Fort Walton Beach Medicaid providers billed a total of $2,259,120 in 2024 for services within the National Codes Established for State Medicaid Agencies, U.S. Department of Health and Human Services Medicaid Provider Spending data show. This amount reflects a 7.3% increase from 2023, when claims for the same service group reached $2,106,283.
Medicaid, managed at the state level with support from both federal and state funding sources, serves low-income people, older adults, children, and individuals with disabilities, making it a significant component of the national health system.
Because Medicaid is taxpayer-funded, shifts in local claim totals provide insight into how public health resources are distributed in individual communities.
The National Codes Established for State Medicaid Agencies grouping includes Medicaid services sorted by care type using standard HCPCS and CPT coding structures. Each code was consistently assigned to this category through shared prefixes and numeric intervals for the analysis, supporting direct comparison within related services and limiting double-counting to protect trend accuracy and rankings.
Among all 2024 Medicaid service categories, National Codes Established for State Medicaid Agencies represented the highest-level of Medicaid payments in Fort Walton Beach.
Statewide, this service category accounted for the second-largest sum of Medicaid payments in Florida during 2024.
From 2019 to 2024, Fort Walton Beach saw Medicaid-related payments for National Codes Established for State Medicaid Agencies rise by $769,246, or 51.6%. Some periods, such as 2021 and 2023, featured especially rapid growth.
Spending under this service grouping was recorded across Fort Walton Beach but was most heavily concentrated in just two ZIP codes. In 2024, ZIP code 32547 saw $1,975,519 in Medicaid bills, and ZIP code 32548 recorded $283,600. Combined, these two ZIP codes represented the entire total for the National Codes Established for State Medicaid Agencies claims in the city that year.
Within the group, payments were also clustered among a select number of service-specific billing codes.
Medicaid-related payments within this service category grew 7.3% between 2024 and 2023 locally, while aggregate claims across all Medicaid categories in Fort Walton Beach rose 34.4% for the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state spending on Medicaid reached about $871.7 billion in fiscal 2023—roughly 18% of all U.S. health care expenditures—with costs sharply higher than the $613.5 billion total from 2019, before COVID-19 was declared a pandemic.
This growth, estimated at approximately 40% over several years, has mainly been propelled by increased enrollment and greater demand for care during and after the COVID-19 pandemic.
Recent federal budget policy under the Trump administration has introduced key proposals that reduce federal financing for Medicaid and revise some aspects of the program structure. The “One Big Beautiful Bill Act,” approved in 2025, is expected to decrease federal contributions to Medicaid by more than $1 trillion over the next ten years and includes new work requirements and cost-sharing measures that might affect coverage and overall funding for certain participants. As these shifts are implemented, states may bear more financial responsibility, limiting federal support even as Medicaid continues covering tens of millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,489,873 | -23.6% |
| 2021 | $1,781,310 | 19.6% |
| 2022 | $1,787,466 | 0.3% |
| 2023 | $2,106,282 | 17.8% |
| 2024 | $2,259,119 | 7.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $2,259,119 | 33.5% |
| 2 | Evaluation and Management | $1,919,759 | 28.5% |
| 3 | Alcohol and Drug Abuse Treatment | $675,635 | 1<0.1% |
| 4 | Temporary National Codes (Non-Medicare) | $393,181 | 5.8% |
| 5 | Medicine Services and Procedures | $386,718 | 5.7% |
| 6 | Surgery | $346,367 | 5.1% |
| 7 | Procedures / Professional Services | $291,151 | 4.3% |
| 8 | Pathology and Laboratory Procedures | $289,464 | 4.3% |
| 9 | Dental Services | $136,890 | 2% |
| 10 | Radiology Procedures | $25,593 | 0.4% |
| 11 | Durable Medical Equipment | $10,701 | 0.2% |
| 12 | Vision Services | $5,863 | 0.1% |
| 13 | Drugs Administered Other than Oral Method | $2,212 | <0.1% |
| 14 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $1,292 | <0.1% |
| 15 | Medical And Surgical Supplies | $1,176 | <0.1% |
| 16 | Other Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2023 | Targeted case mgmt per month | $1,398,848 | 11 |
| T2030 | Assist living waiver/month | $346,299 | 12 |
| T1015 | Clinic service | $215,514 | 53 |
| T2003 | N-et; encounter/trip | $152,370 | 11 |
| T2021 | Day habil waiver per 15 min | $78,000 | 10 |
| T1017 | Targeted case management | $68,085 | 12 |
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.
