Medicaid payments for state agency national codes climb 15.2% in West Haven in 2024

West Haven Medicaid providers billed $1,275,927 for services categorized under the National Codes Established for State Medicaid Agencies in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 15.2% rise from 2023, when the total for these services was $1,107,196.

Medicaid, a state-managed health insurance program jointly funded by state and federal governments, covers low-income individuals, families, seniors, children, and those with disabilities. This makes it a major component of the U.S. health care landscape. For more details, see this explainer.

Local Medicaid billing changes reflect how taxpayer-funded health care resources are distributed within a region.

The “National Codes Established for State Medicaid Agencies” classification includes Medicaid-billed services grouped by care type, using standardized HCPCS and CPT codes. In this review, billing codes were assigned to one service category each, grouped by consistent code ranges and prefixes to ensure accurate comparisons and rankings without double counting.

Spending on Medicaid expanded across several categories, but National Codes Established for State Medicaid Agencies accounted for the highest total Medicaid payments in West Haven in 2024.

Statewide in Utah, this service category ranked fourth in overall Medicaid payments for 2024.

From five years before 2024, Medicaid payments linked to the National Codes Established for State Medicaid Agencies category in West Haven grew by $706,418, or 124%. The fastest spending growth took place during certain years, with significant increases noted between 2023 and 2022.

Though these Medicaid payments were distributed throughout West Haven, spending was mainly focused in a small number of ZIP codes. In 2024, ZIP code 84401 accounted for $1,275,927 in Medicaid payments related to this category, making up 100% of such Medicaid payments across West Haven that year.

Within this category, only a few individual billing codes received most of the Medicaid payments.

Comparing trends, payments for this category in West Haven increased 15.2% from 2023 to 2024, while overall Medicaid claim categories in the city saw a 20.7% rise during the same time frame.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending reached approximately $871.7 billion in fiscal year 2023, representing about 18% of national health expenditures. This is up significantly from around $613.5 billion in 2019, before the COVID-19 pandemic.

This growth represents an increase of nearly 40% over several years, largely driven by higher enrollment and increased use of services during and after the pandemic.

Recent federal budget legislation during the Trump administration has included broad proposals to limit federal Medicaid funding and modify the program’s structure. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade. The law brings new policies such as work requirements and increased cost-sharing, potentially restricting coverage and financial support for some beneficiaries. These adjustments could place greater funding responsibility on states as federal assistance is limited, while Medicaid continues to cover tens of millions nationwide.

Note: HCPCS codes are provided for reference within the category. Rankings and totals in this article are based on standardized groupings of services, not specific billing codes.

Data in this article are sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data can be found here.