Medicaid payments for National Codes Established for State Medicaid Agencies reach $1,026,993 in Steuben for 2024

In 2024, Medicaid providers in Steuben billed a total of $1,026,993 for services classified 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 amount represents an 11.6% increase from the prior year, when providers billed $920,486 for similar services.

Medicaid, a state-administered public health insurance program funded in partnership by federal and state governments, provides coverage to low-income individuals, families, seniors, children, and people with disabilities. It remains one of the primary components of the national health care system.

As Medicaid relies on taxpayer funding, fluctuations in local billing levels demonstrate variations in the allocation of public health resources.

The “National Codes Established for State Medicaid Agencies” category includes Medicaid-billed services grouped by the type of care, following standardized HCPCS and CPT code designations. Each code used in this review was assigned to a specific service category according to uniform code prefixes and ranges, enabling more accurate service grouping, avoiding duplicate counts, and ensuring consistency in rankings over time.

While overall Medicaid expenditures rose across a range of service categories, the National Codes Established for State Medicaid Agencies led in Steuben for total Medicaid payments in 2024.

For the state overall, the National Codes Established for State Medicaid Agencies category was also the top-ranked category for Medicaid payments in 2024.

Throughout the five-year span ending in 2024, Medicaid payments linked to the National Codes Established for State Medicaid Agencies category in Steuben grew by $598,813, an increase of 36.8%. Some years, including 2020 and 2022, saw especially strong year-over-year growth.

Payments for care in this category were distributed throughout Steuben, but were heavily concentrated in a small group of ZIP codes. In 2024, the ZIP code 04680 saw Medicaid payments totaling $1,026,993 for this category, making up 100% of the Medicaid payments tied to these services in Steuben for the year.

Within this service category, a small subset of individual billing codes comprised the majority of Medicaid payments.

When compared with other Medicaid claim categories in Steuben, payments connected to the National Codes Established for State Medicaid Agencies category increased by 11.6% from 2023 to 2024, mirroring the overall 11.6% growth seen across all Medicaid claim categories during that time.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled around $871.7 billion in the 2023 fiscal year, making up approximately 18% of all national health expenditures—an increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This signifies about 40% growth in just a few years, primarily driven by increased enrollment and higher service utilization during and following the pandemic.

Recent federal budget laws passed during the Trump administration include major proposals to reduce federal Medicaid spending and change the program’s structure. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion from federal Medicaid funding over the next 10 years and implement work requirements and higher cost-sharing for some beneficiaries. These measures are anticipated to shift more funding responsibilities to states and restrict the rate of federal Medicaid growth, even as the program continues to serve millions nationwide.

Note: HCPCS codes are displayed to provide context within the category. Category totals and rankings in this report are based on standardized service groupings, not individual billing codes.

Data for this article is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data is available here.