Iraan Medicaid providers submitted $78,452 in billings for services under the National Codes Established for State Medicaid Agencies category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This was a 122.8% increase over 2023, when providers filed $35,211 in claims for these services.
Medicaid is a state-administered public health insurance program funded by both federal and state governments. It insures low-income people and families, seniors, children and people with disabilities and is among the key components of the U.S. health care system.
Taxpayers fund Medicaid payments, so any variation in local billing levels reflects how community health care resources are spent.
The “National Codes Established for State Medicaid Agencies” category groups a collection of Medicaid services defined by standardized HCPCS and CPT code groupings. For the purposes of this analysis, billing codes were organized into a single service category using specific prefix and number ranges, ensuring related services are aggregated, double counting is avoided, and rankings remain accurate over time.
In 2024, this category led all others in Iraan for total Medicaid payments.
Statewide in Texas, National Codes Established for State Medicaid Agencies stood as the second largest Medicaid payment category by total paid out in 2024.
Looking over the five years through 2024, Medicaid payments related to National Codes Established for State Medicaid Agencies in Iraan climbed by $75,247, or 2347.7%. The pace of growth was particularly pronounced during years like 2021 and 2022.
Payments for care in this category appeared across the city but were concentrated in only a few ZIP codes. In 2024, ZIP code 79744 reported $78,451 tied to National Codes Established for State Medicaid Agencies services. That represents 100% of all related Medicaid claims within Iraan for the year from the top ZIP code.
Medicaid billings within this category were also particularly focused on a limited set of specific billing codes.
Between 2023 and 2024, Medicaid payments in Iraan for services matched with National Codes Established for State Medicaid Agencies increased 122.8%, paralleling the overall increase registered for all Medicaid claim categories in the city during that span.
Centers for Medicare & Medicaid Services data show that combined federal and state Medicaid spending ended fiscal 2023 at around $871.7 billion, or about 18% of national health costs—significantly higher than the roughly $613.5 billion total seen in 2019 before the start of COVID-19.
That marks approximately 40% growth in only a few years, attributed mainly to expanded enrollment and greater use during and after the pandemic years.
Post-pandemic federal budget legislation, such as the “One Big Beautiful Bill Act,” signed in 2025, has introduced sweeping Medicaid policy shifts. It is expected to cut federal Medicaid spending by more than $1 trillion over 10 years and adds work requirements along with higher cost-sharing, likely leading to reduced federal support and increased state cost burdens, despite Medicaid continuing to serve tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,205 | – |
| 2021 | $21,150 | 559.9% |
| 2022 | $37,646 | 78% |
| 2023 | $35,211 | -6.5% |
| 2024 | $78,451 | 122.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $78,451 | 10<0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $78,451 | 11 |
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.
