Medicaid payments for national code services up 134.7% in Delcambre in 2024

In 2024, Medicaid providers in Delcambre billed $82,186 for services under the National Codes Established for State Medicaid Agencies category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 134.7% increase compared with 2023, when claims for these services totaled $35,016.

Medicaid, a public health insurance program, is administered by states and supported by both federal and state funding. The program assists low-income individuals and families, seniors, children, and those with disabilities, and is among the largest components of the U.S. health care system.

Given that Medicaid is taxpayer funded, changes in billing levels locally illustrate how public health dollars are distributed within a community.

The National Codes Established for State Medicaid Agencies category encompasses a set of Medicaid-billed services based on the care type, using standard HCPCS and CPT code groupings. This analysis assigned each billing code to one service category applying consistent code prefixes and number ranges, which enabled grouping related services, avoided double counting, and kept rankings accurate over time.

While Medicaid spending grew in a range of categories, National Codes Established for State Medicaid Agencies led Delcambre in total Medicaid payments in 2024.

Across Louisiana, this same category held the second-highest statewide Medicaid payments in 2024.

Looking at the five years prior to 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Delcambre went up by $82,186, or 0%. Some periods saw faster spending growth, including notable year-over-year changes recorded in 2023 and 2022.

For 2024, Medicaid payments for this service category were spread across Delcambre, but most payments concentrated within a small group of ZIP codes. ZIP code 70528 saw the most activity, totaling $82,185. The leading 1 ZIP codes comprised 100% of Medicaid payments for the category in Delcambre for the year.

Within the category, Medicaid payments were focused among a handful of specific billing codes.

In comparison, Delcambre’s Medicaid payments for this category grew 134.7% from 2023 to 2024—the same rate seen across all Medicaid claim categories in the city during the period.

The Centers for Medicare & Medicaid Services reports that in fiscal year 2023, federal and state Medicaid spending climbed to about $871.7 billion, representing around 18% of total U.S. health expenditures. This is a substantial increase from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

This growth equates to an approximately 40% rise over a few years, largely due to increased enrollment and greater utilization during and after the pandemic.

Recently enacted federal budget measures during the Trump administration have proposed notable reductions in federal Medicaid funding along with program restructuring. For instance, the “One Big Beautiful Bill Act,” passed in 2025, is projected to decrease federal Medicaid spending by more than $1 trillion over the next decade and implements policies such as work requirements and increased cost-sharing. These moves may shrink coverage and support for some enrollees, leading states to take on greater costs while federal Medicaid support growth slows, even while the program continues to serve tens of millions of Americans.

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.