Medicaid payments for national codes category increase 77% in Chichester in 2024

Medicaid providers in Chichester submitted $5,044,870 in claims for services categorized under the National Codes Established for State Medicaid Agencies in 2024, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 77% jump from 2023, when providers billed $2,849,896 for the same services.

Medicaid, funded jointly by federal and state governments and managed by the states, provides health insurance to low-income individuals and families, seniors, children, and people with disabilities, making it a major part of health care coverage in the U.S.

Because taxpayer dollars support Medicaid payments, shifts in local billing reveal how public health funds are used within a community.

The “National Codes Established for State Medicaid Agencies” category covers Medicaid-billed services grouped by care type, identified through standardized HCPCS and CPT codes. For this report, each billing code was matched to one service category using fixed code prefixes and number ranges, enabling related services to be grouped without overlap, preserving ranking accuracy over time.

Medicaid spending went up in several service categories, but National Codes Established for State Medicaid Agencies was the top-ranked category in Chichester by total payments in 2024.

Across New Hampshire, the National Codes Established for State Medicaid Agencies category also led in total Medicaid payments for 2024.

Over five years through 2024, Medicaid payments related to the National Codes Established for State Medicaid Agencies category in Chichester rose by $5,044,870, or 0%. Growth picked up during specific times, with significant year-over-year gains seen in 2023 and 2022.

Although spending for this category was spread around the city, most payments came from a small group of ZIP codes. For 2024, ZIP code 03258 led Medicaid payments for the National Codes Established for State Medicaid Agencies category, totaling $5,044,869. That single ZIP code accounted for 100% of these Medicaid payments in Chichester during the year.

Within this category, Medicaid spending was heavily focused on just a few specific billing codes.

Comparatively, between 2024 and 2023, Chichester saw Medicaid payments for the National Codes Established for State Medicaid Agencies category grow 77%, matching the 77% rise for all Medicaid claim types citywide during that time.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up roughly 18% of total U.S. health expenses—an increase from $613.5 billion in 2019, before the pandemic.

This represents about a 40% rise over several years, with much of the increase due to higher enrollment and usage during and after the pandemic.

Recent federal budget legislation under the Trump administration introduced sizable reductions to federal Medicaid support and proposed changes to the program. The “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion during the next decade and adds requirements such as work mandates and more cost-sharing, which may decrease funding and coverage for some people. These changes are likely to shift greater financial responsibility to states and restrain the rise of federal Medicaid backing, even as the program continues to provide coverage to millions.

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.