National codes drive $1,122,236 in Harrington Medicaid spending for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Harrington submitted $1,122,236 in claims for services within the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This amount represents a 26.1% rise from 2023, when providers billed $889,685 for the same category.

Medicaid is a public insurance program managed by the states and financed jointly by federal and state governments. It provides coverage to low-income individuals and families, children, seniors, and those with disabilities, making it a major pillar within the U.S. health system.

Since Medicaid is taxpayer-funded, shifts in local Medicaid claims reflect how public health care resources are allocated at the community level.

The “National Codes Established for State Medicaid Agencies” group includes Medicaid services categorized by specific care types using set HCPCS and CPT code ranges. For this reporting, each billing code is mapped to a single service category, enabling clear analysis and preventing double counting, while preserving accurate category rankings through time.

Harrington ranked National Codes Established for State Medicaid Agencies first among all service categories by total Medicaid payments in 2024, with similar results seen in overall Medicaid payments statewide across Maine.

In Maine as a whole, this category also held the top position by total Medicaid payments in 2024.

From 2020 through 2024, Medicaid disbursements linked to the National Codes Established for State Medicaid Agencies category in Harrington rose by $620,804, marking growth of 123.8%. Acceleration in spending was particularly evident in 2023 and 2022.

Although Medicaid reimbursements within this service group were distributed throughout Harrington, the majority of funds were concentrated within a small number of ZIP codes. In 2024, ZIP code 04643 alone accounted for $1,122,235, representing all Medicaid payments attributed to this category for the city that year.

Payments for this category were also focused on a small group of specific billing codes.

Medicaid payments in Harrington for the National Codes Established for State Medicaid Agencies service group increased by 26.1% from 2023 to 2024, outpacing a 19.4% rise across all Medicaid claim groups within the city over the same interval.

Data from the Centers for Medicare & Medicaid Services shows combined federal and state Medicaid expenditures reached about $871.7 billion for fiscal year 2023, accounting for approximately 18% of total national health costs—up from $613.5 billion in 2019 preceding the COVID-19 pandemic.

This marks growth of around 40% over several years, largely driven by heightened enrollment and greater service use during and after the pandemic.

Recent federal budget laws advanced during the Trump administration have proposed major federal Medicaid funding cuts and structural changes. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over the next ten years and institute requirements such as work mandates and higher cost-sharing, potentially curtailing both funding and program reach for certain groups. These shifts are expected to move more financial responsibility to individual states and may cap federal support growth even as Medicaid continues serving millions of Americans.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Harrington, Maine Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $501,432 3.7%
2021 $492,378 -1.8%
2022 $525,136 6.7%
2023 $889,684 69.4%
2024 $1,122,235 26.1%
Top Categories by Medicaid Payments in Harrington, Maine, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $1,122,235 94.2%
2 Procedures / Professional Services $43,753 3.7%
3 Evaluation and Management $12,059 1%
4 Medicine Services and Procedures $11,551 1%
5 Dental Services $1,394 0.1%
6 Surgery $252 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Harrington, Maine, 2024

HCPCS Code Description Medicaid Payments Claims
T1015 Clinic service $1,122,235 12

Note: HCPCS codes are provided for category context. Totals and rankings are based on standardized service groupings, not on individual billing codes.

All data for this article were sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.



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