Medicaid providers in Empire raise payments 9.2% for National Codes Established services in 2024

In 2024, Medicaid providers in Empire submitted $45,355 in claims for services categorized under National Codes Established for State Medicaid Agencies, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The total represents a 9.2% increase from 2023, when claims in this category reached $41,532.

Medicaid is a state-administered public health insurance funded jointly by the federal government and states. It covers low-income people, families, children, seniors, and individuals with disabilities, making it one of the main components of the U.S. health system.

Since taxpayer funding supports Medicaid, shifts in local billing reflect how public health care resources are distributed within the community.

The “National Codes Established for State Medicaid Agencies” group represents Medicaid-billed services identified by specific care types, governed by standardized HCPCS and CPT code groupings. For reporting, unique service categories were created by applying consistent prefixes and numeric sequences to billing codes, which kept related services grouped and prevented multiple counting, ensuring accurate tracking over time.

While Medicaid payments were higher across multiple service types, National Codes Established for State Medicaid Agencies received the highest total compensation in Empire for 2024.

The same National Codes Established for State Medicaid Agencies category held the top rank for Medicaid payments in Colorado as a whole in 2024.

From five years prior to 2024, amounts paid through Medicaid in the National Codes Established for State Medicaid Agencies category in Empire rose by $45,355, remaining unchanged in percentage terms at 0%. Several periods saw periods of more substantial growth, especially in 2023 and 2022.

Although such Medicaid spending was dispersed citywide, payments were mostly concentrated in a handful of ZIP codes. In 2024, ZIP code 80438 led Empire, accounting for $45,355 in Medicaid payments tied to these services. Altogether, 1 leading ZIP code captured 100% of Empire’s Medicaid spending for this service category that year.

Within this category, most Medicaid payments were concentrated among just a few specific billing codes.

In Empire, spending tied to National Codes Established for State Medicaid Agencies increased 9.2% between 2024 and 2023 — mirroring a 9.2% gain seen across all Medicaid service categories in the city during the same interval.

Centers for Medicare & Medicaid Services data show that combined federal and state Medicaid spending hit about $871.7 billion in fiscal 2023, comprising roughly 18% of total U.S. health expenditures. That is up sharply from $613.5 billion in 2019, before the COVID-19 pandemic.

This trend equates to an increase of around 40% in just a few years, largely stemming from wider enrollment and greater use of services connected to the pandemic and its aftermath.

Recent federal budget legislation under the Trump administration includes major proposals to scale back federal Medicaid funding and alter the structure of the program. The “One Big Beautiful Bill Act,”, enacted in 2025, is anticipated to reduce federal Medicaid spending by over $1 trillion in the coming decade. It institutes measures like work requirements and increased cost-sharing. Some beneficiaries could lose coverage or see less funding as costs shift more to states and federal growth in support slows, though the program continues to reach 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.

This article’s information collects from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source can be accessed here.