Shoreline Medicaid payments for National Codes Established category climb 12.7% in 2024

In 2024, Medicaid providers in Shoreline billed $3,110,794 for services under the National Codes Established for State Medicaid Agencies category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 12.7% rise from 2023, when claims for this service totaled $2,759,608.

Medicaid is a state-administered health insurance program funded by both federal and state governments. The program serves low-income individuals and families, seniors, children, and people living with disabilities, making it a major component of the U.S. health care system.

Since Medicaid is taxpayer-funded, changes in local billing provide insight into how public funds for health care are distributed in the community.

The “National Codes Established for State Medicaid Agencies” category covers a set of Medicaid-billed services identified by type of care, using specific HCPCS and CPT code groupings. For this report, each billing code was matched to one service group based on standardized prefixes and numeric ranges. This method kept similar services together by category and maintained accurate rankings over time.

Medicaid spending increased across multiple service categories, but National Codes Established for State Medicaid Agencies was the top-ranked category for Medicaid payments in Shoreline in 2024.

For the state of Washington, this category was also ranked first by total Medicaid payments in 2024.

In the five years leading up to 2024, Shoreline saw Medicaid payments for the National Codes Established for State Medicaid Agencies category grow by $1,629,676, a 110% increase. Notably, the growth rate accelerated during certain years, with substantial yearly gains seen in 2021 and 2023.

Although payments for National Codes Established for State Medicaid Agencies services were distributed throughout Shoreline, the majority were paid out in a few ZIP codes. In 2024, ZIP codes 98155 and 98133 saw the highest payments at $1,777,000 and $1,333,793, respectively, together making up 100% of the Medicaid payments for this category in the city that year.

Within this category, a small number of individual billing codes also accounted for most Medicaid payments.

Medicaid payments for the National Codes Established for State Medicaid Agencies category in Shoreline rose 12.7% between 2024 and 2023. By comparison, all other Medicaid claim categories in the city increased by 6.6% during the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023. This equaled roughly 18% of total national health spending and was up sharply from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This represents approximately 40% spending growth over several years, primarily due to expanded enrollment and increased usage during and after the pandemic.

Recent federal budget measures enacted during the Trump administration included major proposals to reduce federal Medicaid spending and alter the program’s structure. One example, the “One Big Beautiful Bill Act,” signed into law in 2025, is anticipated to slash over $1 trillion from federal Medicaid expenditures over 10 years. It also introduces requirements such as mandatory work provisions and higher cost-sharing, which could reduce funding and coverage for some recipients. These changes are expected to transfer more program costs to states and restrict federal Medicaid growth, even as the program continues to cover tens of millions nationwide.

Note: HCPCS codes are displayed for reference within the category. Overall category totals and rankings in this article reflect standard service groupings rather than separate billing codes.

Data for this article was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the full dataset here.