Medicaid payments for National Codes Established for State Medicaid Agencies reach $3,753,266 in Chamberlain for 2024

Chamberlain health care providers billed $3,753,266 to Medicaid for services under the National Codes Established for State Medicaid Agencies classification in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That represented a 6.9% rise from 2023, when claims for this service group totaled $3,511,414.

Medicaid operates as a state-run, federally and state-funded public insurance program. Funding comes from both levels of government, and Medicaid covers low-income people and families, the elderly, children, and those with disabilities, making it a significant component of the nation’s health care infrastructure.

Because taxpayer money funds Medicaid, changes in local billing patterns indicate how community health care resources are spent.

The “National Codes Established for State Medicaid Agencies” classification includes a range of services defined by the specific care type, using standard HCPCS and CPT coding frameworks. In this review, each billing code was placed in a single service category using stable code prefixes and number groups to analyze related services together and maintain accuracy in trends and rankings.

Among all Medicaid service categories, National Codes Established for State Medicaid Agencies registered the highest overall Medicaid spending in Chamberlain for 2024.

Across South Dakota, this category also ranked first in total payments statewide in 2024.

Between 2019 and 2024, Chamberlain’s Medicaid payments for this service category grew by $1,911,151, or 103.7%. Particularly strong year-over-year growth occurred in both 2021 and 2023.

While expenditures in this category were spread throughout Chamberlain, most Medicaid payments were concentrated within a small number of ZIP codes. In 2024, ZIP code 57325 alone represented $3,753,266 in Medicaid payments, making up 100% of the city’s Medicaid billings for the category during the year.

Total Medicaid payments for the National Codes Established for State Medicaid Agencies services were further focused within a few billing codes.

Looking at the year-over-year period, Chamberlain’s Medicaid payments for this group climbed 6.9% from 2023 to 2024, while overall Medicaid spending for all categories in the city registered a 5.9% increase during the same time frame.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures together reached approximately $871.7 billion for fiscal year 2023, making up about 18% of U.S. health care costs, which is a substantial increase from the $613.5 billion mark in 2019, prior to the COVID-19 pandemic.

This uptick reflects growth of about 40% over several years, fueled mainly by increased enrollment and greater use of services during and following the pandemic period.

Recent federal legislation from the Trump administration included proposals to cut back on federal Medicaid funding and to restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid expenditures by over $1 trillion over the next 10 years, with new policies such as work rules and higher cost sharing that could limit coverage or funding for some Medicaid participants. These changes may result in more state-level costs and cap growth in federal contributions, even as Medicaid continues serving 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.