Shoshone Medicaid payments for state-established national codes rise to $268,990 in 2024

In 2024, Medicaid providers in Shoshone billed a total of $268,990 for services identified within the National Codes Established for State Medicaid Agencies category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount represents a 5.2% increase from 2023, when claims for this category totaled $255,724.

Medicaid is a state-operated health insurance program supported with funding from both federal and state governments. It covers low-income individuals and families, seniors, children, and individuals with disabilities, making it one of the largest components of the nation’s health care system.

Because public tax revenue funds Medicaid payments, fluctuations in local billing indicate how public health care money is distributed in a community.

The “National Codes Established for State Medicaid Agencies” category includes a set of Medicaid claims determined by the care type, organized through standardized HCPCS and CPT code groupings. As part of the analysis, each billing code was grouped into a single service category by consistent code prefixes and numeric ranges in order to study related services together while avoiding any double counting and keeping rankings accurate over time.

Total Medicaid payments for National Codes Established for State Medicaid Agencies led all service categories in Shoshone for 2024.

Statewide, National Codes Established for State Medicaid Agencies ranked as the second highest Medicaid payment category in Idaho in 2024.

Between 2019 and 2024, Medicaid payments in this category in Shoshone increased by $65,468, or 32.2%. This period saw periods of faster spending growth, especially showing notable gains in 2023 and 2022.

Although Medicaid spending related to National Codes Established for State Medicaid Agencies occurred throughout the city, the majority of funds were paid out within relatively few ZIP codes. In 2024, ZIP code 83352 was the primary location, accounting for $268,989. Collectively, the leading 1 ZIP code represented 100% of Shoshone’s Medicaid payments for this category during that year.

Within this group, a limited set of billing codes made up most Medicaid payments.

For comparison, the 5.2% rise in Medicaid payments linked to this category in Shoshone between 2024 and 2023 was just under the 5.6% overall growth for all Medicaid claim categories locally during the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures totaled about $871.7 billion for fiscal 2023. This accounted for roughly 18% of all national health spending and marked a significant increase from about $613.5 billion in 2019, before the COVID-19 pandemic.

That reflects a gain of approximately 40% in just several years, spurred largely by enrollment growth and increased utilization during and following the pandemic.

Federal budget changes during the Trump administration introduced major proposals to reduce Medicaid funds and alter the program. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is forecasted to reduce federal Medicaid support by over $1 trillion in the next decade and includes provisions for work requirements and increased cost sharing, potentially lowering coverage and funding for some recipients. These modifications are likely to shift greater financial responsibility to the states and limit the pace of federal Medicaid spending growth while the program continues serving tens of millions across the U.S.

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.