Mount Carmel Medicaid payments for national codes group up 12.3% in 2024

In 2024, Medicaid providers in Mount Carmel billed $1,243,725 for services under 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 represents a 12.3% rise from the $1,107,730 in claims submitted for the same service group in 2023.

Medicaid, a state-administered health insurance program co-financed by federal and state governments, provides coverage to low-income people, seniors, children and individuals with disabilities. It is a significant component of the U.S. health care landscape, given its reach across these groups.

Since Medicaid funding comes from taxpayers, fluctuations in billing at the local level spotlight how public health spending is distributed within a community.

The “National Codes Established for State Medicaid Agencies” classification covers a range of Medicaid-billed services defined by care type, relying on consistent groupings of standardized HCPCS and CPT codes. For these statistics, each code was mapped to a service group using uniform code patterns and ranges, allowing for analysis of related services without double counting and ensuring accurate year-over-year rankings.

While several Medicaid service categories saw increased payments, the National Codes Established for State Medicaid Agencies led Mount Carmel in 2024 for total Medicaid expenditures.

This category also took the top spot in Illinois for total Medicaid payments in 2024.

Examined over the five years before 2024, payments in this category in Mount Carmel climbed by $636,333, or 104.8%. The trend included periods of accelerated growth, particularly in 2022 and 2023.

Most National Codes Established for State Medicaid Agencies spending remained concentrated in a select number of ZIP codes. During 2024, ZIP code 62863 reported Medicaid payments totaling $1,243,725, accounting for all Medicaid payments in this category within Mount Carmel for the year.

A small number of individual billing codes received the largest share of Medicaid payments under this category in 2024.

Comparing categories, Medicaid spending tied to the National Codes Established for State Medicaid Agencies in Mount Carmel rose 12.3% from 2023 to 2024. In contrast, Medicaid payments across all service categories in the city increased by 22.5% in the same period.

Centers for Medicare & Medicaid Services data shows that combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, making up approximately 18% of total U.S. health spending—a sharp rise from the $613.5 billion recorded in 2019, prior to the start of the COVID-19 pandemic.

This jump represents an increase of about 40% over several years, primarily due to greater enrollment and use of services during and after the pandemic era.

Recent federal budget laws during the Trump administration have introduced key measures to decrease federal Medicaid funding and adjust the program. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid funds by more than $1 trillion in the coming decade and includes work requirements and cost-sharing changes that may affect coverage and funding for certain groups. These adjustments are expected to transfer a larger share of costs to states and restrict future federal Medicaid growth, even while the program continues to serve tens of millions of Americans.

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.