In 2024, Medicaid providers in Yeagertown billed a total of $651,896 for services under the National Codes Established for State Medicaid Agencies, as shown in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 13.4% rise over the $574,937 total for the same category in 2023.
Medicaid is a state-administered public health insurance program that receives joint funding from both the federal and state governments. It offers coverage to low-income adults, families, elderly individuals, children, and those with disabilities, forming a significant share of the U.S. health care system.
As Medicaid payments are supported by taxpayers, local billing fluctuations signal community-level trends in public health spending.
The “National Codes Established for State Medicaid Agencies” services cover a category of Medicaid reimbursements defined by types of care, with standardized HCPCS and CPT codes grouped together. For this report, billing codes were sorted into one service category using unique code prefixes and ranges to ensure service-level analyses remained consistent and free from duplicate listings, supporting clear tracking over time.
While multiple service categories saw higher spending, National Codes Established for State Medicaid Agencies ranked as the second-largest Medicaid payment category in 2024 in Yeagertown.
Statewide in Pennsylvania, the category also held the No. 2 ranking by Medicaid payment totals in 2024.
Between the five years preceding 2024, Medicaid payments linked to National Codes Established for State Medicaid Agencies in Yeagertown rose by $529,433, a 432.3% increase. Significant year-to-year jumps were seen during periods such as 2021 and 2022, boosting the overall growth rate.
Most of the funds for Medicaid care under this category, though distributed throughout Yeagertown, were largely concentrated in a small number of ZIP codes. For 2024, ZIP code 17099 alone recorded $651,895, which amounted to 100% of all Medicaid payments in this service category within the city.
A small subset of specific billing codes received the majority of Medicaid payments within this service category.
By comparison, Medicaid payments tied to this category in Yeagertown increased by 13.4% from 2023 to 2024, while across all claim categories citywide, the annual increase was 3.9% during the same period.
Centers for Medicare & Medicaid Services data show that combined federal and state Medicaid spending reached roughly $871.7 billion in fiscal year 2023—comprising around 18% of total U.S. health expenditures. This was up from $613.5 billion in 2019, before the COVID-19 pandemic.
This change marks an approximately 40% increase within just a few years, attributed mainly to rising enrollment and greater service utilization during and post-pandemic.
Recent federal budget measures enacted during the Trump administration included major initiatives aimed at scaling back federal Medicaid funding and reworking the program’s structure. The “One Big Beautiful Bill Act”, which was signed into law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over a decade. The act includes requirements like work mandates and increased cost-sharing, potentially affecting program coverage levels and funding eligibility for certain recipients. These policy shifts are projected to transfer more costs to the state level and cap further federal Medicaid expansion, even as the program serves millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $122,463 | – |
| 2021 | $453,920 | 270.7% |
| 2022 | $576,931 | 27.1% |
| 2023 | $574,937 | -0.3% |
| 2024 | $651,895 | 13.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $1,291,186 | 66.4% |
| 2 | National Codes Established for State Medicaid Agencies | $651,895 | 33.5% |
| 3 | Evaluation and Management | $566 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1017 | Targeted case management | $651,895 | 12 |
Note: HCPCS codes are reported to offer context within the larger category. All categorical payment totals and rankings in this article are generated using aggregated service groupings, not by individual billing codes.
This article’s information comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The direct source data can be accessed here.
