National Codes Established for State Medicaid Agencies led Clark Fork Medicaid payments with $440,853 in 2024

In 2024, health care providers in Clark Fork received $440,853 for Medicaid services categorized under the National Codes Established for State Medicaid Agencies, as shown by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represents a 0.1% increase from 2023, when similar claims amounted to $440,429.

Medicaid serves low-income individuals and families, seniors, children, and people with disabilities, and is a state-administered health insurance program supported by both state and federal funding. It stands as one of the largest components of the U.S. health care structure.

Given that taxpayer funds support Medicaid payments, any local changes in billing underscore how health care resources are distributed within a community.

The “National Codes Established for State Medicaid Agencies” category describes a set of Medicaid-billed services grouped according to the nature of care provided, based on systematized HCPCS and CPT code groupings. Each code for this report was placed in a single service group, using uniform prefixes and number ranges to examine related services while avoiding duplication and allowing consistent ranking over time.

National Codes Established for State Medicaid Agencies was the top Medicaid payment category in Clark Fork in 2024, even as overall Medicaid spending grew across several service groupings.

This service category was the second largest by total Medicaid payments across Idaho in 2024.

Over the five years before 2024, Clark Fork’s Medicaid payments for this category rose by $12,168, or 2.8%. Periods such as 2020 and 2023 exhibited marked annual increases in spending.

Although spending on services in this category occurred throughout the city, most Medicaid payments were linked to just a small number of ZIP codes. In 2024, the 83811 ZIP code reported $440,853 in Medicaid payments for these services. The leading ZIP code represented 100% of Medicaid payments in this category for Clark Fork in that year.

Medicaid expenditures within this group were further concentrated among a small set of billing codes.

Looking at differences in payment trends, Clark Fork’s Medicaid payments in this category increased by 0.1% from 2023 to 2024, while total payments across all categories in the city shifted by 15% over the same timeframe.

According to the Centers for Medicare & Medicaid Services, Medicaid spending on the federal and state levels reached nearly $871.7 billion during fiscal year 2023, composing about 18% of the nation’s health expenditures. This represents a substantial climb from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

The nearly 40% growth in Medicaid spending over several years is attributable mostly to increased enrollment and expanded utilization linked to the pandemic era and its aftermath.

Recent federal budget measures introduced under the Trump administration have proposed significant reductions and restructuring of Medicaid funding. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over the next 10 years. It also introduces changes such as work requirements and higher cost-sharing, which may lower both coverage and funding for certain enrollees. These shifts could move more Medicaid financial responsibility to states while curbing federal growth, even as the program continues to serve tens of millions.

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.