Medicaid payments in Porter rise 5.6% for National Codes Established for State Medicaid Agencies services in 2024

In 2024, Porter Medicaid providers billed $2,005,792 for services under the National Codes Established for State Medicaid Agencies, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 5.6% increase from 2023, when billing for the same services reached $1,899,327.

Medicaid is a public health insurance program administered by states and funded in partnership with federal and state governments. It provides coverage to low-income residents, seniors, children, and those with disabilities, making it one of the largest components of the U.S. health care system.

Because Medicaid dollars are publicly funded, changes to local billing reveal how health care resources are allocated in the community.

The “National Codes Established for State Medicaid Agencies” category encompasses a set of Medicaid-billed services defined by the type of care, organized through standardized HCPCS and CPT code groups. For analytic purposes, each code was mapped to a distinct service category using uniform code prefixes and number ranges, bringing together related services for analysis, eliminating duplicates, and ensuring accurate ranking comparisons over time.

National Codes Established for State Medicaid Agencies had the highest total Medicaid payments in Porter during 2024, surpassing all other service categories despite broader increases in Medicaid spending.

On the state level in Maine, this same category also placed first by total payments in 2024.

Between 2019 and 2024, Porter’s Medicaid payments for National Codes Established for State Medicaid Agencies grew by $885,208—a 79% jump. The growth rate accelerated at certain intervals, with significant yearly gains observed in both 2023 and 2021.

Although services in this category spanned the entire city, Medicaid payments were heavily concentrated in certain ZIP codes. In 2024, ZIP code 04068 accounted for $2,005,792—representing 100% of the payments tied to the National Codes Established for State Medicaid Agencies category in Porter.

Much of the Medicaid spending for this category was focused on a small number of specific billing codes.

To put the increase in context, the 5.6% year-over-year growth for National Codes Established for State Medicaid Agencies in Porter matched the increase seen across all Medicaid claims types in the city during that span.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, making up approximately 18% of total U.S. health care spending. This is a substantial increase from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This nearly 40% surge over several years was largely attributable to increased enrollment and greater use of health services during and following the pandemic.

Recent federal budget laws enacted under the Trump administration proposed major reductions in federal Medicaid spending and structural changes to the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is estimated to trim more than $1 trillion from federal Medicaid funding over the next decade, and introduces work requirements and more cost-sharing for some beneficiaries. These shifts will likely require states to absorb greater financial responsibility and could limit federal support for Medicaid as the program continues to cover tens of millions nationwide.

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.