In 2024, Medicaid providers in Lakeville billed $2,627,402 for services under the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount was up 9.8% from 2023, when local providers billed $2,393,503 for this service group.
Medicaid is a public health insurance program administered by each state and supported by federal and state dollars. It serves low-income people and families, seniors, children, and people with disabilities, forming a significant part of the U.S. health care landscape.
Because Medicaid is funded by taxpayers, changes in local claims patterns reflect shifts in public health spending for a community.
The “National Codes Established for State Medicaid Agencies” category encompasses a collection of Medicaid-billed services determined by the nature of care, using consistent HCPCS and CPT code groupings. Each code was matched to a single service category through standard prefixes and number ranges for the purposes of comparison, allowing a clearer view of service trends without duplicating or misranking payments over time.
While Medicaid expenses increased in several service categories in Lakeville, the National Codes Established for State Medicaid Agencies category represented the largest total Medicaid expenditure in the city for 2024.
Statewide in Minnesota, this category ranked as the second largest by total Medicaid payments during 2024.
Between 2019 and 2024, Medicaid payments in Lakeville tied to the National Codes Established for State Medicaid Agencies category grew by $2,759,022, an increase of 51.2%. Certain years, including 2021 and 2022, saw notable accelerations in spending for this category.
Although services under the National Codes Established for State Medicaid Agencies were supplied citywide, payments were heavily concentrated within a few ZIP codes. In 2024, ZIP code 55044 saw the entire total of $2,627,402, accounting for 100% of these categorized payments in Lakeville for the year.
Within the state agency category, most Medicaid payments were clustered among several key individual billing codes.
Compared with the broader Medicaid payment categories citywide, Lakeville’s 9.8% year-over-year growth for the National Codes Established for State Medicaid Agencies category exceeded the overall 6.2% increase in Medicaid claims for 2024.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached roughly $871.7 billion in the 2023 fiscal year, representing about 18% of national health spending. This is a sharp rise from about $613.5 billion in 2019, before COVID-19.
The change reflects a nearly 40% increase over a few years, fueled mostly by higher enrollment and increased utilization during and after the pandemic era.
Federal budget laws enacted under the Trump administration recently have featured major efforts to scale back federal Medicaid funding and alter the program. The “One Big Beautiful Bill Act,” enacted in 2025, is predicted to reduce federal Medicaid support by more than $1 trillion in the coming decade. It establishes policy changes including work requirements and more cost-sharing, which could limit coverage and shift more expenses to state governments even as Medicaid still insures tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $5,386,423 | -1.1% |
| 2021 | $6,164,810 | 14.5% |
| 2022 | $5,210,593 | -15.5% |
| 2023 | $2,393,503 | -54.1% |
| 2024 | $2,627,402 | 9.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $2,627,402 | 51.8% |
| 2 | Alcohol and Drug Abuse Treatment | $1,073,974 | 21.2% |
| 3 | Medicine Services and Procedures | $690,544 | 13.6% |
| 4 | Temporary National Codes (Non-Medicare) | $380,072 | 7.5% |
| 5 | Evaluation and Management | $270,581 | 5.3% |
| 6 | Orthotic Procedures and services | $9,399 | 0.2% |
| 7 | Dental Services | $7,243 | 0.1% |
| 8 | Pathology and Laboratory Procedures | $6,971 | 0.1% |
| 9 | Surgery | $6,681 | 0.1% |
| 10 | Radiology Procedures | $510 | <0.1% |
| 11 | Procedures / Professional Services | $2 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2019 | Habil sup empl waiver 15min | $1,058,163 | 12 |
| T1019 | Personal care ser per 15 min | $806,926 | 17 |
| T2031 | Assist living waiver/diem | $762,311 | 10 |
Note: HCPCS codes are presented to show detail within the service category. Payment totals and ranking analysis in this article rely on standardized service groupings rather than single billing codes.
The article’s data source is the U.S. Department of Health and Human Services Medicaid Provider Spending database. Readers can find the original data here.
