Naples Medicaid payments for National Codes Established for State Medicaid Agencies climb to $5,458,377 in 2024

In 2024, Medicaid providers in Naples submitted $5,458,377 in claims for services grouped under the National Codes Established for State Medicaid Agencies, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 3.6% increase from 2023, when claims for the same category reached $5,266,643.

Medicaid, administered by the states and financed jointly by federal and state governments, insures low-income families and individuals, seniors, children and people with disabilities. It remains one of the largest elements of the U.S. health care system.

Since Medicaid funding is provided through taxpayer dollars, variations in local billing illustrate how public health care funding is distributed locally.

The “National Codes Established for State Medicaid Agencies” group represents a set of Medicaid services identified by care type, based on established HCPCS and CPT code groupings. In this report, each code was assigned one service category through consistent code prefixes and numeric intervals, ensuring related services are tracked together, avoiding duplicates, and keeping long-term rankings consistent.

While Medicaid spending in Naples rose across numerous service areas, National Codes Established for State Medicaid Agencies topped all categories in total Medicaid payments in 2024.

For the state overall, National Codes Established for State Medicaid Agencies placed second in terms of total Medicaid payments in 2024.

During the five-year span ending in 2024, Naples saw a $2,791,679 rise, or an increase of 104.7%, in Medicaid payments for the National Codes Established for State Medicaid Agencies category. This growth accelerated in some years, including 2023 and 2021.

Payments for services in this category were allocated throughout Naples in 2024, but three ZIP codes received the largest shares. Those were 34103 at $2,134,381, 34119 with $958,218, and 34116 at $736,575; these three accounted for 70.2% of all Naples Medicaid payments in this category for the year.

A limited selection of billing codes dominated Medicaid payments within the National Codes Established for State Medicaid Agencies category in Naples.

Comparing category-specific growth, Medicaid payments in Naples linked to the National Codes Established for State Medicaid Agencies climbed by 3.6% from 2023 to 2024. Across all Medicaid claim categories in the city, the increase was 18.5% during the same time frame.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending tallied about $871.7 billion in fiscal year 2023, which accounted for roughly 18% of total national health spending. That’s a significant rise from the $613.5 billion spent in 2019, before the COVID-19 pandemic hit.

This reflects approximately 40% growth in a matter of years, fueled largely by expanding enrollment and increased utilization during and after the pandemic.

Federal budget laws initiated under the Trump administration included several major proposals for reducing federal Medicaid spending and updating the program’s structure. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid expenditures by over $1 trillion over 10 years and to add policy adjustments such as work requirements and increased cost-sharing, potentially limiting coverage or funding for some recipients. These measures are expected to require greater state contributions and curb future federal support while the program continues serving millions of Americans.

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.