In 2024, Medicaid providers in Euclid recorded $7,348,692 in claims for services in the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This reflects a 162.2% rise from 2023, when providers generated $2,802,896 in bills for the same services.
Medicaid, a major public health insurance program managed by states and financed through federal and state funding, serves low-income individuals and families, seniors, children, and people with disabilities. It represents one of the largest components of the U.S. health care system.
Since taxpayer contributions fund Medicaid, shifts in community billing amounts highlight how public dollars are distributed locally for health care.
The “National Codes Established for State Medicaid Agencies” group includes an array of Medicaid-billed services identified by care type, following standardized HCPCS and CPT code structures. For this report, billing codes were assigned to a single category via consistent prefixes and numerical groupings, enabling service comparison without overlap and maintaining accurate historical orderings.
While Medicaid spending increased in several categories, National Codes Established for State Medicaid Agencies ranked second in Euclid for total Medicaid dollars paid in 2024.
Statewide in Ohio, this category took the top position for Medicaid payments in 2024.
From 2019 through 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Euclid rose by $2,915,898, up 65.8%. Growth in spending grew more rapidly during specific intervals, especially with year-over-year gains in 2023 and 2022.
Though services under this category were provided throughout Euclid, payment concentrations emerged in several ZIP codes. In 2024, 44132 saw $2,553,429 in Medicaid payments within this group, 44119 registered $1,952,830, and 44117 logged $1,891,872. Collectively, these three ZIP codes represented 87.1% of total city Medicaid payments for this category during the year.
Inside the National Codes Established for State Medicaid Agencies category, a small share of individual billing codes accounted for most Medicaid provider payments.
In perspective, Euclid’s Medicaid payments for the National Codes Established for State Medicaid Agencies category rose by 162.2% from 2023 to 2024, while all Medicaid claim categories in the city registered a 0.5% increase in the same timeframe.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled roughly $871.7 billion in the 2023 fiscal year, making up about 18% of total health expenditures nationwide, up significantly from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This upturn equals approximately 40% growth in just a few years, driven primarily by enrollment expansion and greater health care use during and just after the pandemic years.
Previous federal budget laws under the Trump administration featured significant efforts to curb federal Medicaid contributions and realign program financing. The “One Big Beautiful Bill Act,” enacted in 2025, is set to cut federal Medicaid funding by more than $1 trillion over the next decade and brings about policies like implementing work requirements and raising cost-sharing, potentially shrinking coverage and resourcing for certain participants. These adjustments are likely to transfer higher costs to states and curb the increase of federal Medicaid spending, while the program continues to support tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $4,432,793 | -0.9% |
| 2021 | $3,496,503 | -21.1% |
| 2022 | $3,174,160 | -9.2% |
| 2023 | $2,802,895 | -11.7% |
| 2024 | $7,348,692 | 162.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $20,684,437 | 51.6% |
| 2 | National Codes Established for State Medicaid Agencies | $7,348,692 | 18.3% |
| 3 | Medicine Services and Procedures | $4,595,283 | 11.5% |
| 4 | Evaluation and Management | $3,184,838 | 7.9% |
| 5 | Radiology Procedures | $1,449,303 | 3.6% |
| 6 | Ambulance and Other Transport Services and Supplies | $1,003,046 | 2.5% |
| 7 | Procedures / Professional Services | $794,036 | 2% |
| 8 | Pathology and Laboratory Procedures | $308,485 | 0.8% |
| 9 | Dental Services | $300,727 | 0.7% |
| 10 | Durable Medical Equipment | $178,367 | 0.4% |
| 11 | Orthotic Procedures and services | $79,585 | 0.2% |
| 12 | Surgery | $70,488 | 0.2% |
| 13 | Drugs Administered Other than Oral Method | $61,141 | 0.2% |
| 14 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $35,325 | 0.1% |
| 15 | Medical And Surgical Supplies | $13,997 | <0.1% |
| 16 | Enteral and Parenteral Therapy | $7,098 | <0.1% |
| 17 | Temporary Codes | $1,015 | <0.1% |
| 18 | Administrative, Miscellaneous and Investigational | $909 | <0.1% |
| 19 | Outpatient PPS | $145 | <0.1% |
| 20 | Temporary National Codes (Non-Medicare) | $7 | <0.1% |
| 21 | Anesthesia | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $6,462,809 | 85 |
| T1002 | Rn services up to 15 minutes | $657,078 | 100 |
| T2031 | Assist living waiver/diem | $158,609 | 3 |
| T1003 | Lpn/lvn services up to 15min | $13,851 | 12 |
| T4541 | Large disposable underpad | $12,260 | 3 |
| T4535 | Disposable liner/shield/pad | $10,722 | 3 |
| T4527 | Adult size pull-on lg | $8,467 | 3 |
| T4544 | Adlt disp und/pull on abv xl | $6,441 | 2 |
| T4528 | Adult size pull-on xl | $4,911 | 2 |
| T1001 | Nursing assessment/evaluatn | $3,333 | 6 |
| T4526 | Adult size pull-on med | $3,240 | 2 |
| T4537 | Reusable underpad bed size | $3,120 | 2 |
| T4543 | Adult disp brief/diap abv xl | $2,346 | 1 |
| T4540 | Reusable underpad chair size | $1,500 | 2 |
| T1015 | Clinic service | $0 | 1 |
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.
