Franklin Medicaid payments for national state codes climb to $1.96 million in 2024

In 2024, Medicaid providers in Franklin submitted $1,964,084 in claims for services under the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represents a 36.4% rise over 2023, when providers in the area billed $1,439,976 for the same category.

Medicaid, a public insurance program administered by states and funded by both federal and state governments, covers low-income residents, seniors, children and people with disabilities—making it one of the largest programs in the U.S. health care system.

Because Medicaid finances come from taxpayers, shifts in local billing reflect allocation patterns for public health care spending across communities.

The “National Codes Established for State Medicaid Agencies” category tracks a selection of Medicaid-billed services as defined by care type, grouped by standardized HCPCS and CPT code systems. For this study, each billing code was assigned to a single service grouping using established code prefixes and numbers, ensuring similar services could be analyzed together while preventing duplicate counting and maintaining accurate rankings over multiple years.

Spending rose in several Medicaid service categories, but National Codes Established for State Medicaid Agencies saw the highest Medicaid payments in Franklin in 2024.

For New Hampshire, this category also led statewide Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments to the National Codes Established for State Medicaid Agencies category in Franklin rose by $765,095, an increase of 63.8%. There were notable jumps in year-to-year spending, particularly in 2021 and 2020.

Most Medicaid spending for this service group was found in only a few ZIP codes across Franklin. In 2024, ZIP code 03235 accounted for $1,964,083 in payments—the full reported Medicaid total for the city and this category. Thus, this ZIP code represented 100% of the payments for the National Codes Established for State Medicaid Agencies category in Franklin in 2024.

Within this billing category, a limited set of individual codes accounted for the majority of Medicaid payments.

To compare, Franklin’s Medicaid payments linked to National Codes Established for State Medicaid Agencies rose by 36.4% between 2023 and 2024, while overall Medicaid claims across all categories climbed just 2.9% during the same time frame.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached roughly $871.7 billion in fiscal year 2023, making up about 18% of the country’s total health spending—a significant jump from the $613.5 billion spent in 2019, before the pandemic.

The growth amounts to a nearly 40% increase in just a few years, mainly due to nationwide enrollment expansion and greater utilization during and after the COVID-19 period.

Recent federal budget bills under the Trump administration have included major proposals to scale back federal Medicaid contributions and change the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to reduce federal Medicaid spending by more than $1 trillion over 10 years, while introducing policies such as work requirements and higher cost-sharing, which may restrict coverage and funding for some recipients. These moves are expected to increase financial responsibilities for states and limit the overall rise of federal Medicaid support, while the program still serves tens of millions in the U.S.

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.