Jerome Medicaid providers bill $812,996 in National Codes Established for State Medicaid Agencies services for 2024

In 2024, Jerome Medicaid providers billed $812,996 for services designated 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 amount marked a 1.4% increase from 2023, when claims for this service type totaled $802,148.

Medicaid is a state-administered public health insurance initiative that receives funding from both federal and state governments. It covers many groups, including low-income individuals, families, children, seniors and people with disabilities, representing a major portion of the nation’s health care system. More details are available from the Commonwealth Fund.

Since Medicaid is taxpayer funded, changes in local billing trends help show how public health care resources are distributed throughout the community.

The National Codes Established for State Medicaid Agencies classification represents a collection of Medicaid-service types defined by care provided, organized through standardized HCPCS and CPT code groupings. In this report, each code was placed into a single service category by code prefix and numeric range, so that related care types could be aggregated effectively while preventing duplicate counting and maintaining consistent ranking comparisons over time.

Multiple Medicaid service groupings saw higher spending, with the National Codes Established for State Medicaid Agencies category leading Jerome by total Medicaid payments for 2024.

Across Idaho, this category ranked second statewide for total Medicaid payments for the same year.

Over the five years ending in 2024, Medicaid payments linked to the National Codes Established for State Medicaid Agencies category in Jerome climbed by $25,608, or 3.3%, with notable upticks occurring in 2020 and 2022.

Although overall spending for these services appeared throughout the city, most payments were focused in a confined number of ZIP codes. In 2024, ZIP code 83338 alone accrued $812,996 in Medicaid payments for this category, accounting for 100% of the city’s total for that year.

Within this service category, the largest share of Medicaid payments was attributed to a select few individual billing codes.

Jerome’s Medicaid payments in this category increased by 1.4% from 2023 to 2024, compared with a 1.7% change observed across all Medicaid claim categories locally over that period.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenditures reached about $871.7 billion for fiscal year 2023, about 18% of all national health spending. This compares to $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This reflects an increase of approximately 40% in just a few years, a trend largely attributed to growth in enrollment and care utilization during and after the pandemic.

Recent federal budget actions during the Trump administration included major proposals to cut federal Medicaid funding and restructure aspects of the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid outlays by more than $1 trillion in the next decade, including policy changes such as implementing work requirements and higher cost-sharing. These adjustments are likely to shift more costs to states and may curtail federal Medicaid growth, affecting coverage and funding for some beneficiaries, while the program continues to support tens of 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.