Providers in Titusville billed $2,206,351 to Medicaid for services under the National Codes Established for State Medicaid Agencies classification during 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. That represents a 2% uptick over 2023, when $2,162,547 in claims were submitted for the comparable category of services.
Medicaid is a state-run public health insurance program that receives joint funding from federal and state governments. It serves low-income populations, including individuals and families, seniors, children, and people with disabilities, and makes up a significant component of the U.S. health care system. More information on Medicaid funding is available at the Commonwealth Fund.
Because Medicaid dollars represent taxpayer resources, local billing trends provide insight into how communities allocate public health care funding.
The “National Codes Established for State Medicaid Agencies” designation comprises a set of Medicaid-billed services grouped by care type, based on standardized HCPCS and CPT coding. For this review, each relevant billing code was classified under a unique service grouping by using consistent code ranges and prefixes, with the approach intended to assess related care together discreetly and rank trends while avoiding double counting.
Medicaid spending rose in multiple service segments, and by total payments, National Codes Established for State Medicaid Agencies was the leading category in Titusville for 2024.
Statewide in Florida, this service area ranked second overall for Medicaid payments in 2024.
Looking at a five-year trend, Medicaid claims tied to this category in Titusville saw an increase of $1,107,416, marking a 100.8% gain. Periods including 2023 and 2020 featured particularly strong year-over-year growth.
Within the city, Medicaid payments for National Codes Established for State Medicaid Agencies were primarily concentrated in a few ZIP codes. For 2024, ZIP codes 32796 and 32780 represented $1,142,516 and $1,063,834 in Medicaid payments, respectively. These two areas combined accounted for 100% of category-related Medicaid spending in Titusville throughout the year.
Payments in this Medicaid category also clustered among a relatively small selection of individual billing codes.
For additional context, Medicaid payments in Titusville for this category rose 2% between 2024 and 2023, while payments spanned all Medicaid categories grew by 45.2% locally during the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined state and federal spending on Medicaid hit approximately $871.7 billion in fiscal year 2023, or around 18% of national health expenditures. That represents a significant jump from roughly $613.5 billion in 2019 before the COVID-19 pandemic.
The increase amounts to a growth of about 40% within several years, attributed mainly to broader enrollment and elevated use during the pandemic period and its aftermath.
New federal budget laws under the Trump administration have brought large proposed reductions in federal Medicaid contributions and overhauls to the program’s structure. One example is the “One Big Beautiful Bill Act,” which passed in 2025 and is expected to trim more than $1 trillion from federal Medicaid over 10 years, while introducing new requirements and increased cost sharing. These policy changes are projected to shift more responsibility to states and slow federal Medicaid growth, although the program continues to support many millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,098,934 | 20.1% |
| 2021 | $1,092,412 | -0.6% |
| 2022 | $1,233,751 | 12.9% |
| 2023 | $2,162,546 | 75.3% |
| 2024 | $2,206,350 | 2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $2,206,350 | 51.5% |
| 2 | Alcohol and Drug Abuse Treatment | $675,556 | 15.8% |
| 3 | Evaluation and Management | $604,332 | 14.1% |
| 4 | Temporary Codes | $299,305 | 7% |
| 5 | Medicine Services and Procedures | $208,801 | 4.9% |
| 6 | Durable Medical Equipment | $108,220 | 2.5% |
| 7 | Temporary National Codes (Non-Medicare) | $68,359 | 1.6% |
| 8 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $62,384 | 1.5% |
| 9 | Pathology and Laboratory Procedures | $29,462 | 0.7% |
| 10 | Radiology Procedures | $17,384 | 0.4% |
| 11 | Dental Services | $1,311 | <0.1% |
| 12 | Surgery | $724 | <0.1% |
| 13 | Medical And Surgical Supplies | $502 | <0.1% |
| 14 | Procedures / Professional Services | $224 | <0.1% |
| 15 | Drugs Administered Other than Oral Method | $150 | <0.1% |
| 16 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 16 | Coronavirus Diagnostic Panel | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2030 | Assist living waiver/month | $1,312,698 | 19 |
| T1025 | Ped compr care pkg, per diem | $892,338 | 12 |
| T1015 | Clinic service | $1,313 | 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.
