Chichester sees 77% surge in Medicaid payments for national codes category in 2024

Chichester Medicaid providers reported $5,044,870 in claims for services grouped under the National Codes Established for State Medicaid Agencies category in 2024, per the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represents a 77% rise compared to 2023, when providers billed $2,849,896 for the same service category.

Medicaid, funded jointly by federal and state governments and administered by the states, is a public health insurance program that supports low-income people, seniors, children and individuals with disabilities, making it a key part of the U.S. health care system.

Since Medicaid payments are taxpayer-funded, shifts in local billing volumes indicate how public health care resources are distributed within communities.

The National Codes Established for State Medicaid Agencies category covers a set of Medicaid-billed services defined by care type and grouped according to standardized HCPCS and CPT code conventions. In this report, each billing code was classified into a single service category using code prefixes and numeric groupings, ensuring related services were tracked together and preventing double counting in rankings over time.

Among all service categories, National Codes Established for State Medicaid Agencies led Chichester in total Medicaid payments in 2024.

Statewide, the National Codes Established for State Medicaid Agencies category also took the top spot in New Hampshire for Medicaid payments in 2024.

In the five years preceding 2024, Chichester’s Medicaid payments connected to the National Codes Established for State Medicaid Agencies category rose by $5,044,870, or 0%. Periods of especially rapid growth occurred in 2023 and 2022, with notable year-over-year increases.

Within Chichester, although spending for this category of care was disbursed citywide, payments concentrated in a few ZIP codes. For 2024, ZIP code 03258 accounted for $5,044,869, making up 100% of the city’s Medicaid payments for this category.

Spending in the National Codes Established for State Medicaid Agencies category also clustered around a smaller group of billing codes.

Looking at the same period, Medicaid payments tied to this category in Chichester climbed 77% from 2023 to 2024, mirroring the 77% change across all Medicaid claim categories in the locality for that time frame.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached around $871.7 billion during fiscal year 2023, making up roughly 18% of overall national health spending. This figure rose substantially from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This upswing amounts to nearly 40% growth in just a few years, mostly driven by increased enrollment and higher usage rates during and after the pandemic.

Recent federal budget laws enacted under the Trump administration include major proposals to scale back federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” signed in 2025, is projected to reduce federal Medicaid expenditures by more than $1 trillion over 10 years. The law enacts work requirements and higher cost-sharing, which could limit coverage and funding for certain beneficiaries. These adjustments are expected to shift additional costs to states and restrict further growth in federal support for Medicaid, even as the program continues to assist tens of 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.