In 2024, Medicaid providers in Harrodsburg billed a total of $733,501 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 figure represents a 6.2% increase over 2023, when billings amounted to $690,627 for these same services.
Medicaid, funded by both federal and state governments and administered at the state level, insures low-income individuals, families, seniors, children, and those with disabilities, establishing itself as a primary component of the U.S. health care system. For more about funding, visit the Commonwealth Fund.
Since Medicaid dollars stem from public sources, changes in community billing activities directly reflect the local distribution of public health funding.
The “National Codes Established for State Medicaid Agencies” category includes a defined set of Medicaid-billed services classified by the nature of care using standardized HCPCS and CPT code groupings. Each billing code for this review was placed into a specific service category through uniform code prefixes and ranges, ensuring that grouped services are collectively analyzed and correctly ranked over time without duplicate counting.
Several Medicaid service categories saw higher spending, with National Codes Established for State Medicaid Agencies placing third overall in Harrodsburg by total Medicaid payments in 2024.
Statewide in Kentucky, this category held the top position by total Medicaid payments in 2024.
Between 2019 and 2024, Harrodsburg’s Medicaid payments tied to the National Codes Established for State Medicaid Agencies category increased by $289,087—an overall gain of 65%. Noteworthy year-over-year growth occurred in 2021 and 2022, underscoring a period of spending acceleration.
Within the city, although National Codes Established for State Medicaid Agencies spending was present citywide, most of the Medicaid payments were highly concentrated in a small group of ZIP codes. The largest payment by ZIP code in 2024 was found in 40330, which made up $733,500 of the total. Collectively, the leading 1 ZIP code accounted for 100% of Harrodsburg’s Medicaid payments for this category that year.
Medicaid spending in this category was also focused on a narrow set of billing codes.
For 2024, Medicaid payments for this category increased by 6.2% in Harrodsburg compared to the previous year. This compares to a citywide 13.8% change across all Medicaid claim categories for the same period.
According to the Centers for Medicare & Medicaid Services, Medicaid spending nationwide by federal and state sources totalled about $871.7 billion in fiscal year 2023. That’s roughly 18% of all U.S. health expenditures, sharply higher than the $613.5 billion reported for 2019, pre-COVID-19.
This reflects approximately 40% growth over a handful of years, attributed primarily to more enrollees and elevated service utilization during and following the pandemic.
Federal budget laws under the Trump administration recently proposed extensive cuts to federal Medicaid funding and sought to alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years while introducing measures like work requirements and greater cost-sharing, potentially affecting coverage for some recipients. These regulations are anticipated to place additional fiscal burden on states and constrain federal Medicaid growth, although coverage through the program continues for tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $444,414 | -22.6% |
| 2021 | $541,083 | 21.8% |
| 2022 | $642,391 | 18.7% |
| 2023 | $690,627 | 7.5% |
| 2024 | $733,500 | 6.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $1,232,998 | 27.9% |
| 2 | Evaluation and Management | $857,817 | 19.4% |
| 3 | National Codes Established for State Medicaid Agencies | $733,500 | 16.6% |
| 4 | Pathology and Laboratory Procedures | $720,888 | 16.3% |
| 5 | Radiology Procedures | $492,762 | 11.1% |
| 6 | Alcohol and Drug Abuse Treatment | $319,743 | 7.2% |
| 7 | Surgery | $21,806 | 0.5% |
| 8 | Procedures / Professional Services | $18,469 | 0.4% |
| 9 | Ambulance and Other Transport Services and Supplies | $18,326 | 0.4% |
| 10 | Drugs Administered Other than Oral Method | $2,313 | 0.1% |
| 11 | Vision Services | $1,799 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2023 | Targeted case mgmt per month | $618,251 | 12 |
| T2021 | Day habil waiver per 15 min | $108,070 | 12 |
| T1004 | Nsg aide service up to 15min | $6,370 | 6 |
| T1003 | Lpn/lvn services up to 15min | $546 | 3 |
| T1002 | Rn services up to 15 minutes | $262 | 3 |
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.
