Lewiston Medicaid providers submitted $2,452,343 in claims for services under the National Codes Established for State Medicaid Agencies category in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an 8.8% rise over 2023, when billings for these services totaled $2,254,055.
Medicaid, a public health insurance program managed at the state level and jointly funded by state and federal governments, provides coverage to low-income people, seniors, children and individuals with disabilities. It is one of the nation’s large-scale health care systems.
As a taxpayer-funded program, fluctuations in local Medicaid payments illustrate how community health care spending is allocated.
The “National Codes Established for State Medicaid Agencies” category includes a range of Medicaid claims defined by the type of service provided, using standardized HCPCS and CPT codes. For this report, each code was categorized into a single service group by aligning code prefixes and numeric categories, grouping related claims together to avoid duplicate counting and maintain accurate year-to-year rankings.
Among different categories of Medicaid expenditures in Lewiston, National Codes Established for State Medicaid Agencies ranked as the largest by total payments in 2024.
Statewide in Idaho, the National Codes Established for State Medicaid Agencies category was the second largest by payment volume for 2024.
Across the five-year period leading up to 2024, Medicaid payments in the National Codes Established for State Medicaid Agencies category increased by $8,035,713 in Lewiston, translating to 76.6% growth. Increases were especially pronounced during certain years, including notable jumps in 2023 and 2020 year-over-year.
While claims were distributed throughout Lewiston, Medicaid spending in this category was mostly concentrated in a few ZIP codes. In 2024, ZIP code 83501 saw the most activity, with $2,452,342 in payments. Altogether, this ZIP code accounted for all Medicaid spending in the category locally that year.
Medicaid reimbursements within this category were also focused among just a handful of billing codes.
When comparing the same time period, Medicaid payments for this category in Lewiston increased by 8.8% from 2023 to 2024, whereas payments across all claim categories citywide went up by 16.7% in that span.
According to the Centers for Medicare & Medicaid Services, total state and federal Medicaid expenditures reached about $871.7 billion in fiscal 2023—roughly 18% of all national health outlays—up significantly from $613.5 billion in 2019 before the onset of COVID-19.
This jump marks about 40% growth over just a few years, in part reflecting higher enrollment and greater use of services during and after the pandemic.
In recent years, federal budget measures passed under the Trump administration included efforts to reduce federal Medicaid funding and restructure the program. Provisions in the “One Big Beautiful Bill Act,” signed in 2025, are anticipated to lower federal Medicaid funding by more than $1 trillion over 10 years, while introducing work requirements and added cost-sharing that could limit both coverage and funds for certain recipients. This is expected to push more costs onto states and limit the rate of growth of federal Medicaid aid, even as millions continue relying on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $10,488,056 | 37% |
| 2021 | $6,574,529 | -37.3% |
| 2022 | $1,530,989 | -76.7% |
| 2023 | $2,254,055 | 47.2% |
| 2024 | $2,452,342 | 8.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $2,452,342 | 28.2% |
| 2 | Alcohol and Drug Abuse Treatment | $2,218,699 | 25.5% |
| 3 | Evaluation and Management | $2,187,747 | 25.1% |
| 4 | Medicine Services and Procedures | $739,560 | 8.5% |
| 5 | Temporary National Codes (Non-Medicare) | $567,352 | 6.5% |
| 6 | Procedures / Professional Services | $143,572 | 1.7% |
| 7 | Durable Medical Equipment | $111,550 | 1.3% |
| 8 | Surgery | $74,974 | 0.9% |
| 9 | Pathology and Laboratory Procedures | $71,455 | 0.8% |
| 10 | Ambulance and Other Transport Services and Supplies | $45,769 | 0.5% |
| 11 | Medical And Surgical Supplies | $38,987 | 0.4% |
| 12 | Radiology Procedures | $38,765 | 0.4% |
| 13 | Dental Services | $9,320 | 0.1% |
| 14 | Drugs Administered Other than Oral Method | $11 | <0.1% |
| 15 | Outpatient PPS | $0 | <0.1% |
| 15 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $1,434,742 | 68 |
| T1019 | Personal care ser per 15 min | $984,847 | 47 |
| T1027 | Family training & counseling | $18,860 | 11 |
| T1017 | Targeted case management | $7,899 | 2 |
| T4528 | Adult size pull-on xl | $5,992 | 6 |
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.
