Medicaid providers in Bedford submitted $3,824,044 in claims for services within the National Codes Established for State Medicaid Agencies category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database indicate. That figure represents an increase of 463.7% compared with 2023, when providers billed $678,412 for the same services.
Medicaid, operated by each state and jointly financed by state and federal funds, offers public health coverage to low-income individuals and families, along with seniors, children, and people with disabilities, and forms a major element of the U.S. health care system. More on how Medicaid is funded is available through the Commonwealth Fund.
Because taxpayer funds support Medicaid payments, fluctuations in local billing shed light on the allocation of public health dollars within communities.
The “National Codes Established for State Medicaid Agencies” grouping covers Medicaid-billed services identified by type of care, using standardized HCPCS and CPT code sets. Each code included in the analysis was classified into a single service category through consistent selection of code prefixes and ranges, ensuring related services are grouped together, duplicates are avoided, and accurate rankings are maintained over time.
While Medicaid spending grew in several categories, National Codes Established for State Medicaid Agencies was the second-largest category by total Medicaid payments in Bedford for 2024.
Statewide in New Hampshire, the National Codes Established for State Medicaid Agencies category was the largest by payment volume in 2024.
For the five years ending with 2024, Medicaid payments associated with the National Codes Established for State Medicaid Agencies category in Bedford grew by $3,606,274, or 1656%. This upward trend gained momentum over certain intervals, especially with strong year-over-year increases observed in 2023 and 2022.
Though services in this category were provided across Bedford, payments mainly originated from a select group of ZIP codes. In 2024, the highest Medicaid totals in this category were recorded in ZIP code 03110, which accounted for $3,824,043. Collectively, the top 1 ZIP code contributed 100% of all Bedford Medicaid payments under the category during the year.
Within the National Codes Established for State Medicaid Agencies grouping, Medicaid billing focused on a small set of specific codes.
In comparison, the 463.7% increase in Medicaid payments for the National Codes Established for State Medicaid Agencies category in Bedford between 2024 and 2023 outpaced the 31.1% rise seen across all city Medicaid claim categories within the same timeframe.
Centers for Medicare & Medicaid Services data show combined state and federal Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, making up about 18% of all U.S. health care spending. That is a sharp increase from roughly $613.5 billion in 2019, before the COVID-19 pandemic.
The rise equates to about 40% growth in just a few years, influenced mainly by increased enrollment and higher use of services during and in the aftermath of the pandemic.
Recent federal spending legislation passed during the Trump administration contained significant efforts to scale back federal Medicaid funding and change the program’s structure. For instance, the “One Big Beautiful Bill Act,” which became law in 2025, is projected to reduce federal Medicaid expenditures by more than $1 trillion over 10 years. It also enacts measures such as work requirements and higher cost-sharing, which could lower both coverage levels and funding for certain beneficiaries. These policies are anticipated to shift more expenses onto states and slow the pace of federal Medicaid funding growth, even though the program continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $217,769 | – |
| 2021 | $129,544 | -40.5% |
| 2022 | $69,288 | -46.5% |
| 2023 | $678,411 | 879.1% |
| 2024 | $3,824,043 | 463.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $4,880,124 | 39.4% |
| 2 | National Codes Established for State Medicaid Agencies | $3,824,043 | 30.9% |
| 3 | Enteral and Parenteral Therapy | $1,417,473 | 11.5% |
| 4 | Procedures / Professional Services | $969,502 | 7.8% |
| 5 | Alcohol and Drug Abuse Treatment | $361,739 | 2.9% |
| 6 | Medicine Services and Procedures | $287,882 | 2.3% |
| 7 | Radiology Procedures | $159,338 | 1.3% |
| 8 | Evaluation and Management | $156,814 | 1.3% |
| 9 | Medical And Surgical Supplies | $147,915 | 1.2% |
| 10 | Durable Medical Equipment | $88,862 | 0.7% |
| 11 | Dental Services | $34,716 | 0.3% |
| 12 | Surgery | $23,264 | 0.2% |
| 13 | Ambulance and Other Transport Services and Supplies | $14,979 | 0.1% |
| 14 | Pathology and Laboratory Procedures | $8,571 | 0.1% |
| 15 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $2,290,200 | 12 |
| T1020 | Personal care ser per diem | $1,533,843 | 7 |
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.
Data in this article is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The raw data set is available here.
