Medicaid spending for state agency codes climbs 8.3% in Seminole in 2024

In 2024, Medicaid providers in Seminole reported $1,362,440 in claims for services under the National Codes Established for State Medicaid Agencies, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was an 8.3% rise compared to 2023, when providers submitted $1,258,453 in claims within the same service category.

Medicaid, a public insurance program administered by states with combined state and federal funding, covers eligible low-income people, seniors, children and disabled individuals. It represents one of the largest segments of U.S. health care.

Because taxpayer funds underwrite Medicaid payments, fluctuations in local billing reflect how health care spending is apportioned within a community.

The “National Codes Established for State Medicaid Agencies” group covers a specific set of Medicaid services, distinguished by care type and standardized by HCPCS and CPT groupings. Codes for this analysis were grouped into single service categories by applying standard code prefixes and ranges, which ensures related services are tracked together without duplicating counts, maintaining accuracy over time.

Although Medicaid allocations increased for various categories, National Codes Established for State Medicaid Agencies was the leading category in Seminole based on total Medicaid payments in 2024.

Across Florida, this category held the second rank for total Medicaid payments statewide in 2024.

From the five years preceding 2024, Medicaid spending in Seminole connected to this category grew by $616,507, or 82.6%. Growth accelerated at certain intervals, with notable jumps year over year in both 2023 and 2021.

While Medicaid expenditures in this group were distributed citywide, most of the payments concentrated in just a few ZIP codes. In 2024, ZIP code 33777 accounted for $851,508, ZIP code 33776 saw $493,722, and ZIP code 33772 posted $17,209. Combined, these top 3 ZIP codes represented 100% of Medicaid payments for this category in Seminole that year.

A limited number of individual billing codes made up the bulk of Medicaid payments within this group.

To compare, payments linked to this category in Seminole jumped 8.3% between 2024 and 2023, while overall Medicaid claims in the city rose 18.7% in the same interval.

According to the Centers for Medicare & Medicaid Services, joint state and federal Medicaid expenses hit about $871.7 billion in fiscal year 2023. That represented approximately 18% of total national health spending and is up sharply from about $613.5 billion in 2019, before the COVID-19 pandemic emerged.

This growth marks an increase of about 40% over just a few years, mainly driven by expanded Medicaid rolls and greater service use during and after the pandemic.

Federal budget laws passed during the Trump administration introduced major changes to Medicaid funding. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid outlays by more than $1 trillion over 10 years. The law also introduces work requirements and new cost-sharing provisions, likely to decrease coverage and funding for some users. These changes are expected to push additional costs onto states and restrict the growth of federal support, although Medicaid continues to cover tens of millions of recipients 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.