Manteo sees $86,734 in Medicaid payments linked to state agency national codes for 2024

Providers in Manteo billed $86,734 to Medicaid for services categorized under the National Codes Established for State Medicaid Agencies in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented a 1180% jump compared to 2023, when $6,776 in claims were filed for the same category.

Medicaid, a public health insurance program overseen by states and jointly financed by federal and state governments, covers low-income families and individuals, seniors, children, and people with disabilities. It is among the largest components of the U.S. health care system.

Because Medicaid relies on taxpayer funding, changes in local billing illustrate how public health dollars are distributed within a community.

The “National Codes Established for State Medicaid Agencies” category encompasses services defined by the type of care provided, grouped according to standardized HCPCS and CPT code designations. For this analysis, each billing code was assigned to a single service group using matching code prefixes and number ranges, making it possible to review related services together while preventing duplication and maintaining accurate historical rankings.

Although Medicaid spending grew in several service categories, National Codes Established for State Medicaid Agencies had the highest total Medicaid payments in Manteo for 2024.

Across North Carolina in 2024, the National Codes Established for State Medicaid Agencies category also led statewide by total payments.

Between 2019 and 2024, Medicaid payments tied to the National Codes Established for State Medicaid Agencies category in Manteo rose by $86,734, representing a 0% increase. Certain periods exhibited faster growth, with significant annual increases noted in 2023 and 2022.

While spending on this category of care was distributed throughout the city, payments were primarily concentrated in a few ZIP codes. In 2024, ZIP code 27954 accounted for all Medicaid spending linked to the National Codes Established for State Medicaid Agencies category, totaling $86,734. The top ZIP code made up 100% of the Medicaid payments for this category in Manteo that year.

Medicaid payments in this category were also focused among a small set of individual billing codes.

For reference, while payments for the National Codes Established for State Medicaid Agencies category in Manteo jumped 1180% from 2023 to 2024, all Medicaid claim categories in the city saw a 334.8% increase during the same timeframe.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined totaled about $871.7 billion for fiscal year 2023, which was approximately 18% of total national health expenditures and a sharp rise from $613.5 billion in 2019, before the COVID-19 pandemic.

This figure reflects nearly 40% growth in just a few years, spurred by increases in enrollment and use during and following the pandemic period.

Recent legislation at the federal level during the Trump administration introduced substantial proposals to reduce federal Medicaid funding and alter the structure of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion in federal Medicaid spending over a decade. The law also adds work requirements and higher cost-sharing, which could impact coverage and funding for some recipients. These changes are likely to shift more costs to states and restrain the growth of federal Medicaid funding, even though the program continues to cover tens of millions of Americans.

Note: HCPCS codes are provided for context within the category. The totals and rankings in this article are determined by standardized service groupings and not individual billing codes.

This article uses information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source data is available here.