Franklin’s Medicaid payments for national state agency codes total $1.96M in 2024

In 2024, Medicaid providers in Franklin billed $1,964,084 for services in 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 represented an increase of 36.4% compared to 2023, when billings reached $1,439,976 for the same set of services.

Medicaid, a public health insurance initiative operated by individual states with joint federal and state funding, covers low-income individuals and families, older adults, children, and people with disabilities, forming a core element of the U.S. health care system. For details, see how Medicaid is funded.

As Medicaid funding originates from taxpayers, fluctuations in local spending reflect allocations of public health care resources within a given community.

The National Codes Established for State Medicaid Agencies category includes a range of services grouped by care type, based on standardized HCPCS and CPT code lists. For this analysis, each code was assigned to a single category using consistent code ranges and prefixes, enabling related services to be viewed collectively and maintaining accurate rankings over time.

The National Codes Established for State Medicaid Agencies accounted for the largest share of Medicaid spending in Franklin in 2024, outpacing other service categories.

Statewide in New Hampshire, this category also led Medicaid payments for the year.

Between 2020 and 2024, Medicaid disbursements for the National Codes Established for State Medicaid Agencies category in Franklin increased by $765,095, or 63.8%. This growth featured notable surges in 2021 and 2020.

While citywide spending was distributed among various areas, the majority of payments in 2024 came from just a few ZIP codes. ZIP code 03235 alone recorded $1,964,083 in claims, representing 100% of all Medicaid payments in this category in Franklin for the year.

A limited set of specific billing codes comprised most of the Medicaid payments in this category.

To compare, the 36.4% annual gain in Franklin’s Medicaid spending for these services outpaced the citywide increase across all claim categories, which was 2.9% during the same timeframe.

The Centers for Medicare & Medicaid Services reported that nationwide, federal and state Medicaid funding totaled about $871.7 billion in fiscal year 2023—roughly 18% of overall U.S. health costs—up significantly from $613.5 billion in 2019, just before the COVID-19 pandemic.

This jump marks an approximate 40% increase over a few years, primarily due to expanded enrollment and greater service use during and after the pandemic.

Recent federal budget measures during the Trump administration have included major suggestions to lower federal Medicaid contributions and modify the system. For instance, the “One Big Beautiful Bill Act,” passed in 2025, is expected to slash more than $1 trillion of federal Medicaid spending in the coming decade and introduces work requirements and higher cost-sharing, measures that may decrease coverage and shift expenses to some recipients. Such adjustments will likely mean states absorb additional costs and that federal funding growth could slow, even as the program remains a key resource for 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.