In 2024, Alexandria Medicaid providers billed $68,301,957 for services under the National Codes Established for State Medicaid Agencies, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount is a 0.7% increase from 2023, when providers filed $67,799,591 in claims for these services.
Medicaid is a public health insurance program overseen by states and funded jointly by federal and state governments. The program covers low-income individuals and families, seniors, children, and people with disabilities, making it one of the largest components of the U.S. health care system.
Because Medicaid dollars come from taxpayers, fluctuations in local billing data indicate how public health funding is distributed within communities.
The “National Codes Established for State Medicaid Agencies” category comprises a group of Medicaid-billed services defined by care type, based on standardized HCPCS and CPT codes. For this report, each billing code was assigned to a service category using shared code prefixes and numeric sequences, letting related services be grouped accurately while preventing duplication and maintaining consistent ranking over time.
Medicaid spending increased across a number of service categories, and National Codes Established for State Medicaid Agencies was the leading category by total Medicaid payments in Alexandria in 2024.
Across Virginia, the National Codes Established for State Medicaid Agencies category also ranked first in terms of statewide total payments in 2024.
From 2019 through 2024, Medicaid payments for National Codes Established for State Medicaid Agencies in Alexandria rose by $19,418,924, or 39.7%. Certain years saw faster growth, with especially notable increases in 2021 and 2020.
Although these Medicaid payments were distributed throughout Alexandria, the majority were concentrated in a small number of ZIP codes. In 2024, ZIP code 22312 accounted for $42,472,055, 22304 for $9,604,460, and 22302 for $4,985,977. Together, these 3 ZIP codes represented 83.5% of all Medicaid payments for this category in Alexandria that year.
Within this category, the bulk of Medicaid payments were linked to a select group of billing codes.
While Medicaid payments for National Codes Established for State Medicaid Agencies in Alexandria went up by 0.7% between 2024 and 2023, the overall change across all Medicaid claims categories in the city during that period was 7%.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, making up roughly 18% of overall U.S. health expenditures. This marked a notable increase from approximately $613.5 billion in 2019, before the COVID-19 pandemic.
This rise reflects nearly 40% growth in just a few years, largely resulting from expanded enrollment and higher usage during and following the pandemic.
Recent federal budget changes during the Trump administration have included substantial proposals to reduce federal Medicaid funding and change program structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is set to trim over $1 trillion in federal Medicaid spending over the next 10 years and introduces requirements such as work mandates and increased cost-sharing that may decrease coverage and funding for some beneficiaries. These policy changes are expected to transfer more expenses to states and limit federal Medicaid funding growth, even as the program continues to support tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $48,883,032 | 12.5% |
| 2021 | $56,118,779 | 14.8% |
| 2022 | $61,991,093 | 10.5% |
| 2023 | $67,799,590 | 9.4% |
| 2024 | $68,301,956 | 0.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $68,301,956 | 57.1% |
| 2 | Evaluation and Management | $19,910,312 | 16.6% |
| 3 | Medicine Services and Procedures | $9,626,973 | 8% |
| 4 | Temporary National Codes (Non-Medicare) | $5,178,613 | 4.3% |
| 5 | Alcohol and Drug Abuse Treatment | $5,146,579 | 4.3% |
| 6 | Radiology Procedures | $4,028,077 | 3.4% |
| 7 | Procedures / Professional Services | $2,476,866 | 2.1% |
| 8 | Surgery | $1,805,669 | 1.5% |
| 9 | Ambulance and Other Transport Services and Supplies | $797,198 | 0.7% |
| 10 | Pathology and Laboratory Procedures | $689,410 | 0.6% |
| 11 | Durable Medical Equipment | $634,534 | 0.5% |
| 12 | Medical And Surgical Supplies | $477,252 | 0.4% |
| 13 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $220,929 | 0.2% |
| 14 | Anesthesia | $169,564 | 0.1% |
| 15 | Vision Services | $90,023 | 0.1% |
| 16 | Drugs Administered Other than Oral Method | $42,092 | <0.1% |
| 17 | Dental Services | $33,631 | <0.1% |
| 18 | Enteral and Parenteral Therapy | $20,896 | <0.1% |
| 19 | Pathology and Laboratory Services | $6,232 | <0.1% |
| 20 | Administrative, Miscellaneous and Investigational | $1,838 | <0.1% |
| 21 | Outpatient PPS | $1,476 | <0.1% |
| 22 | Coronavirus Diagnostic Panel | $681 | <0.1% |
| 23 | Temporary Codes | $232 | <0.1% |
| 24 | Miscellaneous Medical Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $59,429,490 | 207 |
| T1005 | Respite care service 15 min | $6,721,611 | 103 |
| T2003 | N-et; encounter/trip | $782,922 | 44 |
| T2021 | Day habil waiver per 15 min | $739,029 | 22 |
| T4543 | Adult disp brief/diap abv xl | $246,650 | 12 |
| T2005 | N-et; stretcher van | $99,725 | 3 |
| T4524 | Adult size brief/diaper xl | $78,065 | 13 |
| T2022 | Case management, per month | $70,930 | 10 |
| T1017 | Targeted case management | $59,871 | 2 |
| T4535 | Disposable liner/shield/pad | $55,146 | 12 |
| T4523 | Adult size brief/diaper lg | $10,161 | 4 |
| T1028 | Home environment assessment | $5,075 | 2 |
| T2023 | Targeted case mgmt per month | $3,276 | 1 |
| T2049 | N-et; stretcher van, mileage | $0 | 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.
