In 2024, Marysville Medicaid providers billed $838,022 for services under the National Codes Established for State Medicaid Agencies according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 220.7% increase from 2023, when claims for these services totaled $261,315.
Medicaid, operated by individual states and funded jointly by federal and state sources, covers low-income residents, children, seniors, and individuals with disabilities, making it a major component of the nation’s health care landscape.
Medicaid payment shifts, funded by taxpayers, offer insight into how public health resources are distributed locally.
The “National Codes Established for State Medicaid Agencies” grouping includes services billed by Medicaid providers defined by specific care types, organized under standardized HCPCS and CPT code ranges. In this report, each billing code was placed in a single service group by consistent code ranges, facilitating aggregate analysis, preventing duplication, and maintaining accurate period-to-period comparisons.
Despite rising Medicaid expenditures across several service categories, National Codes Established for State Medicaid Agencies finished 2024 as Marysville’s third-ranked category for Medicaid payments by total amount.
Statewide in Ohio, National Codes Established for State Medicaid Agencies led all service categories for Medicaid payments in 2024.
For the five-year span leading up to 2024, Marysville’s Medicaid payments in this category grew by $379,647, or 82.8%. The rate of increase accelerated in specific years, notably with substantial annual growth observed in 2020 and 2022.
Spending in the category, while spread throughout Marysville, was concentrated within a couple of ZIP codes. In 2024, ZIP code 43040 recorded $838,021 in payments, making up 100% of the city’s Medicaid payments attributed to this category for the year.
Within this service group, paid Medicaid claims were centered on a select few billing codes.
Comparing annual growth, Marysville’s Medicaid payments for this category surged 220.7% from 2023 to 2024, in contrast to an overall 2.4% change seen across all Medicaid claim types in the city during that span.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled roughly $871.7 billion for fiscal 2023 — around 18% of U.S. health spending — up from $613.5 billion in 2019 before the COVID-19 outbreak.
This signifies an approximate 40% rise over several years, primarily attributed to greater enrollment numbers and increased utilization during and after the pandemic era.
Recent federal budget laws during the Trump administration have brought major proposals for federal Medicaid funding reductions and restructuring. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over 10 years and introduces measures such as work requirements and enhanced cost-sharing, potentially cutting coverage and funding for certain beneficiaries. States are anticipated to face increased cost responsibilities and find federal funding growth restricted, even as Medicaid remains vital for millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $458,374 | 241.2% |
| 2021 | $409,063 | -10.8% |
| 2022 | $524,957 | 28.3% |
| 2023 | $261,314 | -50.2% |
| 2024 | $838,021 | 220.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $1,494,556 | 31.6% |
| 2 | Medicine Services and Procedures | $1,167,090 | 24.7% |
| 3 | National Codes Established for State Medicaid Agencies | $838,021 | 17.7% |
| 4 | Radiology Procedures | $394,038 | 8.3% |
| 5 | Pathology and Laboratory Procedures | $244,266 | 5.2% |
| 6 | Dental Services | $161,749 | 3.4% |
| 7 | Surgery | $129,387 | 2.7% |
| 8 | Durable Medical Equipment | $78,369 | 1.7% |
| 9 | Ambulance and Other Transport Services and Supplies | $74,932 | 1.6% |
| 10 | Procedures / Professional Services | $65,180 | 1.4% |
| 11 | Alcohol and Drug Abuse Treatment | $53,755 | 1.1% |
| 12 | Vision Services | $14,474 | 0.3% |
| 13 | Medical And Surgical Supplies | $6,193 | 0.1% |
| 14 | Drugs Administered Other than Oral Method | $5,031 | 0.1% |
| 15 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $4,294 | 0.1% |
| 16 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 16 | Temporary Codes | $0 | <0.1% |
| 16 | Temporary National Codes (Non-Medicare) | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2031 | Assist living waiver/diem | $776,268 | 11 |
| T1015 | Clinic service | $61,753 | 23 |
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.
This piece uses data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the original source here.


