Seffner Medicaid providers logged $184,327 for National Codes Established for State Medicaid Agencies in 2024

In 2024, Seffner’s Medicaid providers billed $184,327 for services under the National Codes Established for State Medicaid Agencies, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 44.3% rise from 2023, when providers submitted $127,697 in claims in this category.

Medicaid operates as a public health insurance program managed by individual states and funded through state and federal contributions. It provides health coverage for low-income families and individuals, seniors, children, and those with disabilities, making it one of the nation’s core health care programs.

Since Medicaid funding is sourced from taxpayers, fluctuations in local billing reflect how community health care resources are distributed.

The “National Codes Established for State Medicaid Agencies” classification encompasses Medicaid billing for services defined by the type of care, using standardized HCPCS and CPT code collections. In this data set, each billing code was grouped into a single service category based on shared code prefixes and numeric patterns, enabling consistent comparisons without double counting and supporting accurate year-to-year rankings.

Spending increased in several Medicaid service areas, with the National Codes Established for State Medicaid Agencies category standing as the second-largest by total Medicaid payments for Seffner in 2024.

Statewide in Florida, this category also ranked second in total Medicaid payments in 2024.

Between 2020 and 2024, Medicaid spending in Seffner linked to National Codes Established for State Medicaid Agencies grew by $167,727, or 1010.4%. Notable growth surges were seen in 2021 and 2022.

Medicaid payments for these services were not evenly spread across Seffner, but heavily concentrated in select ZIP codes. In 2024, the top ZIP code—33584—composed $184,326, accounting for 100% of all Medicaid payments to this category in the city that year.

Within this Medicaid service category, payments were also focused among a small set of specific billing codes.

For context, Seffner saw a 44.3% rise in Medicaid payments for this category between 2024 and 2023, while overall Medicaid claim categories in the city experienced a 15.9% increase in the same time frame.

Centers for Medicare & Medicaid Services data show that combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, making up roughly 18% of all national health spending—up from $613.5 billion in 2019, before the pandemic onset.

This in turn marks an increase of nearly 40% over a short period, driven by broader enrollment and greater usage during and after the pandemic.

Recent federal budget laws adopted during the Trump administration introduced major plans to reduce federal Medicaid funding and reorganize the program. The “One Big Beautiful Bill Act,” which became law in 2025, aims to cut more than $1 trillion in federal Medicaid spending over 10 years. It also brings policy changes, such as work mandates and greater cost-sharing, that may reduce benefits and funding for some recipients. These reforms are anticipated to shift more financial responsibility to states and restrict federal growth, even as the program remains vital for millions of Americans.

Note: HCPCS codes are provided for clarity within the category. The totals and rankings in this report derive from grouped service categories and do not count individual billing codes separately.

This report is based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Additional details are available here.