Providers in Huron billed $21,333,562 in Medicaid for services categorized under National Codes Established for State Medicaid Agencies in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflects a 12.7% increase compared with 2023, when claims for the same category reached $18,925,322.
Medicaid, a joint federal and state health insurance program, covers low-income populations, seniors, children, and people with disabilities, making it one of the main components of the U.S. health care system. The program is funded by both state and federal governments.
Because Medicaid is financed by taxpayers, fluctuations in local billing volumes indicate how public health care funds are distributed in a specific community.
The “National Codes Established for State Medicaid Agencies” group includes certain Medicaid services identified by standardized HCPCS and CPT code groupings. In compiling this analysis, each billing code was assigned to a single service category using consistent code prefixes and numeric groupings to ensure related services were aggregated, avoiding overlap and allowing for accurate ranking comparisons over time.
While Medicaid expenditures have increased for various service categories, National Codes Established for State Medicaid Agencies led all categories in Huron by total Medicaid payments during 2024.
Statewide in South Dakota, National Codes Established for State Medicaid Agencies also ranked first for total Medicaid payments in 2024.
Over the five years ending in 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Huron rose by $11,173,930—or 110%. Some years posted significant gains, particularly in 2021 and 2023.
Though spending in this category was distributed throughout Huron, payments were highly concentrated within certain ZIP codes. In 2024, ZIP code 57350 accounted for $21,333,562 in Medicaid payments linked to this category, making up 100% of such payments in the city that year.
Within the National Codes Established for State Medicaid Agencies grouping, most Medicaid payments focused on a relatively small set of individual billing codes.
For reference, Medicaid payments in this category rose by 12.7% between 2024 and 2023 in Huron, whereas the overall increase across all Medicaid claim categories in the city was 13.4% for the same time frame.
According to the Centers for Medicare & Medicaid Services, federal and state spending for Medicaid reached about $871.7 billion in fiscal year 2023, representing approximately 18% of total U.S. health expenditures. This is a sharp jump from around $613.5 billion in 2019, before the COVID-19 pandemic began.
This growth amounts to an increase of about 40% in a few years, largely due to expanded enrollment and greater service usage during and following the pandemic period.
Recent federal budget legislation under the Trump administration has featured several proposals aimed at reducing federal Medicaid funding and restructuring the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the coming decade and introduces policies such as work requirements and increased cost-sharing, potentially decreasing coverage and funding for some enrollees. These revisions may shift more financial responsibility to the states and restrain the growth of federal Medicaid funding, though the program continues to serve tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $10,159,631 | -33.8% |
| 2021 | $16,079,533 | 58.3% |
| 2022 | $16,208,873 | 0.8% |
| 2023 | $18,925,321 | 16.8% |
| 2024 | $21,333,562 | 12.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $21,333,562 | 76.8% |
| 2 | Alcohol and Drug Abuse Treatment | $3,174,281 | 11.4% |
| 3 | Evaluation and Management | $1,271,641 | 4.6% |
| 4 | Medicine Services and Procedures | $1,223,744 | 4.4% |
| 5 | Dental Services | $173,019 | 0.6% |
| 6 | Temporary National Codes (Non-Medicare) | $165,153 | 0.6% |
| 7 | Vision Services | $133,208 | 0.5% |
| 8 | Ambulance and Other Transport Services and Supplies | $119,545 | 0.4% |
| 9 | Pathology and Laboratory Procedures | $111,902 | 0.4% |
| 10 | Radiology Procedures | $17,281 | 0.1% |
| 11 | Surgery | $15,205 | 0.1% |
| 12 | Administrative, Miscellaneous and Investigational | $14,968 | 0.1% |
| 13 | Durable Medical Equipment | $12,960 | <0.1% |
| 14 | Temporary Codes | $3,842 | <0.1% |
| 15 | Procedures / Professional Services | $3,450 | <0.1% |
| 16 | Medical And Surgical Supplies | $922 | <0.1% |
| 17 | Hearing Services | $291 | <0.1% |
| 18 | Drugs Administered Other than Oral Method | $179 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2016 | Habil res waiver per diem | $9,518,993 | 11 |
| T2048 | Bh ltc res r&b, per diem | $6,628,213 | 11 |
| T2020 | Day habil waiver per diem | $1,892,161 | 11 |
| T2025 | Waiver service, nos | $1,558,346 | 11 |
| T2031 | Assist living waiver/diem | $658,513 | 11 |
| T1000 | Private duty/independent nsg | $401,838 | 12 |
| T1019 | Personal care ser per 15 min | $229,919 | 12 |
| T2017 | Habil res waiver 15 min | $148,847 | 11 |
| T1020 | Personal care ser per diem | $137,563 | 11 |
| T1016 | Case management | $84,311 | 12 |
| T2019 | Habil sup empl waiver 15min | $74,852 | 11 |
Note: HCPCS codes are provided for informational context within the category. The totals and rankings referenced in this story are based on standardized service groups instead of single 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.
