Fort Myers’ Medicaid spending on National Codes Established for State Medicaid Agencies rises to $11,148,440 in 2024

In 2024, Medicaid providers in Fort Myers submitted $11,148,440 in claims for services within 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. This total represents an increase of 3.3% over 2023, when $10,787,769 was billed for the same group of services.

Medicaid is a state-run health insurance program jointly financed by federal and state governments. It provides coverage for low-income individuals, families, children, seniors, and people with disabilities and is a substantial part of the U.S. health care system.

Since Medicaid funding derives from taxes, shifts in local billing reflect the allocation of public health dollars in each community.

The “National Codes Established for State Medicaid Agencies” category describes services grouped by care type, defined according to standardized HCPCS and CPT code ranges. In this report, each billing code was attributed to a single service category based on consistent numeric groupings, which enabled analysis of related services, prevented double counting, and maintained precise rankings year to year.

Across multiple Medicaid service groups, spending increases were recorded, and in 2024, National Codes Established for State Medicaid Agencies was the second largest category for Medicaid payments in Fort Myers.

At the statewide level, National Codes Established for State Medicaid Agencies also held the second-highest total among Florida’s Medicaid service categories in 2024.

Over the five years through 2024, Medicaid payments in this category climbed by $2,307,374, or 26.1%. The data shows accelerated spending increases during some years, with significant year-over-year growth posted in 2023 and 2022.

Though Medicaid spending for this category was citywide, most payments were concentrated in just a handful of ZIP codes. In 2024, ZIP codes 33907, 33901, and 33912 recorded $4,066,920, $3,203,281, and $1,722,276 in payments, respectively. Combined, the top 3 ZIP codes accounted for 80.7% of all Medicaid funds billed under the National Codes Established for State Medicaid Agencies category in Fort Myers that year.

Within this category, a small number of billing codes accounted for most Medicaid payment volume.

To put the trend in perspective, Medicaid payments tied to this category in Fort Myers grew by 3.3% from 2023 to 2024, whereas the aggregate of all Medicaid claim categories in the city rose by 20.3% during the same interval.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid spending was about $871.7 billion in fiscal 2023, which made up about 18% of national health expenses, up sharply from $613.5 billion in 2019 prior to the onset of the COVID-19 pandemic.

The change marks an increase of roughly 40% over several years, fueled by broader enrollment and increased service use during and after the pandemic period.

The Trump administration’s recent federal budget legislation included substantial plans to reduce Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over the coming decade and introduces policies like work requirements and higher cost-sharing, which could curtail eligibility and benefits for some participants. This legislation is anticipated to shift costs to the states and cap growth in federal Medicaid support, although the program continues serving 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.