Strong Medicaid providers bill $905,080 tied to National Codes Established for State Medicaid Agencies in 2024

Strong Medicaid providers billed $905,080 in 2024 for services categorized under the National Codes Established for State Medicaid Agencies, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 7.7% rise from 2023, when providers in the city claimed $840,033 for the same service category.

Medicaid is a public health insurance program managed by state governments and funded jointly by state and federal governments. It delivers coverage for low-income people and families, children, seniors, and individuals with disabilities, making it one of the largest elements of the nation’s health system.

As Medicaid funding relies on taxpayers, variations in local billing reflect how health care dollars are directed within each community.

The “National Codes Established for State Medicaid Agencies” classification encompasses a group of Medicaid-billed services organized by the nature of care delivered, using standardized HCPCS and CPT code ranges. For this review, every billing code was assigned exclusively to one service group through consistent prefixes and numeric groupings, ensuring no double counting and providing accurate long-term comparisons.

National Codes Established for State Medicaid Agencies was the top-ranked Medicaid payments category in Strong in 2024, even as spending increased across several areas.

Statewide in Maine, National Codes Established for State Medicaid Agencies also recorded the highest total Medicaid payments for 2024.

Between 2019 and 2024, Medicaid payments for this category in Strong rose by $461,470, equal to a 104% increase. Certain years, including 2023 and 2022, saw particularly substantial year-over-year increases.

Spending in this category was found throughout Strong, but Medicaid payments were chiefly concentrated in a small number of ZIP codes. In 2024, ZIP code 04983 accounted for $905,080 of these payments, making up the entirety of local Medicaid funds tied to this category for the year.

Within the National Codes Established for State Medicaid Agencies group, spending was also focused on a narrow range of individual billing codes.

From 2023 to 2024, Medicaid payments for this service group in Strong grew by 7.7%, while overall Medicaid payments in the city rose 8.2% across all claim types during the same period.

Centers for Medicare & Medicaid Services data indicates combined state and federal Medicaid spending reached around $871.7 billion in the 2023 fiscal year, making up about 18% of total U.S. health expenditures, up from $613.5 billion in 2019 before the COVID-19 pandemic.

This change marks an increase of roughly 40% over several years, primarily due to expanded Medicaid enrollment and higher service use during and following the pandemic.

Recent federal budget actions during the Trump administration have proposed significant cuts to Medicaid funding and changes to its structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over the coming decade and imposes new measures such as work requirements and added cost-sharing, potentially limiting coverage and resources for certain beneficiaries. These policies will shift more of the financial responsibility to states and are likely to limit the expansion of federal Medicaid support as enrollment remains high 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.