In 2024, providers in Iraan billed $78,452 for Medicaid services within the National Codes Established for State Medicaid Agencies category, according to information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 122.8% increase compared with 2023, when providers billed $35,211 for similar services.
Medicaid serves as a state-operated public health insurance program with joint federal and state funding, designed for low-income families, children, seniors, and people with disabilities. This program stands as one of the largest health care funding segments in the United States.
Changes in local Medicaid billing reflect how taxpayer health care dollars are distributed through the program in a community.
The National Codes Established for State Medicaid Agencies category includes Medicaid service billings specified by standardized HCPCS and CPT code groupings. For this review, billing codes were consistently grouped under single service categories using distinct prefixes and ranges, ensuring related services stayed together and duplicate claims were avoided to maintain ranking accuracy across periods.
Medicaid expenditures rose in several categories, but the National Codes Established for State Medicaid Agencies category held the top spot for total Medicaid payments in Iraan for 2024.
Across Texas, this service category ranked second by total Medicaid payment totals in 2024.
From five years prior to 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Iraan grew by $75,247, or 2347.7%. Notable annual increases occurred in 2021 and 2022 as spending accelerated in specific years.
Citywide, payments were distributed over multiple areas, though limited ZIP codes saw the most spending. In 2024, the 79744 ZIP code accounted for $78,451 in payments. This single ZIP code represented 100% of Medicaid payments related to the category in Iraan for the year.
Within the National Codes Established for State Medicaid Agencies category, individual Medicaid payments were largely focused on a smaller group of billing codes.
Medicaid payments connected to this category in Iraan rose by 122.8% from 2023 to 2024. This matched the 122.8% growth rate observed for all Medicaid claim categories in the city during the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid outlays reached about $871.7 billion during fiscal 2023, or roughly 18% of total U.S. health expenditures, reflecting an increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.
The rise marks around 40% growth over a few years, driven primarily by larger enrollments and greater service usage throughout the pandemic and the period immediately after.
Legislation from recent federal budgets under the Trump administration introduced significant proposals for federal Medicaid funding cuts as well as restructuring the program. As an example, the “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid spending by more than $1 trillion in the following decade and add policies like work requirements and more cost-sharing. These changes could lessen coverage and funding for certain beneficiaries, shifting costs toward states and constraining federal support, while Medicaid continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,205 | – |
| 2021 | $21,150 | 559.9% |
| 2022 | $37,646 | 78% |
| 2023 | $35,211 | -6.5% |
| 2024 | $78,451 | 122.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $78,451 | 10<0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $78,451 | 11 |
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.









