New Milford Medicaid payments for state agency national codes reach $61,139 in 2024

New Milford Medicaid providers submitted $61,139 in claims for services within the National Codes Established for State Medicaid Agencies category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents an 8.6% rise from 2023, when the total reached $56,292 for the same service sector.

Medicaid, funded by both federal and state governments and operated by the states, offers public health coverage for low-income families and individuals, seniors, children, and people with disabilities. It is one of the country’s largest health care programs.

Fluctuations in Medicaid billings highlight how public health care resources are spread throughout the community, as the program relies on taxpayer funding.

The “National Codes Established for State Medicaid Agencies” group encompasses services defined by specific care types with standardized HCPCS and CPT code ranges. For this data review, each service was counted only once within this category based on code range and prefix, which helps avoid duplication in analyses and maintains reliable service rankings over time.

This category drew the highest Medicaid payment total in New Milford in 2024, distancing itself from other service groups despite overall spending increases.

On a statewide scale, National Codes Established for State Medicaid Agencies stood as the second-largest Medicaid payment category in Pennsylvania in 2024.

From 2019 through 2024, New Milford’s Medicaid spending in this category rose by $44,149—a 259.9% increase—marked by significant growth in several years, with especially large annual jumps noted in 2020 and 2021.

Medicaid payments under this category were not evenly distributed across New Milford. Instead, the majority fell within a select group of ZIP codes, with ZIP code 18834 reporting the highest figure at $61,138 in 2024. This single code accounted for all Medicaid payments for state-agency established national codes in New Milford that year.

Within this group, expenditures were also concentrated among a small number of billing codes.

For context, Medicaid reimbursements in this category climbed 8.6% between 2023 and 2024 in New Milford. This was lower than the 16% overall increase seen across all Medicaid claim groups in the city during the period.

According to the Centers for Medicare & Medicaid Services, combined federal and state funding for Medicaid totaled approximately $871.7 billion in the 2023 fiscal year, making up about 18% of the nation’s health spending, a significant increase compared to $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This uptick amounts to roughly 40% growth in recent years, influenced chiefly by broader program enrollment and greater demand through and after the pandemic.

In recent years, federal budget measures enacted under the Trump administration included significant proposals aimed at reducing Medicaid funding from the federal government and changing the program’s structure. Legislation such as the “One Big Beautiful Bill Act,” signed in 2025, is expected to result in reductions exceeding $1 trillion in federal Medicaid contributions over 10 years, including the introduction of work mandates and heightened cost-sharing for some recipients. These policy changes may shift greater fiscal responsibility to states while reducing federal program growth, even as Medicaid coverage continues 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.