Leonard’s Medicaid providers submitted $58,846 in claims for services categorized under the National Codes Established for State Medicaid Agencies in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That reflects a 7.1% increase from 2023, when $54,928 was billed for the same service category.
Medicaid is a state-run health insurance program funded by both federal and state governments. Serving low-income people, seniors, children and those with disabilities, it makes up a large portion of the American health care system.
As Medicaid draws on taxpayer funding, local billing changes highlight how public health care dollars are distributed within communities.
The “National Codes Established for State Medicaid Agencies” group includes a set of Medicaid-billed services, defined by standardized HCPCS and CPT code groupings according to type of care. Analysts assigned each code to a single service category based on consistent prefixes and numeric ranges, enabling clearer evaluation of similar services while avoiding overlap and maintaining accurate year-to-year rankings.
National Codes Established for State Medicaid Agencies was the top-ranked service category for total Medicaid payments in Leonard in 2024, among several categories that saw spending growth.
Statewide in Texas, this category placed second overall by dollar value of Medicaid payments in 2024.
Over the five-year period prior to 2024, Medicaid payments linked to this category in Leonard climbed by $57,731, or 5176.7%. Year-over-year gains accelerated notably during 2021 and 2022.
Citywide, while these Medicaid expenditures spanned several areas, the payments were mainly concentrated in a few ZIP codes. In 2024, ZIP code 75452 led with $58,845 billed to this category, representing 100% of related Medicaid payments in Leonard for the year.
Within this service group, the majority of Medicaid payments were tied to only a small handful of specific billing codes.
Comparatively, the increase of 7.1% for Medicaid payments in Leonard for this service category between 2023 and 2024 matched the change observed across all Medicaid categories in the city during that time.
According to the Centers for Medicare & Medicaid Services, combined Medicaid spending by the federal and state governments totaled about $871.7 billion for fiscal year 2023. This made up roughly 18% of overall national health expenditures, compared to $613.5 billion in 2019 before the COVID-19 public health crisis.
This growth equates to an approximately 40% increase in several years, driven mainly by enrollment expansion and higher demand following and during the pandemic.
Recent federal fiscal legislation signed under President Trump included major proposals for reducing federal Medicaid funding and overhauling the program. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid spending by over $1 trillion over a decade, bring in work requirements, and increase cost-sharing thresholds, potentially restricting coverage and resources for some participants. These measures are likely to impose more financial responsibilities on states and slow federal funding growth even as Medicaid aims to serve millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,115 | – |
| 2021 | $21,121 | 1794% |
| 2022 | $50,277 | 138% |
| 2023 | $54,928 | 9.3% |
| 2024 | $58,845 | 7.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $58,845 | 10<0.1% |
| 2 | Medicine Services and Procedures | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $58,845 | 14 |
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.







