In 2024, Medicaid providers in Blue Ash billed $27,772,457 for services classified under the National Codes Established for State Medicaid Agencies, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 69.8% increase over 2023, when the total was $16,353,320 for the same category.
Medicaid, a public insurance program funded jointly by the federal and state governments and operated by states, provides coverage to low-income people, seniors, children, and individuals with disabilities. It is a core part of the nation’s health care system.
Because taxpayer funds support Medicaid, changes in local billing indicate how public health care dollars are utilized within communities.
The “National Codes Established for State Medicaid Agencies” category includes a group of Medicaid-billed services determined by type of care, using consistent code prefixes and numeric ranges based on HCPCS and CPT groupings. This process avoids double counting and maintains accurate historical rankings by assigning each billing code to a single service category for analysis.
The National Codes Established for State Medicaid Agencies category led all service categories in Blue Ash by total Medicaid payments in 2024, outpacing others locally.
Statewide, this same category also ranked first in total Medicaid payments in Ohio during 2024.
Between 2019 and 2024, Medicaid payments linked to National Codes Established for State Medicaid Agencies in Blue Ash rose by $15,291,441, or 122.5%. Notably, growth accelerated in selected periods, with year-over-year spikes in 2020 and 2022.
Although Medicaid spending under this category spanned the city, the majority of payments were concentrated among a small number of ZIP codes. In 2024, ZIP code 45242 accounted for $25,891,408, and 45241 for $1,881,048, making up 100% of payments in this service category in Blue Ash for the year.
Most Medicaid payments within the National Codes Established for State Medicaid Agencies category were tied to a limited selection of billing codes.
For context, Blue Ash’s Medicaid payments in this category climbed 69.8% between 2024 and 2023, compared to a 41.7% change across all Medicaid claim types citywide during that same timeframe.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, covering nearly 18% of total U.S. health expenditures, a sharp increase from approximately $613.5 billion in 2019 before the COVID-19 pandemic.
This surge, reflecting roughly 40% growth within several years, was largely driven by rising enrollment and increased utilization during and after the pandemic period.
Recent federal budget acts from the Trump administration have introduced notable reductions in federal Medicaid funding. The “One Big Beautiful Bill Act,” signed in 2025, is expected to cut more than $1 trillion from Medicaid spending over the next decade. It also adds requirements such as work mandates and higher out-of-pocket costs that could decrease coverage and shift funding responsibilities to states, potentially affecting millions currently served by the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $12,481,016 | 29.6% |
| 2021 | $13,488,105 | 8.1% |
| 2022 | $15,245,185 | 13% |
| 2023 | $16,353,319 | 7.3% |
| 2024 | $27,772,456 | 69.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $27,772,456 | 79.4% |
| 2 | Medicine Services and Procedures | $3,360,539 | 9.6% |
| 3 | Durable Medical Equipment | $1,237,594 | 3.5% |
| 4 | Alcohol and Drug Abuse Treatment | $830,826 | 2.4% |
| 5 | Medical And Surgical Supplies | $628,374 | 1.8% |
| 6 | Radiology Procedures | $526,997 | 1.5% |
| 7 | Surgery | $214,349 | 0.6% |
| 8 | Evaluation and Management | $171,782 | 0.5% |
| 9 | Ambulance and Other Transport Services and Supplies | $98,786 | 0.3% |
| 10 | Temporary National Codes (Non-Medicare) | $91,840 | 0.3% |
| 11 | Drugs Administered Other than Oral Method | $35,912 | 0.1% |
| 12 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $15,642 | <0.1% |
| 13 | Procedures / Professional Services | $8,411 | <0.1% |
| 14 | Dental Services | $1,977 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1000 | Private duty/independent nsg | $18,820,659 | 23 |
| T1019 | Personal care ser per 15 min | $8,874,424 | 32 |
| T1003 | Lpn/lvn services up to 15min | $33,563 | 6 |
| T4534 | Youth size pull-on | $20,784 | 11 |
| T1001 | Nursing assessment/evaluatn | $13,038 | 9 |
| T4541 | Large disposable underpad | $8,603 | 11 |
| T1002 | Rn services up to 15 minutes | $1,382 | 1 |
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.
