Smithfield Medicaid payments for national state agency codes total $3.96 million in 2024

In 2024, Medicaid providers in Smithfield submitted $3,956,480 in claims 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 was a 5.5% increase from 2023, when billings for the same service reached $3,751,164.

Medicaid, jointly funded by both state and federal governments, provides public health insurance for low-income families and individuals, seniors, children, and people with disabilities, establishing itself as a critical pillar in the U.S. health care system. For more information, visit the Commonwealth Fund.

Since Medicaid is taxpayer-funded, shifts in local billing provide insight into how public health care funding is deployed across communities.

The “National Codes Established for State Medicaid Agencies” category encompasses a defined selection of Medicaid services based on standardized HCPCS and CPT groupings. For this analysis, each code was categorized through matching prefixes and number ranges, grouping similar services together, minimizing double counting, and keeping service rankings accurate over time.

While Medicaid costs rose in multiple categories, the National Codes Established for State Medicaid Agencies category represented the largest share of Medicaid payments in Smithfield in 2024.

At the statewide level, this service category also recorded the highest total Medicaid payments in Virginia for 2024.

Between 2019 and 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies services in Smithfield climbed by $3,034,033—an increase of 328.9%. Particularly notable year-over-year growth occurred in 2022 and 2023.

Although spending for these services appeared throughout Smithfield, nearly all payments concentrated in select ZIP codes. ZIP code 23430 accounted for $3,956,479 in 2024, representing 100% of reported payments in the city for this category.

A small group of billing codes within the National Codes Established for State Medicaid Agencies category made up the bulk of Medicaid payments in Smithfield.

By comparison, Medicaid payments for this category in Smithfield increased 5.5% from 2023 to 2024, versus a wider 12% change across all Medicaid claim types in the city during the same time frame.

The Centers for Medicare & Medicaid Services reports that total federal and state Medicaid expenditures reached about $871.7 billion in fiscal 2023, roughly 18% of U.S. national health spending. This is up from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This marks an approximate 40% growth over several years, mainly due to increased enrollment and greater service utilization since the pandemic.

Recent updates to federal budget policy during the Trump administration include plans for significant cuts and changes to Medicaid. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to decrease federal Medicaid funding by over $1 trillion over ten years and will introduce changes such as work requirements and higher cost-sharing, which could impact both coverage and funding for some participants. These adjustments are expected to transfer more financial responsibility to states while restraining federal Medicaid funding growth, even as the program serves millions nationally.

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.