North Muskegon sees $984,074 in Medicaid payments for State Medicaid Agencies codes in 2024

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that North Muskegon Medicaid providers billed a total of $984,074 in 2024 for services within the National Codes Established for State Medicaid Agencies category. This was a 264.7% rise from 2023, when claims for the same service reached $269,838.

Medicaid, a state-administered program financed with both federal and state funds, provides coverage to low-income people, children, seniors, and those with disabilities. This makes Medicaid a key component of the U.S. health care system.

Since Medicaid is funded by taxpayer dollars, shifts in local billing levels indicate how health care resources are distributed within a community.

The “National Codes Established for State Medicaid Agencies” category covers a set of Medicaid services grouped by type of care, based on standardized HCPCS and CPT code sets. For this report, billing codes were placed into one service category using consistent code prefixes and ranges, helping ensure accurate comparisons across years and prevent overlapping counts.

Among all Medicaid service groups, National Codes Established for State Medicaid Agencies led North Muskegon in Medicaid payments for 2024.

Statewide in Michigan, the same category ranked second in terms of total Medicaid payments for 2024.

Between 2020 and 2024, the amount billed to Medicaid for services in this category in North Muskegon rose by $984,074, or 0%. The pace of spending growth accelerated at certain points, especially in 2023 and 2022 when year-over-year increases were notable.

Payments for the National Codes Established for State Medicaid Agencies category were distributed across the city, but specific ZIP codes saw especially high concentrations. In 2024, ZIP code 49445 accounted for the bulk of these Medicaid payments, at $984,073. The top 1 ZIP codes collectively contributed to 100% of the city’s Medicaid charges in this category for the year.

Within the National Codes Established for State Medicaid Agencies category, only a small selection of billing codes accounted for the majority of Medicaid payments.

To provide broader context, Medicaid payments for this category in North Muskegon jumped 264.7% from 2023 to 2024, whereas all Medicaid categories in the city together saw only a 1.2% change during the same time frame.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together totaled approximately $871.7 billion in fiscal year 2023, representing about 18% of the nation’s overall health expenditures—up from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This nearly 40% spending increase over a few years was attributed mainly to greater enrollment and usage during and after the pandemic period.

Recent federal budget measures enacted by the Trump administration included several significant Medicaid funding reductions and structural reforms. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal spending on Medicaid by more than $1 trillion over 10 years, adding elements like work requirements and higher cost-sharing. These policy changes could narrow coverage for some recipients and shift a larger share of Medicaid costs to individual states, even as the program remains widely used across the nation.

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.