Rockledge Medicaid providers billed $1,920,437 for services included in the National Codes Established for State Medicaid Agencies category in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 4.4% rise from 2023, when claims for the same service category totaled $1,839,506.
Medicaid serves as a public health insurance program managed at the state level and funded jointly by federal and state governments. It provides coverage to low-income individuals, families, seniors, children and those with disabilities, making it a key pillar in the U.S. health care system.
Since Medicaid is financed by taxpayers, fluctuations in local billing reflect how public health care resources are distributed in a community.
The “National Codes Established for State Medicaid Agencies” group encompasses Medicaid services categorized by the type of care provided, utilizing standardized HCPCS and CPT codes. For this analysis, billing codes were assigned to a single service group using code prefixes and ranges to group related services, help prevent double counting, and track rankings accurately over time.
Multiple Medicaid service categories saw spending increases, with National Codes Established for State Medicaid Agencies ranking as Rockledge’s top category by total Medicaid payments in 2024.
Statewide, the category ranked second in Florida for total Medicaid payments during 2024.
Looking at the five years prior to 2024, Rockledge Medicaid payments connected to the National Codes Established for State Medicaid Agencies grew by $413,220 or 27.4%. Certain periods, particularly 2021 and 2022, saw significant year-over-year growth in spending.
Although payments for the National Codes Established for State Medicaid Agencies category were issued across the city, most payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 32955 saw the highest Medicaid payments for this service category, totaling $1,920,436. Altogether, the top ZIP code accounted for 100% of all payments in Rockledge related to this category for the year.
Within the National Codes Established for State Medicaid Agencies, payment distributions were concentrated among a narrow band of billing codes.
For additional context, while Medicaid payments in Rockledge connected to this category rose 4.4% from 2023 to 2024, all Medicaid claim categories in the city saw a larger combined change of 31.9% during that period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined reached approximately $871.7 billion in fiscal year 2023 and represented about 18% of total national health expenditures. This is an increase from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.
This rise reflects a roughly 40% increase in just a few years, much of it attributed to higher enrollment and increased utilization during and after the pandemic.
Recent federal budget laws adopted during the Trump administration included major proposals to trim federal Medicaid funding and revamp the program. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to cut more than $1 trillion in federal Medicaid spending in the next decade. It also introduces new steps such as work requirements and expanded cost-sharing, potentially reducing coverage and funding for certain beneficiaries. These measures are projected to transfer more costs to states and limit the growth of federal Medicaid assistance, even as the program continues to serve tens of millions in the U.S.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,507,217 | -5.8% |
| 2021 | $1,667,058 | 10.6% |
| 2022 | $1,827,634 | 9.6% |
| 2023 | $1,839,506 | 0.6% |
| 2024 | $1,920,436 | 4.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $1,920,436 | 35.2% |
| 2 | Evaluation and Management | $1,215,568 | 22.3% |
| 3 | Ambulance and Other Transport Services and Supplies | $741,230 | 13.6% |
| 4 | Alcohol and Drug Abuse Treatment | $548,733 | 1<0.1% |
| 5 | Temporary National Codes (Non-Medicare) | $412,139 | 7.5% |
| 6 | Medicine Services and Procedures | $348,739 | 6.4% |
| 7 | Pathology and Laboratory Procedures | $244,020 | 4.5% |
| 8 | Dental Services | $25,870 | 0.5% |
| 9 | Procedures / Professional Services | $4,192 | 0.1% |
| 10 | Radiology Procedures | $1,101 | <0.1% |
| 11 | Anesthesia | $416 | <0.1% |
| 12 | Drugs Administered Other than Oral Method | $44 | <0.1% |
| 13 | Surgery | $6 | <0.1% |
| 14 | Other Services | $0 | <0.1% |
| 14 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2023 | Targeted case mgmt per month | $1,557,588 | 11 |
| T1017 | Targeted case management | $126,889 | 103 |
| T1027 | Family training & counseling | $110,326 | 43 |
| T2003 | N-et; encounter/trip | $75,876 | 10 |
| T1015 | Clinic service | $28,439 | 24 |
| T1024 | Team evaluation & management | $21,315 | 13 |
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.
