In 2024, Medicaid providers in Mount Juliet billed $342,627 for services included in the National Codes Established for State Medicaid Agencies category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 71.3% increase from 2023, when claims for these services totaled $200,032.
Medicaid is a public health insurance program managed by the states and funded through a federal-state partnership. It provides coverage to low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the U.S. health care system.
Because Medicaid spending relies on taxpayer funding, variations in local billing levels reflect how public health care resources are distributed in a community.
The “National Codes Established for State Medicaid Agencies” category includes a range of services billed to Medicaid, organized by care type and defined using standardized HCPCS and CPT code groupings. This analysis assigned each billing code to one service category based on shared code prefixes and number ranges, enabling related services to be grouped together for tracking without double counting and maintaining accurate rankings over time.
Although Medicaid payments grew in several service categories, National Codes Established for State Medicaid Agencies held the second position in Mount Juliet in terms of total Medicaid payments for 2024.
Statewide in Tennessee, the National Codes Established for State Medicaid Agencies category was the top-ranked category by total Medicaid payments in 2024.
During the five years leading up to 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Mount Juliet rose by $273,346, or 44.4%. Growth in spending picked up at certain points, with significant year-over-year increases observed in 2023 and 2022.
Although care in the National Codes Established for State Medicaid Agencies category was delivered throughout Mount Juliet, payments were heavily concentrated in a few ZIP codes. In 2024, ZIP code 37122 accounted for $342,627 in Medicaid payments within this category. The top 1 ZIP code represented 100% of all Medicaid payments tied to this service category in Mount Juliet that year.
Within this category, most Medicaid funding was channeled into a select number of individual billing codes.
For additional context, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Mount Juliet climbed 71.3% from 2023 to 2024, while all Medicaid claim categories combined saw a 3.8% change citywide during the same span.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled approximately $871.7 billion in fiscal 2023. This accounted for about 18% of total national health expenditures—up sharply from $613.5 billion in 2019, before the COVID-19 pandemic.
The increase marks roughly 40% growth over just a few years, largely attributed to expanded enrollment and higher use of services during and after the pandemic.
Recent federal budget legislation under the Trump administration included major proposals to reduce federal Medicaid funding and alter the program’s structure. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is estimated to cut more than $1 trillion in federal Medicaid funding over the coming decade and incorporates policies such as work requirements and increased cost-sharing that could lower coverage and funding for some recipients. These changes are expected to transfer more costs to states and restrict the rate of federal Medicaid growth, even as the program continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $615,972 | -21.5% |
| 2021 | $453,560 | -26.4% |
| 2022 | $343,635 | -24.2% |
| 2023 | $200,031 | -41.8% |
| 2024 | $342,627 | 71.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $768,948 | 57.7% |
| 2 | National Codes Established for State Medicaid Agencies | $342,627 | 25.7% |
| 3 | Ambulance and Other Transport Services and Supplies | $75,801 | 5.7% |
| 4 | Procedures / Professional Services | $62,957 | 4.7% |
| 5 | Medical And Surgical Supplies | $53,062 | 4% |
| 6 | Evaluation and Management | $22,484 | 1.7% |
| 7 | Durable Medical Equipment | $5,062 | 0.4% |
| 8 | Vision Services | $1,359 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $231,610 | 4 |
| T4541 | Large disposable underpad | $27,783 | 12 |
| T4528 | Adult size pull-on xl | $19,011 | 9 |
| T4527 | Adult size pull-on lg | $18,489 | 8 |
| T4526 | Adult size pull-on med | $14,778 | 9 |
| T4524 | Adult size brief/diaper xl | $13,213 | 8 |
| T4523 | Adult size brief/diaper lg | $8,739 | 8 |
| T4522 | Adult size brief/diaper med | $5,739 | 7 |
| T4535 | Disposable liner/shield/pad | $1,822 | 7 |
| T4544 | Adlt disp und/pull on abv xl | $1,438 | 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.