Medicaid payments for National Codes Established for State Medicaid Agencies category in Totowa reach $1,028,661 in 2024

In 2024, Medicaid providers in Totowa billed $1,028,661 for services listed under the National Codes Established for State Medicaid Agencies category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 27% increase over 2023, when claims for the same category amounted to $809,974.

Medicaid, a public health insurance program, is administered by states and funded with joint federal and state resources. It covers low-income individuals and families, children, seniors, and people with disabilities, making it a significant part of the U.S. health care landscape.

With Medicaid funded by taxpayer dollars, trends in billing levels reflect community health care spending priorities.

The National Codes Established for State Medicaid Agencies category includes a defined set of Medicaid-billed services, organized by the type of care based on standardized HCPCS and CPT code groupings. For this analysis, individual billing codes were assigned to a single service category using set code prefixes and numerical ranges, which helps ensure related services are reviewed together and avoids duplicate counting or misranking over time.

While Medicaid spending rose across multiple categories, National Codes Established for State Medicaid Agencies placed third among all Medicaid payment categories by total spend in Totowa in 2024.

Statewide, this category ranked second in New Jersey by Medicaid payments for 2024.

From 2019 through 2024, Totowa saw Medicaid payments for this category rise by $895,528, an increase of 672.7%. Periods of faster growth occurred, with significant year-over-year increases noted in 2023 and 2022.

The distribution of Medicaid payments for care in this category was localized, with most payments concentrated within a small number of ZIP codes. In 2024, ZIP code 07512 accounted for the full $1,028,661 in Medicaid payments in this service category, representing 100% of Totowa’s total for this group.

Within the National Codes Established for State Medicaid Agencies category, payments were focused on a select number of billing codes.

Payments for this category in Totowa increased 27% from 2023 to 2024, compared with a citywide rise of 28.6% across all Medicaid claim categories over the same timeframe.

The Centers for Medicare & Medicaid Services report that total federal and state Medicaid spending reached about $871.7 billion during fiscal 2023, which made up around 18% of total national health expenditures, up from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This surge represents an increase of around 40% over a few years, largely attributed to expanded program enrollment and higher service use during the pandemic and its aftermath.

Federal budget changes under the Trump administration have included major efforts to reduce federal Medicaid support and modify how the program is structured. For example, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and introduces changes like work requirements and higher cost-sharing, which could decrease coverage and shift costs to states even as Medicaid remains essential 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.