Chantilly’s Medicaid spending for National Codes Established for State Medicaid Agencies hits $18.6 million in 2024

In 2024, Medicaid providers in Chantilly billed a total of $18,613,476 for services categorized under the National Codes Established for State Medicaid Agencies, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 1.1% uptick from 2023, when $18,403,205 in claims were submitted for these services.

Medicaid is a public insurance program overseen by states and funded through contributions from both federal and state governments. The program offers coverage to low-income residents, seniors, children, and individuals with disabilities, making it a key component of the U.S. health care landscape.

Since Medicaid payments are taxpayer-funded, fluctuations in community billing levels illustrate how public health care resources are distributed locally.

The “National Codes Established for State Medicaid Agencies” designation groups Medicaid-billed services according to the type of care, based on standardized HCPCS and CPT code sets. For this report, each billing code was assigned to one service category using consistent numeric ranges and code prefixes, so related care types could be tracked together without double-counting and with accurate rankings over time.

Although Medicaid expenditures went up in several service categories, the National Codes Established for State Medicaid Agencies category had the highest total Medicaid payments in Chantilly during 2024.

Statewide in Virginia, this category also led by total Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments to the National Codes Established for State Medicaid Agencies in Chantilly rose by $6,796,999, a 57.5% increase. Some years saw sharper spending growth, with pronounced increases in both 2022 and 2023.

Medicaid spending on these services was spread around Chantilly, but most payments concentrated in a few ZIP codes. ZIP code 20151 had $16,621,014 in Medicaid payments for this category in 2024, while 20152 saw $1,992,461. Altogether, these two ZIP codes made up 100% of National Codes Established for State Medicaid Agencies payments in Chantilly for the year.

Within this category, Medicaid payments were heavily focused on a small number of specific billing codes.

Comparing changes, Medicaid payments associated with the National Codes Established for State Medicaid Agencies in Chantilly increased by 1.1% between 2023 and 2024. In comparison, total Medicaid claims in the city rose by 1.2% over the same period.

The Centers for Medicare & Medicaid Services report that combined state and federal Medicaid spending amounted to about $871.7 billion for fiscal year 2023, making up around 18% of the nation’s health expenditures—up sharply from around $613.5 billion in 2019, before the pandemic.

This jump marks roughly 40% growth over just a few years, fueled primarily by higher enrollment and increased service use during and following the COVID-19 pandemic years.

Major federal budget legislation during the Trump administration introduced significant plans to cut federal Medicaid funding and restructure the program. For example, the “One Big Beautiful Bill Act,” signed in 2025, is forecast to reduce federal Medicaid funding by over $1 trillion in the next decade, instituting new work requirements and greater cost-sharing that could lower coverage and funding for some beneficiaries. These policy changes are likely to place more of the funding burden on states and may constrain federal Medicaid growth even as the program serves tens of millions nationwide.

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.