Medicaid payments for National Codes Established for State Medicaid Agencies surge 117.9% in Deering in 2024

Deering Medicaid providers submitted $2,926,359 in claims for services categorized under the National Codes Established for State Medicaid Agencies in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount represents a 117.9% rise from 2023, during which providers billed $1,342,818 for the same service type.

Medicaid, a state-administered public health insurance program jointly funded by state and federal governments, serves low-income individuals and families, seniors, children, and people with disabilities, making it one of the largest U.S. health care programs. Read more about Medicaid funding through the Commonwealth Fund.

Because taxpayer dollars support Medicaid, shifts in billing levels locally reflect how a community allocates its public health care funds.

The “National Codes Established for State Medicaid Agencies” category includes Medicaid-billed services grouped by care type, using standardized HCPCS and CPT code groupings. In conducting this analysis, service categories were determined through consistent code prefixes and ranges to allow for aggregation of similar services while preventing duplicate counts and ensuring reliable year-over-year rankings.

Among Medicaid service categories, National Codes Established for State Medicaid Agencies accounted for the highest total Medicaid payments in Deering in 2024.

Statewide in New Hampshire, National Codes Established for State Medicaid Agencies also led all service categories by total Medicaid payments for 2024.

Between 2020 and 2024, Deering’s Medicaid payments tied to the National Codes Established for State Medicaid Agencies category grew by $2,926,359, reflecting no percentage change overall but showing notable growth periods, especially year-over-year increases in 2023 and 2022.

While payments for this category were spread throughout Deering, the bulk came from a small number of ZIP codes. In 2024, ZIP code 03244 accounted for $2,926,358 in payments, representing 100% of Deering’s Medicaid spending in this category for that year.

Within this category, most Medicaid payments were for a select group of billing codes.

For additional context, Medicaid payments for National Codes Established for State Medicaid Agencies in Deering rose 117.9% from 2023 to 2024, mirroring the 117.9% increase across all claim categories in the city during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached roughly $871.7 billion in the 2023 fiscal year. This accounted for around 18% of national health care spending, rising significantly from approximately $613.5 billion in 2019, before the onset of COVID-19.

This growth equates to about a 40% increase over several years, mainly due to expanded program enrollment and greater usage during and after the pandemic period.

The Trump administration’s federal budget legislation recently included proposals aimed at reducing federal Medicaid spending and restructuring the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim over $1 trillion from federal Medicaid funding over 10 years and adds measures like work requirements and increased cost-sharing, potentially leading to less coverage for some recipients. These policy changes could result in higher costs shifted to states and reduced federal support, though Medicaid continues to cover tens of millions of 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.