Guthrie sees $381,477 in Medicaid payments tied to State Medicaid Agencies codes in 2024

In 2024, Medicaid providers in Guthrie billed $381,477 for services falling under the National Codes Established for State Medicaid Agencies category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 106.2% increase from 2023, when claims for these services totaled $185,026.

Medicaid is a joint federal-state health insurance program that serves low-income individuals, families, seniors, children, and people with disabilities. It remains one of the largest components of the U.S. health care system, with funding provided by both federal and state governments jointly.

Since Medicaid is funded through taxpayer dollars, shifts in local billing help illustrate how communities allocate public health care resources.

The “National Codes Established for State Medicaid Agencies” category covers various Medicaid-billed services as defined by specific care types and standardized through groupings of HCPCS and CPT codes. This report assigned each billing code to one service category using consistent code prefix and numeric ranges, preventing overlap and ensuring accurate service rankings over time.

While several Medicaid service categories saw increased payments, the National Codes Established for State Medicaid Agencies category finished second in Guthrie for total Medicaid payouts in 2024.

Statewide in Oklahoma, the same category also ranked second by overall Medicaid payments in 2024.

Between 2019 and 2024, Guthrie’s Medicaid payments for the National Codes Established for State Medicaid Agencies category rose by $161,827, or 73.7%. Certain years, such as 2021 and 2023, saw marked increases in annual spending.

Citywide, spending for the National Codes Established for State Medicaid Agencies category occurred in several areas, but a single ZIP code accounted for most payments. In 2024, ZIP code 73044 recorded $381,476 in Medicaid payouts linked to this category, comprising 100% of such payments in Guthrie for the year.

Most Medicaid payments in the National Codes Established for State Medicaid Agencies category were connected to a limited group of billing codes.

Comparatively, Medicaid outlays for this category in Guthrie jumped 106.2% from 2023 to 2024, whereas all Medicaid claim types in the city increased by 22% for the same time frame.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined reached about $871.7 billion in fiscal year 2023. This represented about 18% of all U.S. health expenditures, up from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth equates to a nearly 40% increase within a few years, attributed primarily to greater enrollment and usage during and following the pandemic.

Recent federal legislation under the Trump administration implemented significant reductions to Medicaid funding and structural changes to the program. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to decrease federal Medicaid spending by over $1 trillion through the next decade. The law also introduces measures like work requirements and higher cost-sharing, which could lower funding and reduce coverage for certain recipients, likely shifting greater cost burdens to states even as Medicaid continues to serve many Americans.

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.