Jamestown sees $5,376,470 in Medicaid payments for National Codes Established for State Medicaid Agencies in 2024

During 2024, providers in Jamestown submitted Medicaid claims totaling $5,376,470 for services tracked under 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 reflected an 18.1% uptick over 2023, when claims for the same services totaled $4,554,080.

Medicaid is a state-administered, public health program funded by both federal and state resources. The program provides health coverage for low-income people and families, seniors, children, and those with disabilities, making it one of the U.S. health system’s most extensive components.

Since Medicaid operates with taxpayer funding, shifts in local billing reveal how public health resources are distributed within a community.

The “National Codes Established for State Medicaid Agencies” category consists of Medicaid-billed services identified by care type, using standardized HCPCS and CPT code ranges. In this review, assignment of billing codes to service categories was done by code prefixes and number ranges, facilitating comparison among related services, avoiding double counting, and ensuring accurate rankings over time.

National Codes Established for State Medicaid Agencies was the leading category for Medicaid spending in Jamestown for 2024, with payments exceeding other service groups.

On a statewide level, California also had National Codes Established for State Medicaid Agencies as its highest category by Medicaid spending in 2024.

From five years prior to 2024, Medicaid payments for this category in Jamestown grew by $3,767,804, an increase of 234.2%. Spending rose at a quicker pace during some periods, with substantial year-over-year jumps during 2020 and 2021.

Although services in this category were accessible across Jamestown, the bulk of Medicaid payments were primarily focused in a small number of ZIP codes. In 2024, ZIP code 95327 accounted for $5,376,469 in Medicaid payments in the category, representing 100% of such spending for the city.

Within the National Codes Established for State Medicaid Agencies category, most Medicaid payments were concentrated within a small group of billing codes.

To compare, Medicaid payments under this category in Jamestown increased by 18.1% from 2023 to 2024, while the overall payment increase for all Medicaid claim categories in the city during the same span was 16%.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending reached about $871.7 billion in fiscal year 2023, covering around 18% of all national health costs. This is significantly higher than the roughly $613.5 billion recorded in 2019, prior to the COVID-19 pandemic.

This upward trend marks growth of about 40% in just a few years, attributed mainly to expanded enrollment and greater usage throughout and after the pandemic.

Federal budget measures enacted during the Trump administration included notable proposals to decrease federal Medicaid outlays and alter how the program operates. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is set to reduce federal Medicaid expenditures by more than $1 trillion over 10 years and incorporates provisions like work requirements and added cost-sharing, which could lessen funding and coverage for some participants. These policy changes are expected to drive more costs to states and potentially limit the future expansion of federal Medicaid funding, even with the program continuing to serve millions nationwide.

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.