In 2024, Medicaid providers in Scottsdale reported charges totaling $50,174,298 for services in the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This sum represented a rise of 10.4% over the 2023 figure, when the same category accounted for $45,467,891 in provider claims.
Medicaid, a public health insurance initiative led by states and funded in partnership by federal and state governments, provides coverage to low-income people and families, children, seniors, and those with disabilities, ranking as a central element of U.S. health care.
Local billing shifts highlight how taxpayer-funded Medicaid dollars are distributed in communities.
The “National Codes Established for State Medicaid Agencies” grouping comprises a set of Medicaid-billed services, with care types defined through standard HCPCS and CPT code groupings. Each billing code, for this review, was placed into a single service category using set code prefixes and ranges; this allowed analysis of service trends, accurate category tracking, and avoided duplicate counts over time.
While spending grew across several service groupings, the National Codes Established for State Medicaid Agencies placed second among all Medicaid payment categories by total in Scottsdale in 2024.
Statewide in Arizona, this category was ranked first for Medicaid payment totals in 2024.
Looking at the five years preceding 2024, Medicaid outlays for this category in Scottsdale climbed by $38,411,765, equating to 326.6%. Noteworthy spikes in spending were observed in some years, particularly in 2023 and 2021.
Even though spending under the category occurred citywide, payments were heavily locked in a handful of ZIP codes. In 2024, the 85254 ZIP code received $19,879,397, 85256 registered $14,342,483, and 85257 posted $8,386,986. Together, these 3 areas made up 84.9% of total Medicaid payments for the category in Scottsdale during that year.
The National Codes Established for State Medicaid Agencies group saw Medicaid payments predominantly allocated to relatively few individual billing codes.
For context, Medicaid disbursements for this category in Scottsdale increased by 10.4% from 2023 to 2024, surpassing the 9.7% overall rate of change across all Medicaid claim types in the city for the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled an estimated $871.7 billion for fiscal 2023, making up nearly 18% of total U.S. health costs. That figure reflected an increase from about $613.5 billion in 2019 before the COVID-19 pandemic.
This growth—approximately 40% over only a few years—was largely propelled by increased enrollment and higher health service usage during and after the pandemic.
Recent federal budget measures under President Trump have encompassed major plans to reduce federal Medicaid funding and modify the program’s framework. The “One Big Beautiful Bill Act,” signed into law in 2025, is set to reduce federal Medicaid outlays by more than $1 trillion over the coming decade. It also contains provisions such as work requirements and greater cost-sharing expected to limit benefits and decrease funding for certain enrollees, which may lead to greater state-level cost burdens and restrict federal support, though Medicaid will continue serving tens of millions of individuals.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $11,762,532 | 50.4% |
| 2021 | $19,637,137 | 66.9% |
| 2022 | $25,895,472 | 31.9% |
| 2023 | $45,467,891 | 75.6% |
| 2024 | $50,174,297 | 10.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $83,484,153 | 34.3% |
| 2 | National Codes Established for State Medicaid Agencies | $50,174,297 | 20.6% |
| 3 | Evaluation and Management | $35,119,437 | 14.4% |
| 4 | Medicine Services and Procedures | $24,028,242 | 9.9% |
| 5 | Radiology Procedures | $17,581,136 | 7.2% |
| 6 | Alcohol and Drug Abuse Treatment | $15,768,316 | 6.5% |
| 7 | Administrative, Miscellaneous and Investigational | $4,479,933 | 1.8% |
| 8 | Surgery | $2,906,842 | 1.2% |
| 9 | Procedures / Professional Services | $2,398,268 | 1% |
| 10 | Pathology and Laboratory Procedures | $1,560,205 | 0.6% |
| 11 | Ambulance and Other Transport Services and Supplies | $1,450,347 | 0.6% |
| 12 | Durable Medical Equipment | $1,355,057 | 0.6% |
| 13 | Medical And Surgical Supplies | $943,010 | 0.4% |
| 14 | Drugs Administered Other than Oral Method | $834,448 | 0.3% |
| 15 | Anesthesia | $375,927 | 0.2% |
| 16 | Outpatient PPS | $222,972 | 0.1% |
| 17 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $179,568 | 0.1% |
| 18 | Orthotic Procedures and services | $172,406 | 0.1% |
| 19 | Temporary Codes | $168,731 | 0.1% |
| 20 | Dental Services | $98,749 | <0.1% |
| 21 | Chemotherapy Drugs | $19,317 | <0.1% |
| 22 | Vision Services | $561 | <0.1% |
| 23 | Pathology and Laboratory Services | $29 | <0.1% |
| 24 | Miscellaneous Medical Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $21,123,332 | 64 |
| T2017 | Habil res waiver 15 min | $19,770,941 | 15 |
| T1021 | Hh aide or cn aide per visit | $5,085,301 | 29 |
| T1016 | Case management | $2,559,972 | 154 |
| T2033 | Res, nos waiver per diem | $1,539,462 | 15 |
| T2001 | N-et; patient attend/escort | $44,060 | 9 |
| T1002 | Rn services up to 15 minutes | $43,884 | 29 |
| T1003 | Lpn/lvn services up to 15min | $5,354 | 10 |
| T2007 | Non-emer transport wait time | $1,987 | 3 |
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.
