Medicaid payments for national code services in Bow rise to $165,342 in 2024

In 2024, providers in Bow billed $165,342 to Medicaid for services in the National Codes Established for State Medicaid Agencies category, as shown by data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents an 831.8% increase over the $17,744 submitted in 2023 for the same services.

Medicaid is a health coverage program administered by states and financed with both federal and state funds. The program serves low-income residents, older adults, children, and people with disabilities, making it a primary part of the nation’s health care infrastructure.

Because taxpayer dollars finance Medicaid payments, changes in billing activity highlight how health care spending is distributed locally.

The National Codes Established for State Medicaid Agencies category covers services grouped according to standardized types of care and specific HCPCS and CPT codes. For the purpose of this analysis, each type of service was included in only one category based on established code ranges, helping avoid overlap and allowing for accurate trends over time.

In addition to broad growth, this category accounted for the highest Medicaid payments by service type in Bow for 2024.

At the state level, National Codes Established for State Medicaid Agencies was also the top category for Medicaid payments in New Hampshire during 2024.

From 2019 through 2024, Medicaid payments in Bow for this service group climbed by $5,666, equal to a 3.5% rise. Some periods saw faster growth, notably in 2022 and 2022, with marked year-over-year increases.

While spending was distributed through many areas, most Medicaid payments were heavily focused in a small number of ZIP codes. The largest payment in 2024 for this category in Bow was recorded in the 03304 ZIP code, making up $165,342. In total, this ZIP code represented 100% of category-related Medicaid payments in Bow for the year.

This service category also saw payments concentrated within a relatively small set of individual billing codes.

On a percentage basis, Medicaid payments for this category in Bow went up by 831.8% between 2024 and 2023, significantly outpacing the overall 27.3% change across all Medicaid categories in the city for the same time frame.

Centers for Medicare & Medicaid Services data shows total combined Medicaid spending reached about $871.7 billion in fiscal year 2023—roughly 18% of the nation’s total health expenditures—up from $613.5 billion in 2019 prior to the pandemic.

This reflects total program growth of approximately 40% in several years, primarily due to higher enrollment and greater use of services throughout and following the pandemic.

Recent federal spending legislation during the Trump administration brought forward proposals for major federal Medicaid changes and reductions. As one example, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over the coming decade and adds provisions such as work requirements and increased beneficiary cost-sharing. These changes could lessen federal coverage and funding for certain recipients while transferring more fiscal responsibility to states.

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.