Westfield Medicaid payments for National Codes Established for State Medicaid Agencies total $165,934 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Westfield Medicaid providers billed $165,934 for services within 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 amount marks a 9.3% rise from 2023, when billings for the same services reached $151,839.

Medicaid, a public health insurance initiative operated by states and funded in partnership by federal and state governments, supports low-income individuals and families, older adults, children and people with disabilities, making it a core part of the U.S. health care structure.

Since Medicaid spending draws from public funds, shifts in local billing indicate how community health care resources are spent.

The National Codes Established for State Medicaid Agencies category comprises services grouped by care type, using standardized HCPCS and CPT code sets. For this analysis, each billing code was placed in a single service category based on assigned code prefixes and number ranges—enabling comparisons by aggregating like services, avoiding overlap, and maintaining consistent rankings historically.

Among all Medicaid service categories in Westfield, National Codes Established for State Medicaid Agencies led total payments in 2024.

Statewide in Pennsylvania, National Codes Established for State Medicaid Agencies placed second for Medicaid payments in 2024.

Across the five years ending in 2024, Westfield’s Medicaid payments linked to this category increased by $1,532, or 0.9%. Spending in this group climbed faster at times, including notable boosts in 2022 and 2020.

Though Medicaid payments for this category were disbursed citywide, the highest payment levels concentrated in just a few ZIP codes. In 2024, the leading ZIP code was 16950, accounting for $165,933. Collectively, the top listed ZIP codes represented 100% of payments in this category across Westfield for the year.

Within the National Codes Established for State Medicaid Agencies category, payments were focused among a select group of billing codes.

Comparing year-over-year patterns, Medicaid payments in this category in Westfield climbed 9.3% between 2024 and 2023. That increase is against a 10.1% change across all citywide Medicaid claim categories during the same period.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid outlays reached about $871.7 billion in the 2023 fiscal year—making up around 18% of U.S. national health spending—compared with roughly $613.5 billion in 2019 before the onset of the COVID-19 pandemic.

This uptick reflects an approximately 40% climb over several years, driven primarily by increased enrollment and health care use surrounding the pandemic period.

Recent federal budget measures enacted during the Trump administration have included proposals to reduce federal Medicaid support and modify program structure. The “One Big Beautiful Bill Act,” for instance, became law in 2025, aiming to lower federal Medicaid spending by more than $1 trillion over a decade and introducing work requirements and higher cost-sharing that may curtail coverage and funding for certain recipients. These changes are set to shift additional expenses to states and moderate federal program expansion, even as Medicaid continues to serve tens of millions nationwide.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Westfield, Pennsylvania Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $164,401 8%
2021 $160,912 -2.1%
2022 $204,790 27.3%
2023 $151,838 -25.9%
2024 $165,933 9.3%
Top Categories by Medicaid Payments in Westfield, Pennsylvania, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $165,933 99.2%
2 Evaluation and Management $1,334 0.8%
3 Medicine Services and Procedures $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Westfield, Pennsylvania, 2024

HCPCS Code Description Medicaid Payments Claims
T1015 Clinic service $165,933 23

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.



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