Brentwood Medicaid spending for National Codes Established category climbs to $7.1 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Brentwood Medicaid providers billed $7,146,432 for services classified under the National Codes Established for State Medicaid Agencies category, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That total reflects an increase of 20.7% over the previous year, when claims in this group reached $5,920,035.

Medicaid is a state-operated health insurance program with funding provided by both federal and state governments. The program covers people with low incomes, seniors, children, and individuals with disabilities and is a key component of the nation’s health care system.

With Medicaid funded through taxpayer dollars, fluctuations in local billing display how those resources are allocated within the community.

The “National Codes Established for State Medicaid Agencies” category groups Medicaid claims by care type as defined by standard HCPCS and CPT codes. Each billing code used in this analysis falls into one service category, which is determined through uniform code prefixes and number ranges. This approach prevents double counting and supports accurate year-over-year ranking of related services.

Though several categories posted higher Medicaid totals, in 2024 the National Codes Established for State Medicaid Agencies ranked second overall for Medicaid payments in Brentwood.

Statewide in New York, the National Codes Established for State Medicaid Agencies category held the top position for total Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments associated with the National Codes Established for State Medicaid Agencies category in Brentwood rose by $2,100,893, or 41.6%. Stronger annual growth was seen during some periods, especially in 2020 and 2021.

While services in the National Codes Established for State Medicaid Agencies category were provided throughout Brentwood, the bulk of spending was concentrated in a few ZIP codes. In 2024, the ZIP code 11717 accounted for all Medicaid payments in this category, totaling $7,146,432 and representing 100% of related spending in Brentwood.

Spending within the National Codes Established for State Medicaid Agencies category was primarily focused among a small group of individual billing codes.

For a broader view, Medicaid payments for the National Codes Established for State Medicaid Agencies category rose by 20.7% from 2023 to 2024 in Brentwood, well above the 7.3% overall change seen across all Medicaid claim types in the city over the same span.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together reached approximately $871.7 billion in fiscal 2023, covering about 18% of all national health costs—a jump from $613.5 billion in 2019, before the effects of the COVID-19 pandemic.

This growth equals an increase of around 40% over just a few years, mainly attributed to greater enrollment and upticks in utilization during and after the pandemic.

Recent budget measures enacted under President Trump included plans to decrease federal Medicaid funding and restructure aspects of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to cut federal Medicaid spending by more than $1 trillion over the next decade and introduces work requirements and higher cost-sharing. These changes could reduce coverage and federal funding for some recipients, putting more fiscal responsibility on states and slowing the increase of federal Medicaid contributions, even as the program remains a support for tens of millions of Americans.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Brentwood, New York Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $5,045,539 108.6%
2021 $5,592,853 10.8%
2022 $5,629,396 0.7%
2023 $5,920,035 5.2%
2024 $7,146,432 20.7%
Top Categories by Medicaid Payments in Brentwood, New York, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $13,806,190 57.4%
2 National Codes Established for State Medicaid Agencies $7,146,432 29.7%
3 Medicine Services and Procedures $944,492 3.9%
4 Evaluation and Management $770,174 3.2%
5 Surgery $746,030 3.1%
6 Ambulance and Other Transport Services and Supplies $448,496 1.9%
7 Dental Services $108,847 0.5%
8 Radiology Procedures $32,138 0.1%
9 Pathology and Laboratory Procedures $18,546 0.1%
10 Procedures / Professional Services $11,692 <0.1%
11 Temporary Codes $180 <0.1%
12 Drugs Administered Other than Oral Method $102 <0.1%
13 Temporary National Codes (Non-Medicare) $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Brentwood, New York, 2024

HCPCS Code Description Medicaid Payments Claims
T1019 Personal care ser per 15 min $3,743,947 23
T1020 Personal care ser per diem $3,326,318 12
T1015 Clinic service $76,166 17

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.



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