In 2024, Medicaid providers in Kodiak billed $575,933 for services categorized under National Codes Established for State Medicaid Agencies, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects an 18.8% increase from 2023, when claims for the same service category reached $484,976.
Medicaid is a public health insurance initiative administered by states and jointly funded by federal and state governments. The program covers low-income individuals and families, seniors, children, and people with disabilities, making it a significant portion of the U.S. health care framework.
Since Medicaid is taxpayer-funded, shifts in local billing data illustrate how public health care dollars are distributed within a community.
The “National Codes Established for State Medicaid Agencies” service category includes a set of Medicaid-billed services grouped by the care provided, using standardized HCPCS and CPT code classifications. For this report, each billing code was assigned to only one service group through consistent code prefixes and number ranges, ensuring related services are assessed together while avoiding duplicated counts and maintaining accurate rankings over time.
Despite increases in Medicaid payments across multiple service categories, National Codes Established for State Medicaid Agencies placed third in Kodiak by total Medicaid dollars paid in 2024.
Statewide in Alaska, National Codes Established for State Medicaid Agencies held the top position for total Medicaid payments in 2024.
Over the five years before 2024, Medicaid expenditures linked to National Codes Established for State Medicaid Agencies rose by $70,852, or 14%, in Kodiak. Payment growth intensified during some periods, with large year-over-year increases in 2023 and 2022.
Although these services were billed throughout Kodiak, most Medicaid payments tied to National Codes Established for State Medicaid Agencies were concentrated within a small number of ZIP codes. In 2024, ZIP code 99615 accounted for $575,932 of this category, representing 100% of all Medicaid payments in Kodiak for these services that year.
Within this category, Medicaid payments were further focused in a select group of individual billing codes.
In comparison, Medicaid spending related to National Codes Established for State Medicaid Agencies in Kodiak climbed 18.8% from 2023 to 2024, compared with a 2.1% overall increase across all Medicaid claim categories in the city during the same timeframe.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid outlays reached roughly $871.7 billion for fiscal year 2023, accounting for about 18% of total U.S. health expenditures. That marks a sharp rise from nearly $613.5 billion in 2019, prior to the COVID-19 pandemic.
This jump signifies growth of about 40% in a short period, largely attributed to greater enrollment and increased service use during and following the pandemic years.
Recent federal budget measures under the Trump administration have brought significant proposals to decrease federal Medicaid funding and restructure its operations. For example, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and introduce policies such as work requirements and higher cost-sharing, which could decrease coverage and funding for select recipients. These shifts are anticipated to transfer greater financial responsibility to states and restrict growth in federal support, even as Medicaid continues to cover tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $505,080 | -32.7% |
| 2021 | $471,871 | -6.6% |
| 2022 | $478,176 | 1.3% |
| 2023 | $484,975 | 1.4% |
| 2024 | $575,932 | 18.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $3,334,512 | 56.6% |
| 2 | Medicine Services and Procedures | $1,352,278 | 23% |
| 3 | National Codes Established for State Medicaid Agencies | $575,932 | 9.8% |
| 4 | Dental Services | $398,838 | 6.8% |
| 5 | Radiology Procedures | $86,287 | 1.5% |
| 6 | Alcohol and Drug Abuse Treatment | $69,304 | 1.2% |
| 7 | Pathology and Laboratory Procedures | $31,402 | 0.5% |
| 8 | Procedures / Professional Services | $18,149 | 0.3% |
| 9 | Ambulance and Other Transport Services and Supplies | $15,969 | 0.3% |
| 10 | Drugs Administered Other than Oral Method | $4,455 | 0.1% |
| 11 | Temporary Codes | $2,785 | <0.1% |
| 12 | Surgery | $20 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2021 | Day habil waiver per 15 min | $492,532 | 12 |
| T1016 | Case management | $64,355 | 9 |
| T2023 | Targeted case mgmt per month | $19,044 | 3 |
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.
