Leesburg Medicaid providers billed $12,980,004 in 2024 for services defined 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. The amount is a 5.9% rise compared with 2023, when billing for the same service category totaled $12,254,261.
Medicaid is a public health insurance initiative managed by states and funded collectively by federal and state governments. The program provides coverage for people and families with low incomes, children, older adults, and individuals with disabilities, making it among the largest elements in the U.S. health care landscape.
Since Medicaid funds utilize tax dollars, changes in local billing trends help reveal shifts in how public health care resources are spent at the community level.
The “National Codes Established for State Medicaid Agencies” category represents a collection of Medicaid services categorized by the specific type of care, using standardized HCPCS and CPT code groupings. For this report, codes were assigned to one category each via consistent code prefixes and numeric ranges, enabling similar services to be studied alongside each other while preventing overlap and ensuring accurate historical ranking.
Spending in multiple Medicaid service categories grew, but National Codes Established for State Medicaid Agencies led in total Medicaid payments locally in 2024.
The National Codes Established for State Medicaid Agencies category also ranked first by total payments for Medicaid in Virginia for 2024.
During the five years ending with 2024, Leesburg Medicaid payments associated with the National Codes Established for State Medicaid Agencies climbed by $8,817,339, or 211.8%. Periods of accelerated spending growth were recorded—most notably with annual gains logged in 2022 and 2021.
Although spending on this Medicaid service category was citywide, only a few ZIP codes recorded the majority of payments. In 2024, ZIP code 20176 accounted for $6,593,463 and 20175 reported $6,386,541. Combined, these two ZIP codes represented 100% of Leesburg’s Medicaid payments in this category that year.
Payments within the National Codes Established for State Medicaid Agencies category were also concentrated into a small group of individual billing codes.
Leesburg claims tied to this service group rose by 5.9% from 2023 to 2024, whereas the overall increase for all Medicaid claim groups in the city during that timeframe was 5.3%.
Centers for Medicare & Medicaid Services data reports federal and state Medicaid spending reached nearly $871.7 billion for fiscal year 2023, composing about 18% of all U.S. health expenditures. That sum rose from around $613.5 billion in 2019, before the COVID-19 pandemic began.
This change marks growth of close to 40% within several years, driven primarily by increased enrollment and greater use throughout and after the recent pandemic.
Recent federal budget action—such as the Trump administration’s “One Big Beautiful Bill Act” signed in 2025—contains major provisions that slash federal Medicaid funding and alter the structure of the program. That law is projected to reduce federal Medicaid spending over the next decade by more than $1 trillion and introduces added requirements and cost-sharing that may limit coverage and reduce funding for some recipients. Such measures may shift financial responsibility to states and curb the pace of federal Medicaid expansion, despite widespread U.S. reliance on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $4,162,665 | 2.8% |
| 2021 | $6,017,629 | 44.6% |
| 2022 | $9,023,263 | 49.9% |
| 2023 | $12,254,261 | 35.8% |
| 2024 | $12,980,004 | 5.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $12,980,004 | 32% |
| 2 | Evaluation and Management | $10,886,041 | 26.9% |
| 3 | Medicine Services and Procedures | $7,079,453 | 17.5% |
| 4 | Alcohol and Drug Abuse Treatment | $5,376,028 | 13.3% |
| 5 | Radiology Procedures | $1,484,148 | 3.7% |
| 6 | Procedures / Professional Services | $1,329,136 | 3.3% |
| 7 | Pathology and Laboratory Procedures | $584,441 | 1.4% |
| 8 | Ambulance and Other Transport Services and Supplies | $361,205 | 0.9% |
| 9 | Surgery | $207,033 | 0.5% |
| 10 | Temporary National Codes (Non-Medicare) | $178,278 | 0.4% |
| 11 | Vision Services | $21,369 | 0.1% |
| 12 | Drugs Administered Other than Oral Method | $14,414 | <0.1% |
| 13 | Coronavirus Diagnostic Panel | $238 | <0.1% |
| 14 | Temporary Codes | $91 | <0.1% |
| 15 | Administrative, Miscellaneous and Investigational | $55 | <0.1% |
| 16 | Dental Services | $0 | <0.1% |
| 16 | Outpatient PPS | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $9,292,107 | 60 |
| T1005 | Respite care service 15 min | $1,260,224 | 40 |
| T1017 | Targeted case management | $1,001,287 | 10 |
| T2005 | N-et; stretcher van | $548,304 | 11 |
| T2023 | Targeted case mgmt per month | $391,481 | 10 |
| T2003 | N-et; encounter/trip | $224,072 | 20 |
| T2022 | Case management, per month | $134,541 | 11 |
| T1027 | Family training & counseling | $101,298 | 11 |
| T1023 | Program intake assessment | $19,551 | 3 |
| T1024 | Team evaluation & management | $7,137 | 3 |
| T2049 | N-et; stretcher van, mileage | $0 | 11 |
Note: HCPCS codes are provided for context within the category. The article’s totals and rankings are based on organized service groupings, not by listed billing codes.
This article utilized information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data can be accessed here.
