National Codes Medicaid payments in Princeton reach $3,514,926 for 2024, showing 22.2% rise

In 2024, Princeton Medicaid providers billed $3,514,926 for services within the National Codes Established for State Medicaid Agencies category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 22.2% uptick from 2023, when providers filed $2,875,986 in claims for the same service group.

Medicaid is a state-administered public health insurance program funded jointly by federal and state governments. It provides insurance coverage to low-income people and families, older adults, children, and individuals with disabilities. The program remains a major component of the U.S. health care system.

Since Medicaid payments are sourced from taxpayer dollars, fluctuations in local billing reflect shifts in how health care resources are distributed in a community.

The “National Codes Established for State Medicaid Agencies” classification encompasses a set of Medicaid-billed services categorized by care type, using standard HCPCS and CPT code groupings. This analysis assigns each billing code to one service category based on uniform code prefixes and number ranges, which groups related services while preventing double-counting to maintain historical ranking accuracy.

Multiple Medicaid service categories saw spending increases, with National Codes Established for State Medicaid Agencies ranking highest in Princeton in total Medicaid payments during 2024.

Across Maine, the National Codes Established for State Medicaid Agencies service category also placed first statewide by total payments in 2024.

Between 2020 and 2024, Medicaid payments for National Codes Established for State Medicaid Agencies in Princeton grew by $2,209,674, or 169.3%. There were notable surges in annual spending in 2022 and 2021.

Most payments for this category in Princeton were concentrated in select ZIP codes. For 2024, ZIP code 04668 accounted for $3,514,925, and altogether, the top 1 ZIP codes made up 100% of associated Medicaid payments in Princeton that year.

Within this service category, Medicaid payments were further concentrated in a small number of specific billing codes.

By comparison, Princeton’s Medicaid payments tied to the National Codes Established for State Medicaid Agencies increased 22.2% from 2023 to 2024, compared to a 17.7% rise across all Medicaid claims citywide over that period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures were about $871.7 billion in fiscal year 2023, representing roughly 18% of all national health outlays. That amount was up substantially from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This marks a growth rate near 40% in just a few years, primarily due to enrollment expansion and greater utilization since the pandemic.

Recent federal budget measures under the Trump administration have brought forward proposals to reduce federal support for Medicaid and reshape funding. For instance, the “One Big Beautiful Bill Act,” passed into law in 2025, aims to cut federal Medicaid funding by more than $1 trillion over 10 years and introduces provisions such as work requirements and higher cost-sharing, likely leading to reduced coverage and funding for some recipients. These changes are set to pass more costs to states and curb the rate of federal Medicaid funding growth, despite the program’s continued coverage 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.