In 2024, Medicaid providers in Bellaire submitted $410,384 in claims for services under the National Codes Established for State Medicaid Agencies classification, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This figure was 862.8% higher than the $42,624 in claims reported for the same services in 2023.
Medicaid is a statewide public health insurance system funded cooperatively by federal and state governments. It provides coverage to individuals and families with limited income, along with seniors, children, and people with disabilities, making it a core component of the national health care system.
Since Medicaid dollars are publicly funded, shifts in local provider billing reflect how a community’s health care funds are distributed.
The “National Codes Established for State Medicaid Agencies” service group encompasses a set of Medicaid services identified according to provided care type under standardized HCPCS and CPT code groupings. For this reporting purpose, every billing code is allotted to one service category using code prefixes and numeric ranges, which keeps related services grouped together for comparisons, while avoiding repeat counts and maintaining precise rankings through the years.
National Codes Established for State Medicaid Agencies represented the fourth-largest Medicaid payment category in Bellaire in 2024, despite broad spending increases in other service classes.
At the statewide level, the category ranked second in Texas by total Medicaid payment the same year.
From 2019 through 2024, Medicaid spending tied to this category in Bellaire grew by $499,721, or 54.9%. Increases accelerated during specific intervals, with marked annual jumps noted in 2020 and 2021.
Payments for this group of services in 2024 were reported throughout the Bellaire community, but the bulk was localized in certain ZIP codes. Specifically, ZIP code 77401 accounted for $410,383 in Medicaid payments for services under this category, representing 100% of Bellaire’s total for the year.
A small array of billing codes captured most Medicaid payments within this category in Bellaire.
Comparatively, while Medicaid payments in Bellaire connected to this category climbed 862.8% between 2023 and 2024, the cumulative change across all Medicaid billing groups citywide in the same interval was 24%.
According to the Centers for Medicare & Medicaid Services, nationwide Medicaid spending by federal and state governments reached about $871.7 billion for fiscal year 2023, equating to 18% of all national health spending. This represented a sharp rise from roughly $613.5 billion in 2019, ahead of the COVID-19 pandemic.
That growth—nearly 40%—was mainly the result of expanded coverage and increased health care use during and following the pandemic years.
Major budget packages under the Trump administration have proposed notable changes to federal Medicaid funding. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid support by more than $1 trillion over the next decade and impose added eligibility and cost-sharing rules that may reduce coverage for some individuals. These provisions are anticipated to shift a greater share of Medicaid expenses to states and potentially slow federal funding growth, even as Medicaid continues to insure millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $910,104 | 79.7% |
| 2021 | $1,205,489 | 32.5% |
| 2022 | $1,109,697 | -7.9% |
| 2023 | $42,623 | -96.2% |
| 2024 | $410,383 | 862.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $986,221 | 34.1% |
| 2 | Orthotic Procedures and services | $543,561 | 18.8% |
| 3 | Medicine Services and Procedures | $500,873 | 17.3% |
| 4 | National Codes Established for State Medicaid Agencies | $410,383 | 14.2% |
| 5 | Dental Services | $206,043 | 7.1% |
| 6 | Drugs Administered Other than Oral Method | $95,724 | 3.3% |
| 7 | Temporary National Codes (Non-Medicare) | $88,057 | 3% |
| 8 | Pathology and Laboratory Procedures | $32,935 | 1.1% |
| 9 | Radiology Procedures | $23,702 | 0.8% |
| 10 | Surgery | $5,322 | 0.2% |
| 11 | Procedures / Professional Services | $1,301 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2046 | Hospice long term care, r&b | $404,684 | 9 |
| T2003 | N-et; encounter/trip | $5,699 | 2 |
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.




