National Codes Established for State Medicaid Agencies billing totals $2,247,389 in Blue Point for 2024

In 2024, Medicaid providers in Blue Point billed a total of $2,247,389 for services under the National Codes Established for State Medicaid Agencies, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure is 27.4% higher than the $1,763,882 billed in 2023 for the same category of services.

Medicaid, a jointly funded federal and state public health insurance program, provides coverage for low-income individuals and families, seniors, children, and people with disabilities. This makes it a major component of the U.S. health care system and is supported by taxpayer funds at both government levels.

Since Medicaid is financed by taxpayer dollars, shifts in local billing patterns reveal how health care spending is distributed within communities.

The “National Codes Established for State Medicaid Agencies” classification covers a range of Medicaid-billed services defined by care type, structured using standardized HCPCS and CPT code groupings. The analysis assigned each billing code to a single service category based on specific code prefixes and numerical ranges to enhance accuracy, prevent double counting, and enable consistent comparisons over time.

Among various service categories, National Codes Established for State Medicaid Agencies ranked as the top category in Blue Point by Medicaid payment amount in 2024.

Statewide in New York, this category also led all others by total Medicaid payments in 2024.

During the five years up to 2024, Medicaid payments associated with the National Codes Established for State Medicaid Agencies in Blue Point totaled $2,247,389, showing no overall percentage change. Certain years saw accelerated spending, particularly in 2022 and 2023, when year-over-year growth was especially noticeable.

Spending on services within this category was present throughout Blue Point, but payment amounts were most significant in a limited number of ZIP codes. In 2024, ZIP code 11715 represented $2,247,389 in Medicaid payments for this classification. The single largest ZIP code comprised 100% of National Codes Established for State Medicaid Agencies-related Medicaid payments in Blue Point for the year.

Specific billing codes accounted for much of the spending within the National Codes Established for State Medicaid Agencies group.

Comparing year-to-year shifts, Medicaid payments for Blue Point’s National Codes Established for State Medicaid Agencies services increased 27.4% between 2024 and 2023, while the total for all Medicaid claim categories citywide changed by 18.8% over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached about $871.7 billion during fiscal year 2023, approximately 18% of total national health costs, up sharply from roughly $613.5 billion in 2019 prior to the COVID-19 pandemic.

This represents an increase of about 40% in several years, driven primarily by expansion in enrollment and higher utilization throughout and following the pandemic.

Recent U.S. federal budget plans under the Trump administration have featured prominent proposals to decrease federal Medicaid funding and alter the program structure. Notably, the “One Big Beautiful Bill Act,” which became law in 2025, is expected to reduce federal Medicaid support by more than $1 trillion during the coming decade and impose measures such as work requirements and greater cost-sharing, potentially reducing coverage and available funding for some enrollees. Such changes are expected to transfer additional costs to state governments and slow future growth in federal Medicaid contributions, even as the program remains a significant source of coverage for 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.