Maitland Medicaid payments for national codes reach $402,382 in 2024, rising 6.6%

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Maitland billed $402,382 for services grouped within the National Codes Established for State Medicaid Agencies category, based on the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 6.6% uptick from 2023, when $377,597 in claims were submitted for comparable services.

Medicaid operates as a joint effort between states and the federal government and provides public health insurance for individuals and families with low incomes, older adults, children, and those with disabilities, making it a significant segment of the U.S. health care system.

Because Medicaid relies on taxpayer funding, variations in the amount billed locally point to differences in how public health spending is distributed throughout individual communities.

The “National Codes Established for State Medicaid Agencies” category includes a defined set of Medicaid-billed services, separated by types of care according to HCPCS and CPT coding structures. For this analysis, every billing code aligned with a specific service group based on code prefixes or number series, which permits related services to be collected by category, avoids double counting, and helps maintain clear annual rankings.

Spending in several Medicaid categories rose, with National Codes Established for State Medicaid Agencies ranked fifth by total Medicaid payments in Maitland in 2024.

Statewide, this service group ranked second for total Medicaid payments in Florida in 2024.

From five years before 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies group in Maitland increased by $651,416, or 61.8%. Growth patterns included larger increases during certain years, with prominent year-to-year gains in 2020 and 2021.

Most Medicaid spending in this category was focused in a small subset of ZIP codes. Within Maitland in 2024, ZIP code 32751 accounted for $402,381 in payments, making up all payments reported under the National Codes Established for State Medicaid Agencies in the city for the year.

Individual codes within this Medicaid service group also displayed concentration, with a limited selection accounting for the majority of payment volume.

Looking at overall trends, while Maitland saw Medicaid payments tied to the National Codes Established for State Medicaid Agencies grow 6.6% from 2023 to 2024, that compares to an increase of 15% across all categories of Medicaid claims in the city for the same period.

According to the Centers for Medicare & Medicaid Services, national federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, making up around 18% of total U.S. health expenditures—up from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This reflects growth of approximately 40% over just a few years, largely due to rising enrollment and greater use of services during and following the pandemic.

Recent federal budget measures approved during the Trump administration have put forward major changes to the federal role in Medicaid. The “One Big Beautiful Bill Act,” passed in 2025, is projected to lower federal Medicaid spending by over $1 trillion across the next 10 years and introduces requirements like work mandates and higher out-of-pocket costs that may narrow coverage and available funds for certain recipients. The policy changes shift greater cost burdens to states while slowing growth in federal support for Medicaid, even as the program continues to serve tens of millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $1,053,798 66.7%
2021 $1,174,216 11.4%
2022 $488,228 -58.4%
2023 $377,596 -22.7%
2024 $402,381 6.6%
Top Categories by Medicaid Payments in Maitland, Florida, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary National Codes (Non-Medicare) $33,953,109 67.7%
2 Evaluation and Management $13,772,674 27.5%
3 Surgery $551,039 1.1%
4 Alcohol and Drug Abuse Treatment $541,350 1.1%
5 National Codes Established for State Medicaid Agencies $402,381 0.8%
6 Anesthesia $375,993 0.8%
7 Dental Services $234,400 0.5%
8 Medicine Services and Procedures $177,124 0.4%
9 Pathology and Laboratory Procedures $103,152 0.2%
10 Ambulance and Other Transport Services and Supplies $15,333 <0.1%
11 Radiology Procedures $2,601 <0.1%
12 Drugs Administered Other than Oral Method $337 <0.1%
13 Procedures / Professional Services $144 <0.1%
14 Medical And Surgical Supplies $109 <0.1%
15 Outpatient PPS $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Maitland, Florida, 2024

HCPCS Code Description Medicaid Payments Claims
T2030 Assist living waiver/month $402,381 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.



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