Medicaid payments for National Codes Established for State Medicaid Agencies in Checotah reach $333,446 in 2024

In 2024, Checotah’s Medicaid providers billed $333,446 for services in the National Codes Established for State Medicaid Agencies category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure shows a 0.3% increase over 2023, when $332,497 in claims were made for the same service group.

Medicaid, administered by individual states and funded in partnership by federal and state governments, provides insurance coverage for low-income families and individuals, seniors, children, and people living with disabilities, making it a major component of the U.S. health system.

Since Medicaid is financed by taxpayers, shifts in local billing highlight changes in how public health funds are spent within the community.

The “National Codes Established for State Medicaid Agencies” classification covers a selection of Medicaid services identified by specific code groupings such as HCPCS and CPT codes. For this analysis, each billing code was matched to a single service category using systematic code prefixes and ranges. This method allows related services to be grouped, avoids duplicate counting, and maintains consistent rankings over time.

Even as Medicaid spending rose in several service categories, the National Codes Established for State Medicaid Agencies category held the third spot in Checotah for overall Medicaid payments in 2024.

At the state level, the National Codes Established for State Medicaid Agencies service category was the second largest by Medicaid payments in Oklahoma in 2024.

Looking at the five-year span ending in 2024, Checotah experienced a $67,323 increase in Medicaid payments within the National Codes Established for State Medicaid Agencies category—a 25.3% rise. Some of the highest annual increases were seen in 2020 and 2022.

Spending for the National Codes Established for State Medicaid Agencies category was reported citywide, but most Medicaid dollars were focused in a few ZIP codes. In 2024, ZIP code 74426 accounted for $333,446 in payments, representing 100% of Medicaid spending for this category in Checotah for that year.

Within this category, Medicaid disbursements were concentrated among a small set of billing codes.

For context, payments in the National Codes Established for State Medicaid Agencies category in Checotah grew 0.3% between 2024 and 2023, whereas overall Medicaid claims in the city rose 20.3% during the same period.

According to the Centers for Medicare & Medicaid Services, total state and federal Medicaid spending was about $871.7 billion in fiscal 2023, making up roughly 18% of the nation’s health expenditures and significantly up from about $613.5 billion in 2019, before the COVID-19 pandemic.

This increase reflects approximately 40% growth over several years, mostly driven by greater enrollment and utilization during and after the pandemic.

Recent federal budget measures under the Trump administration have brought major proposals to scale back federal Medicaid funding and alter its structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and introduces changes such as work requirements and higher cost-sharing for some beneficiaries. These changes could lead to reduced coverage and funding, shift more costs to states, and slow federal program growth, while Medicaid still serves tens of millions nationwide.

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.