New Kensington Medicaid payments for state-established national codes total $525,303 in 2024

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Medicaid providers in New Kensington billed $525,303 in 2024 for services listed under the National Codes Established for State Medicaid Agencies. This amount increased 283.2% from 2023, when $137,081 was claimed for these same services.

Medicaid is a public insurance program operated by states and funded with federal and state dollars. The program serves low-income people, seniors, children, and those with disabilities, ranking among the largest components of the U.S. health system.

Because taxpayer resources finance Medicaid payments, fluctuations in local billing reflect how public health care spending is distributed across a community.

The “National Codes Established for State Medicaid Agencies” group is defined by the care provided, using standardized HCPCS and CPT code categories. Each billing code was grouped under a single service category using consistent code prefixes and numeric ranges for this analysis, which prevents double counting and ensures accurate rankings over time.

Medicaid spending grew within multiple service categories, but National Codes Established for State Medicaid Agencies led all Medicaid payment categories in New Kensington in 2024.

Statewide, the National Codes Established for State Medicaid Agencies category was second by total Medicaid payments in Pennsylvania in 2024.

From the five-year period before 2024, Medicaid payments related to National Codes Established for State Medicaid Agencies in New Kensington grew by $466,419, a 792.1% increase. The rate of spending climbed most rapidly in certain years, notably with major year-over-year gains in 2021 and 2023.

Spending under the National Codes Established for State Medicaid Agencies classification was spread citywide but remained focused in a handful of ZIP codes. For 2024, ZIP code 15068 accounted for all $525,303 in Medicaid spending for these codes, comprising 100% of such payments in New Kensington that year.

Most Medicaid payments tied to this category were associated with just a few individual billing codes.

Between 2024 and 2023, Medicaid payments for state-established national codes in New Kensington grew by 283.2%, outpacing the 123.5% rise across all categories of Medicaid claims in the city during that span.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, accounting for roughly 18% of national health expenditures. That compares to about $613.5 billion in 2019, before the COVID-19 pandemic.

This amounts to nearly 40% growth in just a few years, primarily due to increased enrollment and greater use of health services during and after the pandemic.

Recent federal budget actions under the Trump administration have put forward significant changes to reduce federal Medicaid funding and alter the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the coming decade and include policies like work requirements and greater cost-sharing, potentially affecting coverage and funding for some participants. These measures are projected to shift additional costs to states and slow federal support growth, though the program continues to serve tens of millions nationwide.

Note: HCPCS codes appear here to provide context within the group. Article category totals and rankings are based on standardized service groups rather than each billing code.

This article sourced information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data is available here.