Henderson Medicaid providers billed $3,505,171 in 2024 for services categorized under National Codes Established for State Medicaid Agencies, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 59.5% jump from 2023, when claims for similar services totaled $2,197,146.
Medicaid, a publicly administered health insurance program with joint state and federal funding, provides coverage to low-income individuals and families, seniors, children, and those with disabilities. It is among the nation’s largest health care programs. More about its funding can be found at this explainer.
Local changes in Medicaid billing reflect shifts in how taxpayer-supported health care funds are allocated across the community.
The “National Codes Established for State Medicaid Agencies” category encompasses services grouped according to the type of care delivered, based on standardized HCPCS and CPT codes. In this analysis, service categories were assigned using consistent code prefixes and number ranges to combine related services, prevent double counting, and ensure accurate tracking over time.
Despite broad growth in Medicaid outlays by service group, National Codes Established for State Medicaid Agencies was the fifth-largest Medicaid payment category in Henderson in 2024.
Across Nevada, this category ranked first statewide by Medicaid payment amount for 2024.
Between 2019 and 2024, Medicaid spending for National Codes Established for State Medicaid Agencies in Henderson increased by $325,855, a 10.2% rise. Some periods, particularly 2023 and 2022, saw more accelerated annual growth in spending.
Medicaid payments for this service category were spread across Henderson, but tended to be concentrated in select ZIP codes. The leading ZIP codes for these Medicaid payments in 2024 were 89002, with $1,418,506; 89015, with $761,250; and 89014, with $658,093. These top 3 ZIP codes accounted for 81% of payments in this category in Henderson that year.
Most Medicaid spending in the National Codes Established for State Medicaid Agencies category occurred within a select group of billing codes.
For reference, while the National Codes Established for State Medicaid Agencies category saw payments rise 59.5% in Henderson from 2023 to 2024, all Medicaid claim categories combined in the city increased by 18.9% for the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached roughly $871.7 billion in fiscal year 2023, making up about 18% of total national health spending. That figure was up significantly compared with approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth marks an increase of roughly 40% in a several-year span, largely attributed to more people enrolling in Medicaid and using more services during and after the pandemic period.
Recently enacted federal budget policy under the Trump administration included substantial Medicaid funding reductions and program restructuring. The “One Big Beautiful Bill Act,” passed in 2025, is expected to cut over $1 trillion from federal Medicaid spending during the next 10 years and institutes new requirements such as work mandates and higher beneficiary cost-sharing. These changes could shift additional financial responsibility to states and restrain federal support for Medicaid, even as the program continues serving tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,179,315 | -18.6% |
| 2021 | $2,802,559 | -11.9% |
| 2022 | $2,192,594 | -21.8% |
| 2023 | $2,197,146 | 0.2% |
| 2024 | $3,505,170 | 59.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $25,142,135 | 35% |
| 2 | Ambulance and Other Transport Services and Supplies | $15,973,848 | 22.2% |
| 3 | Medicine Services and Procedures | $11,176,036 | 15.6% |
| 4 | Alcohol and Drug Abuse Treatment | $5,267,127 | 7.3% |
| 5 | National Codes Established for State Medicaid Agencies | $3,505,170 | 4.9% |
| 6 | Radiology Procedures | $3,295,379 | 4.6% |
| 7 | Dental Services | $1,433,634 | 2% |
| 8 | Pathology and Laboratory Procedures | $1,277,821 | 1.8% |
| 9 | Temporary National Codes (Non-Medicare) | $1,218,053 | 1.7% |
| 10 | Procedures / Professional Services | $885,285 | 1.2% |
| 11 | Vision Services | $680,459 | 0.9% |
| 12 | Medical And Surgical Supplies | $496,935 | 0.7% |
| 13 | Hearing Services | $450,651 | 0.6% |
| 14 | Surgery | $345,655 | 0.5% |
| 15 | Drugs Administered Other than Oral Method | $228,856 | 0.3% |
| 16 | Durable Medical Equipment | $143,182 | 0.2% |
| 17 | Temporary Codes | $116,280 | 0.2% |
| 18 | Anesthesia | $91,763 | 0.1% |
| 19 | Administrative, Miscellaneous and Investigational | $61,689 | 0.1% |
| 20 | Diagnostic Radiology Services | $27,538 | <0.1% |
| 21 | Orthotic Procedures and services | $8,272 | <0.1% |
| 22 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $7,720 | <0.1% |
| 23 | Outpatient PPS | $969 | <0.1% |
| 24 | Pathology and Laboratory Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $3,371,474 | 71 |
| T1023 | Program intake assessment | $116,938 | 48 |
| T1017 | Targeted case management | $16,758 | 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.
