the state level and financed jointly by state and federal governments. It covers low-income people and families, older adults, children, and individuals with disabilities, making it one of the nation’s largest healthcare programs.

Since public funding supports Medicaid, shifts in local billing amounts show how taxpayer-funded health care resources are distributed in a given area.

The “National Codes Established for State Medicaid Agencies” category comprises a set of Medicaid services defined by the care provided, following standard HCPCS and CPT code groupings. For the purposes of this report, each code was grouped into a single service category using uniform code prefixes and numbers. This methodology ensures related services are evaluated together while preventing overlap and supporting accurate rankings over different years.

In Burley, National Codes Established for State Medicaid Agencies was the top-ranked service category by Medicaid payment total in 2024.

Across Idaho, this category had the second-highest total Medicaid payments during 2024.

From 2020 to 2024, Medicaid claims tied to the National Codes Established for State Medicaid Agencies category in Burley rose by $498,420, or 41.1%. There were periods of accelerated growth, including significant increases in 2020 and 2023.

While funds supporting this category were distributed throughout Burley, most Medicaid spending was linked to a small set of ZIP codes. In 2024, ZIP code 83318 accounted for $1,710,670 in payments. That single ZIP code contributed 100% of Medicaid spending for the category within Burley during the year.

Spending within the National Codes Established for State Medicaid Agencies category was also concentrated by billing code, with a few codes accounting for much of the payments.

Looking at category comparisons, Medicaid claims tied to the National Codes Established for State Medicaid Agencies in Burley rose by 19% between 2024 and 2023—a higher rate than the city’s overall Medicaid claim increase of 8.3% during that period.

Centers for Medicare & Medicaid Services data indicates that combined federal and state Medicaid expenditures reached roughly $871.7 billion in fiscal year 2023, about 18% of all U.S. health spending. This climbed markedly from an estimated $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This surge marks an increase of about 40% over several years, primarily due to greater enrollment and increased use of benefits during and following the pandemic period.

Recent federal budget measures under the Trump administration proposed major reductions in federal Medicaid funding and program restructuring. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion from federal Medicaid spending during the next decade and introduces provisions such as work mandates and additional cost sharing, likely decreasing coverage and funding for certain recipients. As a result, states may take on a larger share of costs, and future gains in federal Medicaid backing could slow even as the program continues to cover tens of millions.

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.