In 2024, Medicaid providers in Mukilteo reported $9,250,763 in billings for services under the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflected a 15.2% growth from 2023, when claims for the same services reached $8,032,597.
Medicaid is a program operated by the states and supported through joint federal and state funding. The program provides coverage for low-income people, children, seniors, and individuals with disabilities, making it one of the largest health care coverage systems in the country.
Since Medicaid is funded by taxpayers, trends in billing locally help demonstrate how public health care expenditures are allocated within a municipality.
The “National Codes Established for State Medicaid Agencies” category represents a set of Medicaid-billed services defined by care type and grouped using standardized HCPCS and CPT coding. For this report, billing codes were assigned to unique service categories based on code prefixes and numerical groupings, enabling comparison of related services without duplicate counting and maintaining ranking accuracy over time.
Among all service categories, National Codes Established for State Medicaid Agencies accounted for the most Medicaid payments in Mukilteo in 2024.
Statewide, National Codes Established for State Medicaid Agencies also led all categories for total Medicaid payments in Washington in 2024.
Between 2020 and 2024, Medicaid payments in Mukilteo linked to National Codes Established for State Medicaid Agencies grew by $3,218,434, a 53.4% increase. Certain years showed especially strong annual growth, with significant rises noted in 2020 and 2022.
Although payments for this category of care were distributed throughout Mukilteo, the dollar amounts were heavily concentrated in just a few ZIP codes. In 2024, ZIP code 98275 recorded $9,250,762 in Medicaid payments under National Codes Established for State Medicaid Agencies. The top ZIP code accounted for 100% of such payments in the city that year.
Payments for care within National Codes Established for State Medicaid Agencies were also concentrated among a small number of individual billing codes.
When comparing categories, Medicaid payments in Mukilteo for National Codes Established for State Medicaid Agencies increased 15.2% between 2024 and 2023, outpacing the 11.8% growth observed across all Medicaid claim categories locally in the same timeframe.
According to the Centers for Medicare & Medicaid Services, state and federal spending on Medicaid amounted to approximately $871.7 billion in fiscal year 2023, comprising about 18% of national health expenses. This was a substantial increase from $613.5 billion in 2019, before the COVID-19 pandemic.
This change marks growth of about 40% in a span of several years, much of it attributed to expanded program enrollment and greater utilization throughout and following the pandemic.
Recent federal budget actions under the Trump administration included wide-ranging proposals to decrease federal Medicaid funding and change the program structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over 10 years. It brings new policies such as work requirements and higher cost-sharing, which may reduce benefits and public funds for some participants. These measures will likely mean higher state costs and limit federal Medicaid growth, even as millions continue to rely on the program nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $6,032,328 | 12.9% |
| 2021 | $6,612,160 | 9.6% |
| 2022 | $7,340,627 | 11% |
| 2023 | $8,032,597 | 9.4% |
| 2024 | $9,250,762 | 15.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $9,250,762 | 73.4% |
| 2 | Medical And Surgical Supplies | $2,496,020 | 19.8% |
| 3 | Medicine Services and Procedures | $245,009 | 1.9% |
| 4 | Durable Medical Equipment | $204,640 | 1.6% |
| 5 | Evaluation and Management | $201,625 | 1.6% |
| 6 | Enteral and Parenteral Therapy | $194,196 | 1.5% |
| 7 | Ambulance and Other Transport Services and Supplies | $9,276 | 0.1% |
| 8 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T4527 | Adult size pull-on lg | $1,706,049 | 12 |
| T4528 | Adult size pull-on xl | $1,113,917 | 12 |
| T4541 | Large disposable underpad | $1,113,676 | 12 |
| T4526 | Adult size pull-on med | $1,068,151 | 12 |
| T4537 | Reusable underpad bed size | $1,009,605 | 12 |
| T4543 | Adult disp brief/diap abv xl | $791,668 | 12 |
| T4535 | Disposable liner/shield/pad | $691,899 | 12 |
| T4544 | Adlt disp und/pull on abv xl | $643,149 | 12 |
| T4524 | Adult size brief/diaper xl | $499,821 | 12 |
| T4523 | Adult size brief/diaper lg | $385,899 | 12 |
| T4522 | Adult size brief/diaper med | $117,001 | 12 |
| T4525 | Adult size pull-on sm | $102,076 | 12 |
| T4521 | Adult size brief/diaper sm | $7,845 | 10 |
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.