Carrollton Medicaid spending on national codes for state agencies reaches $11.1 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Carrollton Medicaid providers recorded $11,113,488 in billed services under the National Codes Established for State Medicaid Agencies category for 2024, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 9.6% rise from 2023, when claims totaled $10,138,403 for these services.

Medicaid, administered by the states with joint federal and state funding, provides health coverage for low-income residents, seniors, children and individuals with disabilities, making it a vital part of the U.S. health care sector. More information on funding can be found at the Commonwealth Fund.

Changes in Medicaid payment amounts reflect how tax-funded health dollars are distributed within the community.

The National Codes Established for State Medicaid Agencies category compiles Medicaid-billed services grouped by care type and standardized using HCPCS and CPT coding. Each code in this analysis is assigned to one service category based on uniform prefixes and numeric groupings, which ensures related services are evaluated together without overlap and preserves annual rankings.

Although Medicaid spending increased in various categories, National Codes Established for State Medicaid Agencies held the No. 2 spot in Carrollton for 2024 by total payments.

Statewide in Texas, this category also ranked second by total Medicaid payments in 2024.

In the five years prior to 2024, Carrollton Medicaid payments within the National Codes Established for State Medicaid Agencies category climbed by $6,823,214, or 159%. Growth accelerated at certain times, with especially strong increases noted in both 2021 and 2022.

While payment distribution for these services was spread across the city, the majority of funds were paid in a few ZIP codes. In 2024, ZIP code 75007 accounted for $11,040,109 of the payments, while 75006 totaled $73,378. Together, these two ZIP codes made up 100% of Medicaid payment volume in the category for Carrollton that year.

Within this category, payments primarily concentrated on just a handful of billing codes.

When compared to all Medicaid claim categories in Carrollton, payments tied to National Codes Established for State Medicaid Agencies rose 9.6% from 2023 to 2024, outpacing the 0.1% change seen across all categories during the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion during fiscal year 2023, representing about 18% of total national health expenditures, which is a significant increase from $613.5 billion in 2019, before the COVID-19 pandemic.

This jump amounts to almost 40% growth in just a few years, driven largely by increased enrollment and higher utilization during and after the pandemic.

Recent federal budget measures under the Trump administration have included substantial proposals to reduce Medicaid funding and overhauled program structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion from federal Medicaid funding over the next decade. It also introduces work requirements and greater cost-sharing, which could affect coverage and funding for some recipients. These changes are likely to increase state financial responsibility and slow federal support growth, even as Medicaid continues to cover tens of millions nationwide.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Carrollton, Texas Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $4,290,273 2.8%
2021 $8,106,195 88.9%
2022 $10,365,732 27.9%
2023 $10,138,402 -2.2%
2024 $11,113,487 9.6%
Top Categories by Medicaid Payments in Carrollton, Texas, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary National Codes (Non-Medicare) $19,983,321 41.8%
2 National Codes Established for State Medicaid Agencies $11,113,487 23.2%
3 Enteral and Parenteral Therapy $8,697,496 18.2%
4 Medicine Services and Procedures $2,747,409 5.7%
5 Medical And Surgical Supplies $2,147,571 4.5%
6 Evaluation and Management $1,271,084 2.7%
7 Alcohol and Drug Abuse Treatment $662,942 1.4%
8 Dental Services $568,869 1.2%
9 Procedures / Professional Services $415,242 0.9%
10 Ambulance and Other Transport Services and Supplies $101,879 0.2%
11 Pathology and Laboratory Procedures $90,212 0.2%
12 Durable Medical Equipment $17,331 <0.1%
13 Vision Services $10,705 <0.1%
14 Radiology Procedures $1,087 <0.1%
15 Temporary Codes $164 <0.1%
16 Drugs Administered Other than Oral Method $73 <0.1%
17 Surgery $19 <0.1%
18 Pathology and Laboratory Services $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Carrollton, Texas, 2024

HCPCS Code Description Medicaid Payments Claims
T2046 Hospice long term care, r&b $5,053,704 44
T4534 Youth size pull-on $1,266,674 24
T4527 Adult size pull-on lg $796,621 16
T4526 Adult size pull-on med $746,940 22
T4528 Adult size pull-on xl $501,078 14
T1019 Personal care ser per 15 min $390,742 9
T4525 Adult size pull-on sm $362,172 18
T4530 Ped size brief/diaper lg $357,669 17
T4544 Adlt disp und/pull on abv xl $297,535 12
T4535 Disposable liner/shield/pad $266,403 20
T4532 Ped size pull-on lg $247,520 13
T1005 Respite care service 15 min $223,994 18
T4522 Adult size brief/diaper med $197,716 14
T4523 Adult size brief/diaper lg $124,462 12
T4524 Adult size brief/diaper xl $104,516 12
T4543 Adult disp brief/diap abv xl $58,104 12
T4521 Adult size brief/diaper sm $54,205 12
T2003 N-et; encounter/trip $41,527 7
T4533 Youth size brief/diaper $10,775 8
T1999 Noc retail items andsupplies $6,952 9

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.



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