Medicaid payments for National Codes hit $3,574,003 in Margate for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Margate billed a total of $3,574,003 for services listed under the National Codes Established for State Medicaid Agencies category, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 5.4% increase compared to 2023, when the claims submitted for the same services reached $3,392,502.

Medicaid is a publicly funded health insurance program managed by the states with both federal and state support. It covers low-income families and individuals, older adults, children, and people with disabilities, making it a major part of the nation’s health care system. More details are available from the Commonwealth Fund.

Since taxpayer funds are used for Medicaid, adjustments in billing amounts reveal how local public health spending is distributed across Margate.

The “National Codes Established for State Medicaid Agencies” category groups services billed under this Medicaid designation, based on specific HCPCS and CPT code sets. In this analysis, all billing codes are aligned with one service category by their code structures and ranges to enable clustering and avoid duplications and maintain service ranking integrity over time.

Although Medicaid outlays rose across many service types, the National Codes Established for State Medicaid Agencies was the second-largest by total Medicaid payments in Margate in 2024.

For all of Florida, this category also placed second in total Medicaid payments during 2024.

Between 2020 and 2024, Medicaid payments in Margate connected to National Codes Established for State Medicaid Agencies increased by $1,324,282, or 58.9%. Some periods during those five years saw rapid growth, notably in 2020 and 2021.

Payments for services in this category were spread throughout the city but were centered primarily in a few ZIP codes. In 2024, ZIP code 33063 contributed the entire Medicaid payment total of $3,574,003 for the category, accounting for 100% of payments in Margate that year.

Within this group, a small subset of billing codes generated most Medicaid payments.

Medicaid payments tied to the National Codes Established for State Medicaid Agencies in Margate climbed 5.4% from 2023 to 2024. By comparison, across all Medicaid categories in the city, there was a 19.9% overall increase over the same stretch.

Centers for Medicare & Medicaid Services data shows combined federal and state Medicaid spending was estimated at $871.7 billion in fiscal year 2023. This made up about 18% of all U.S. health expenditures, up substantially from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This jump represents roughly 40% growth in a few years—a trend principally linked to expanded enrollment and increased service usage during and following the pandemic years.

Recent federal budget actions during the Trump administration included significant legislative moves planned to reduce Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to trim federal Medicaid funding by more than $1 trillion over 10 years while enacting policies like work requirements and more cost-sharing, potentially affecting coverage and financial support for some groups. These changes may lead states to take up a larger share of Medicaid spending as federal match rates slow in future years, while the program continues to insure millions of Americans.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Margate, Florida Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $2,249,721 45.5%
2021 $2,750,454 22.3%
2022 $2,812,014 2.2%
2023 $3,392,502 20.6%
2024 $3,574,003 5.4%
Top Categories by Medicaid Payments in Margate, Florida, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary National Codes (Non-Medicare) $4,231,475 44.1%
2 National Codes Established for State Medicaid Agencies $3,574,003 37.3%
3 Evaluation and Management $1,037,706 10.8%
4 Alcohol and Drug Abuse Treatment $411,913 4.3%
5 Pathology and Laboratory Procedures $86,889 0.9%
6 Medicine Services and Procedures $73,242 0.8%
7 Ambulance and Other Transport Services and Supplies $71,398 0.7%
8 Dental Services $41,439 0.4%
9 Radiology Procedures $29,259 0.3%
10 Procedures / Professional Services $10,945 0.1%
11 Vision Services $8,767 0.1%
12 Drugs Administered Other than Oral Method $5,831 0.1%
13 Surgery $2,576 <0.1%
14 Coronavirus Diagnostic Panel $990 <0.1%
15 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Margate, Florida, 2024

HCPCS Code Description Medicaid Payments Claims
T2030 Assist living waiver/month $2,955,822 42
T1019 Personal care ser per 15 min $404,748 11
T1017 Targeted case management $213,432 12

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.



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