Miami Gardens Medicaid payments for National Codes Established for State Medicaid Agencies total $14,235,468 in 2024

In 2024, Medicaid providers in Miami Gardens billed $14,235,468 for services categorized as National Codes Established for State Medicaid Agencies, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 4.2% uptick from 2023, when submitted claims in this category totaled $13,659,900.

Medicaid, funded jointly by federal and state governments and administered by states, provides coverage to low-income residents, seniors, children, and people with disabilities, making it a central component of the U.S. health care system.

As Medicaid funding is sourced from tax dollars, shifts in provider billing illustrate how health care resources are distributed throughout the local community.

The “National Codes Established for State Medicaid Agencies” grouping encompasses Medicaid-billed services defined by the type of care provided and classified using standardized HCPCS and CPT code segments. For this review, each billing code belonged to a single service category, determined by consistent code prefixes and numeric sequences to help compare related types of service, reduce redundancy, and maintain accurate rank orderings over time.

Among all service types, National Codes Established for State Medicaid Agencies ranked first for Medicaid payment totals in Miami Gardens during 2024.

Statewide, the National Codes Established for State Medicaid Agencies category was second in total Medicaid payments in Florida for 2024.

Between 2019 and 2024, payments to providers in this category in Miami Gardens increased by $7,151,295 or 100.9%. Notably high annual increases took place in 2023 and 2020 during this period of growth.

Although these expenditures were citywide, payments were mostly concentrated in a small number of ZIP codes. In 2024, ZIP codes 33169, 33056, and 33054 saw the largest Medicaid payment amounts in this category—$10,805,497, $1,671,988, and $957,473 respectively—with the three combined making up 94.4% of local spending for National Codes Established for State Medicaid Agencies that year.

Payments within this category in Miami Gardens were also concentrated in a limited set of billing codes.

Medicaid payments related to National Codes Established for State Medicaid Agencies in Miami Gardens rose by 4.2% from 2023 to 2024, while all Medicaid claims citywide grew by 15.8% in the same timeframe.

According to the Centers for Medicare & Medicaid Services, federal and state spending for Medicaid reached approximately $871.7 billion in fiscal 2023—about 18% of national health expenditures—an increase from $613.5 billion in 2019, prior to the onset of the COVID-19 pandemic.

This increase amounts to approximately 40% growth within just a few years, influenced largely by expanded enrollment and greater utilization during and following the pandemic.

Recent federal budget measures adopted during the Trump administration have included proposals to cut federal Medicaid funding and modify the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to decrease federal Medicaid funding by more than $1 trillion over the coming decade, with new policies such as work requirements and increased beneficiary cost-sharing. These measures could reduce coverage and federal support, shifting more costs to states even as Medicaid continues to serve millions.

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.