In 2024, Medicaid providers in Pascagoula submitted $989,937 in claims for services within the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount marks a 2.4% rise compared with 2023, when the total was $966,891 for the same service category.
Medicaid is a state-administered health insurance program, funded jointly through federal and state dollars. The program provides coverage for low-income people, families, seniors, children, and individuals with disabilities, and is one of the largest components of the U.S. health care system.
As Medicaid uses public funds, shifts in local billing help illustrate how health care spending is distributed within a community.
The “National Codes Established for State Medicaid Agencies” grouping organizes Medicaid-billed services based on care type using specific HCPCS and CPT code sets. For this analysis, each billing code was assigned to one service category by code prefix and number range, enabling analysts to group related services, avoid duplicate counts, and track category totals consistently across years.
Although Medicaid spending increased in several categories, National Codes Established for State Medicaid Agencies was the sixth largest category in Pascagoula by total Medicaid payments for 2024.
Statewide in Mississippi, however, the National Codes Established for State Medicaid Agencies topped the list by total Medicaid payments in 2024.
In the five years before 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Pascagoula grew by $99,336, or 11.2%. Payment increases were especially notable in specific years, such as 2020 and 2022, when growth accelerated compared to other years.
Payments for care in the National Codes Established for State Medicaid Agencies grouping were distributed citywide, but spending was heavily concentrated within a few ZIP codes. In 2024, ZIP code 39567 accounted for $989,937, representing 100% of Pascagoula’s Medicaid payments in this service category for the year.
Within the National Codes Established for State Medicaid Agencies category, spending was focused among a small number of specific billing codes.
To compare, Medicaid payments for this category in Pascagoula increased by 2.4% between 2024 and 2023, while overall Medicaid claim categories in the city saw a 27.7% change over the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled around $871.7 billion in fiscal year 2023, making up roughly 18% of nationwide health expenditures—a notable jump from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This surge represents an increase of about 40% within a few years, primarily due to expanded enrollment and higher usage during and after the pandemic.
Recent federal budget laws under the Trump administration have included sizable proposals to decrease federal Medicaid spending and change how the program operates. The “One Big Beautiful Bill Act,” passed in 2025, is expected to cut more than $1 trillion from federal Medicaid funding in the next decade and add requirements like work rules and higher cost-sharing, which could reduce coverage and funding for some participants. These policy changes are projected to shift additional Medicaid costs to states and further limit growth in federal support, though the program still provides for tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $890,601 | 44.9% |
| 2021 | $931,026 | 4.5% |
| 2022 | $977,964 | 5% |
| 2023 | $966,891 | -1.1% |
| 2024 | $989,937 | 2.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $4,722,400 | 34.9% |
| 2 | Medicine Services and Procedures | $3,050,135 | 22.5% |
| 3 | Pathology and Laboratory Procedures | $1,788,972 | 13.2% |
| 4 | Radiology Procedures | $1,121,317 | 8.3% |
| 5 | Dental Services | $1,048,051 | 7.7% |
| 6 | National Codes Established for State Medicaid Agencies | $989,937 | 7.3% |
| 7 | Procedures / Professional Services | $536,165 | 4% |
| 8 | Surgery | $97,170 | 0.7% |
| 9 | Anesthesia | $89,850 | 0.7% |
| 10 | Drugs Administered Other than Oral Method | $43,990 | 0.3% |
| 11 | Vision Services | $28,873 | 0.2% |
| 12 | Durable Medical Equipment | $18,287 | 0.1% |
| 13 | Medical And Surgical Supplies | $13,708 | 0.1% |
| 14 | Temporary Codes | $416 | <0.1% |
| 15 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $299 | <0.1% |
| 16 | Administrative, Miscellaneous and Investigational | $230 | <0.1% |
| 17 | Outpatient PPS | $1 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1025 | Ped compr care pkg, per diem | $929,568 | 12 |
| T2002 | N-et; per diem | $43,027 | 8 |
| T1026 | Ped compr care pkg, per hour | $17,342 | 2 |
Note: HCPCS codes are presented only for context within the service category. All category totals and rankings cited in this story use groupings of standardized services rather than individual billing codes.
All data in this story come from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source data is available here.
