Winfield sees $55,759 in Medicaid spending for state-established coding group in 2024

Medicaid providers in Winfield received $55,759 in payments for services under the National Codes Established for State Medicaid Agencies category during 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 16.7% rise compared with 2023, when providers billed $47,761 for these services.

Medicaid, administered by states and jointly supported by federal and state funding, covers eligible low-income families, seniors, children, and people with disabilities and is a major component of U.S. health care.

Because Medicaid is funded by taxpayers, shifts in local billing offer insight into how a community allocates its public health care spending.

The “National Codes Established for State Medicaid Agencies” category designates a set of Medicaid claim types defined by the medical services offered, standardized through groupings of HCPCS and CPT codes. For reporting purposes, each billing code was assigned to a specific service group with consistent criteria, allowing for analysis without duplicate counting and preserving ranking accuracy over time.

Within several Medicaid service categories reporting growth, National Codes Established for State Medicaid Agencies was the leading category by total program payments in Winfield in 2024.

Statewide, in Iowa, National Codes Established for State Medicaid Agencies ranked third for total Medicaid payments in 2024.

During the five-year period concluding with 2024, Medicaid payments under the National Codes Established for State Medicaid Agencies in Winfield grew by $37,037, or 197.8%. Especially notable spending increases occurred in 2020 and 2022.

Although Medicaid payments for National Codes Established for State Medicaid Agencies services were spread across Winfield, the majority were attributed to a small number of ZIP codes. The ZIP code 52659 represented the highest amount for 2024, totaling $55,758, and that single area accounted for 100% of relevant Medicaid payments that year in the city.

Payments for the National Codes Established for State Medicaid Agencies category were also focused on a limited range of specific billing codes.

Comparatively, Winfield’s 16.7% growth in Medicaid payments for this category between 2024 and 2023 closely matched the 16.5% year-over-year increase across all Medicaid billing categories in the area.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, or about 18% of all national health spending. This figure represented a substantial rise from roughly $613.5 billion in 2019, prior to the onset of the COVID-19 pandemic.

This growth equals nearly 40% over a few years and reflects expanding enrollment and increased utilization since the pandemic began.

Recent congressional budget measures enacted during the Trump administration introduced significant reductions in federal Medicaid allocations and program restructuring. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid support by more than $1 trillion over 10 years. The legislation includes measures such as work requirements and higher cost-sharing, which could decrease both program coverage and funding for some recipients. These changes could add financial pressure on state budgets and are anticipated to restrain growth in federal Medicaid funds even as millions remain on the program.

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.