Brentwood Medicaid bills $2.9 million for State Medicaid Agencies categories in 2024

In Brentwood, Medicaid providers billed $2,920,755 in 2024 for services under the National Codes Established for State Medicaid Agencies, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount is a 22.4% rise compared with 2023, when claims in the same service category reached $2,386,637.

Medicaid is a statewide public health insurance program financed by state and federal governments jointly. The program covers individuals and families with low incomes, seniors, children, and those with disabilities, making it one of the largest components in the U.S. health care system.

As Medicaid is taxpayer funded, trends in local billing rates reflect how health care resources are spent within a community.

The “National Codes Established for State Medicaid Agencies” refers to a group of Medicaid-billed services identified using HCPCS and CPT code groupings, classified by the kind of care delivered. For this overview, each billing code is assigned to a single category through standardized numeric and prefix criteria, enabling analysis by service type and ensuring no overlaps or duplications in historical rankings.

Medicaid spending grew across several service categories, but the National Codes Established for State Medicaid Agencies category ranked highest in Brentwood by total Medicaid payments in 2024.

Throughout Missouri, this category also topped the list by Medicaid payment totals for 2024.

Over the span of five years before 2024, Medicaid spending linked to the National Codes Established for State Medicaid Agencies in Brentwood climbed by $871,198, or 42.5%. There were significant upticks in year-over-year spending during both 2022 and 2021.

Although Medicaid services in this category expanded citywide, payments were especially concentrated within a few ZIP codes. In 2024, ZIP code 63144 reported the most spending at $2,920,755; this single ZIP code represented 100% of Brentwood’s Medicaid payments connected to this category for the year.

Within the overall category, a handful of billing codes made up the majority of Medicaid expenditures.

Specifically, between 2024 and 2023, Brentwood saw a 22.4% rise in Medicaid spending for this category, while all Medicaid service categories together posted a 23.7% increase locally during that same interval.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled nearly $871.7 billion in fiscal 2023. This figure accounted for about 18% of total national health care spending, up substantially from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This rise represents an expansion of around 40% in just a few years. The increase is attributed primarily to higher enrollment and utilization during and following the public health crisis.

Federal budget plans passed under the Trump administration included major initiatives to reduce Medicaid funding at the federal level and to change the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion in federal Medicaid spending through the next decade and introduces policies, including new work requirements and heightened cost-sharing, that may reduce coverage and funding for some enrollees. These policies could shift additional financial responsibility to states and constrain the rate of federal Medicaid growth as the program continues to serve tens of millions nationwide.

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.