In 2024, Bryant Medicaid providers submitted $280,629 in claims for services under 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. That amount is up 23.6% from $227,009 in 2023 for the same category.
Medicaid, a state-administered public health insurance program, receives funding from both federal and state governments and provides coverage for low-income residents, seniors, children and individuals with disabilities, making it one of the largest elements of the U.S. health care system.
Because Medicaid is funded by taxpayers, fluctuations in local payment levels illustrate how public health dollars are distributed within communities.
The “National Codes Established for State Medicaid Agencies” category includes Medicaid services grouped by types of care, using standardized HCPCS and CPT code prefixes and numeric ranges. For this analysis, each code is grouped into a specific service category, ensuring related services are analyzed collectively without duplication or ranking error across years.
While overall Medicaid spending increased for several categories, the National Codes Established for State Medicaid Agencies category ranked third in total Medicaid payments in Bryant for 2024.
Statewide in Arkansas, the same category accounted for the highest Medicaid payment total in 2024.
Over the five years before 2024, Bryant’s Medicaid payments linked to the National Codes Established for State Medicaid Agencies category rose by $349,500, a 55.5% increase. Certain periods saw more rapid spending growth, with notable annual increases in both 2020 and 2021.
Spending for services classified in this category was widespread but remained heavily concentrated in a few ZIP codes. In 2024, ZIP code 72022 accounted for $279,938 in Medicaid payments, while 72019 saw $690. Combined, these two ZIP codes represented 100% of Medicaid payments for the category in Bryant that year.
Within this service grouping, a small number of specific billing codes made up most of the total Medicaid payments.
Comparing growth, Medicaid payments in Bryant tied to this category climbed 23.6% between 2023 and 2024, whereas all Medicaid claim categories citywide experienced a 63.8% change during the same interval.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending totaled approximately $871.7 billion in fiscal 2023, making up about 18% of overall national health expenditures. That is a significant increase from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.
This surge equals nearly 40% growth over several years, spurred mainly by higher enrollment and greater use of services during and following the pandemic period.
Major federal budget reforms under the Trump administration have introduced substantial plans to shrink federal Medicaid contributions and alter the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to decrease federal Medicaid spending by more than $1 trillion over 10 years, with provisions such as work requirements and increased cost-sharing, which may reduce benefits and coverage for some individuals. These modifications are expected to shift more costs to states and may restrict the expansion of federal Medicaid support, even as millions continue to depend on the program nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $630,129 | 54.8% |
| 2021 | $669,335 | 6.2% |
| 2022 | $340,586 | -49.1% |
| 2023 | $227,008 | -33.3% |
| 2024 | $280,628 | 23.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $2,803,885 | 72.3% |
| 2 | Dental Services | $589,486 | 15.2% |
| 3 | National Codes Established for State Medicaid Agencies | $280,628 | 7.2% |
| 4 | Evaluation and Management | $76,572 | 2% |
| 5 | Pathology and Laboratory Procedures | $67,321 | 1.7% |
| 6 | Radiology Procedures | $17,711 | 0.5% |
| 7 | Administrative, Miscellaneous and Investigational | $14,715 | 0.4% |
| 8 | Outpatient PPS | $6,177 | 0.2% |
| 9 | Orthotic Procedures and services | $5,715 | 0.1% |
| 10 | Temporary National Codes (Non-Medicare) | $4,176 | 0.1% |
| 11 | Drugs Administered Other than Oral Method | $4,011 | 0.1% |
| 12 | Surgery | $3,537 | 0.1% |
| 13 | Procedures / Professional Services | $2,100 | 0.1% |
| 14 | Hearing Services | $1,226 | <0.1% |
| 15 | Temporary Codes | $150 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2031 | Assist living waiver/diem | $157,965 | 6 |
| T1015 | Clinic service | $122,663 | 17 |
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.
