In 2024, Medicaid providers in Burnsville billed $22,007,514 for services under the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represented an 8.2% increase from 2023, when $20,333,001 in claims were submitted for the same services.
Medicaid, a state-administered public health insurance program jointly funded by federal and state governments, covers low-income residents, the elderly, children, and people with disabilities. It remains one of the largest components of the U.S. health care system.
Because Medicaid funds are sourced from taxpayers, local billing trends highlight how public health care resources are distributed in the community.
The “National Codes Established for State Medicaid Agencies” category includes a range of Medicaid-billed services identified by the nature of care, based on standardized HCPCS and CPT code groups. For this review, each billing code was matched to a specific service category using consistent code prefixes and set numeric ranges, which enabled analysis of related services without double counting or compromising historical rankings.
While various service categories saw increases in Medicaid spending, National Codes Established for State Medicaid Agencies led all categories in Burnsville by total Medicaid payments for 2024.
Statewide in Minnesota, National Codes Established for State Medicaid Agencies placed second by total Medicaid payments in 2024.
Between 2019 and 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Burnsville grew by $12,197,825, or 124.3%. Growth rates were higher during certain years, with sharp increases seen in 2021 and 2022.
Spending for these services occurred citywide but was especially focused within a few ZIP codes. In 2024, ZIP code 55337 accounted for $19,587,867 in Medicaid payments and 55306 had $2,419,646. Together, these two ZIP codes made up 100% of Medicaid payments for the National Codes Established for State Medicaid Agencies category in Burnsville that year.
Payments in this category were also heavily concentrated among a small number of billing codes.
Comparing 2024 to 2023, Burnsville saw an 8.2% increase in Medicaid payments for this category, while overall Medicaid claims in the city rose by 1.8% over the same span.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending hit about $871.7 billion in fiscal year 2023, making up about 18% of national health spending and increasing from about $613.5 billion in 2019 before the COVID-19 pandemic.
This reflects approximately 40% growth in just a few years, driven by increased enrollment and service usage during and after the pandemic.
Recent federal budget laws enacted under the Trump administration have proposed and implemented major reductions in federal Medicaid funding and changes to the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is estimated to cut federal Medicaid funding by more than $1 trillion over 10 years and introduce measures like work requirements and greater cost-sharing, which could limit coverage and financial support for certain beneficiaries. These policy shifts are expected to increase the financial burden on states and slow the expansion of federal Medicaid support, even though the program continues to serve tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $9,809,689 | 32.7% |
| 2021 | $13,990,920 | 42.6% |
| 2022 | $19,172,316 | 37% |
| 2023 | $20,333,000 | 6.1% |
| 2024 | $22,007,513 | 8.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $22,007,513 | 44.5% |
| 2 | Medicine Services and Procedures | $10,458,921 | 21.2% |
| 3 | Alcohol and Drug Abuse Treatment | $5,723,862 | 11.6% |
| 4 | Evaluation and Management | $4,338,031 | 8.8% |
| 5 | Procedures / Professional Services | $2,700,637 | 5.5% |
| 6 | Temporary National Codes (Non-Medicare) | $1,113,785 | 2.3% |
| 7 | Ambulance and Other Transport Services and Supplies | $821,408 | 1.7% |
| 8 | Diagnostic Radiology Services | $612,822 | 1.2% |
| 9 | Dental Services | $565,373 | 1.1% |
| 10 | Pathology and Laboratory Procedures | $419,951 | 0.9% |
| 11 | Radiology Procedures | $199,322 | 0.4% |
| 12 | Surgery | $119,082 | 0.2% |
| 13 | Temporary Codes | $111,235 | 0.2% |
| 14 | Drugs Administered Other than Oral Method | $70,143 | 0.1% |
| 15 | Vision Services | $59,784 | 0.1% |
| 16 | Durable Medical Equipment | $57,855 | 0.1% |
| 17 | Medical And Surgical Supplies | $19,582 | <0.1% |
| 18 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $2,082 | <0.1% |
| 19 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2031 | Assist living waiver/diem | $16,332,550 | 75 |
| T1018 | School-based iep ser bundled | $2,208,203 | 10 |
| T2023 | Targeted case mgmt per month | $2,152,194 | 44 |
| T1016 | Case management | $1,116,591 | 41 |
| T1019 | Personal care ser per 15 min | $129,438 | 4 |
| T1013 | Sign lang/oral interpreter | $56,259 | 17 |
| T1024 | Team evaluation & management | $9,138 | 5 |
| T4527 | Adult size pull-on lg | $1,757 | 1 |
| T2003 | N-et; encounter/trip | $1,378 | 2 |
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.
