In 2024, Medicaid providers in Belding billed $444,036 for services within 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. That figure represented a 19.8% rise from 2023, when claims for this category amounted to $370,512.
Medicaid is a publicly administered health insurance system jointly funded by federal and state governments, designed to help low-income individuals and families, seniors, children, and people with disabilities. As such, it remains one of the largest segments of the U.S. health care infrastructure.
Changes in local billing totals reflect shifts in how taxpayer-funded public health dollars are distributed across a community.
The “National Codes Established for State Medicaid Agencies” category groups a specific set of Medicaid-billable services defined by the kind of care delivered through standardized HCPCS and CPT code classifications. Analysts assigned each distinct billing code to one overarching service group by code prefix and numeric range, supporting collective analysis while preventing duplicate results and helping maintain consistent rankings over the years.
Among all categories, National Codes Established for State Medicaid Agencies generated the highest total Medicaid payments in Belding for 2024.
Statewide in Michigan, this category ranked second in overall Medicaid payments for the same year.
During the five-year span ending in 2024, Belding recorded a $311,394 or 234.8% increase in Medicaid payments for this service category. Some years saw particularly strong growth, including 2023 and 2021.
Although spending was distributed throughout Belding, Medicaid payments in this category were heavily concentrated in a small number of ZIP codes. In 2024, ZIP code 48809 alone accounted for $444,035 in claims—representing 100% of Belding’s Medicaid funding for this group.
Within this grouping, just a few individual billing codes accounted for the bulk of Medicaid payments.
To compare, Medicaid payments in Belding tied to the National Codes Established for State Medicaid Agencies rose 19.8% between 2024 and 2023, while overall Medicaid claim categories in the city saw a 24.9% change over the same timeframe.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined reached approximately $871.7 billion in fiscal 2023. That made up about 18% of all national health expenditures and represented a sharp rise from an estimated $613.5 billion in 2019, prior to the COVID-19 pandemic.
The rise equates to roughly 40% growth in just a few years, primarily due to higher enrollment and more frequent use both during and in the aftermath of the pandemic.
Recent federal budget initiatives under the Trump administration included major proposals to decrease federal Medicaid funding and modify how the program operates. The “One Big Beautiful Bill Act,” which was enacted in 2025, is estimated to reduce federal Medicaid expenditures by more than $1 trillion over the next 10 years, with elements such as work requirements and greater cost-sharing expected to decrease some benefits and coverage. As a result, states are likely to bear more of the cost burden as federal support slows in growth, even with demand for Medicaid coverage continuing among millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $132,642 | -41.7% |
| 2021 | $176,592 | 33.1% |
| 2022 | $171,432 | -2.9% |
| 2023 | $370,511 | 116.1% |
| 2024 | $444,035 | 19.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $444,035 | 80.9% |
| 2 | Medicine Services and Procedures | $78,823 | 14.4% |
| 3 | Evaluation and Management | $13,891 | 2.5% |
| 4 | Dental Services | $7,030 | 1.3% |
| 5 | Vision Services | $4,975 | 0.9% |
| 6 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2033 | Res, nos waiver per diem | $251,542 | 9 |
| T1015 | Clinic service | $192,493 | 24 |
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.


