Conneautville Medicaid payments for National Codes category climb 22.2% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Conneautville Medicaid providers billed $171,059 during 2024 for services classified 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 represented an increase of 22.2% compared to 2023, when providers posted $140,029 in claims for these services.

Medicaid, administered by state governments with joint federal and state funding, covers low-income individuals, seniors, children, and people with disabilities, making it one of the central programs within the U.S. health care framework. Learn more about Medicaid funding from the Commonwealth Fund.

Because Medicaid is funded by taxpayers, shifts in local billing illustrate how health care resources are distributed in a community.

The “National Codes Established for State Medicaid Agencies” category encompasses a set of Medicaid-billed services determined by the type of care, using standardized HCPCS and CPT code groupings. For this analysis, each billing code was mapped to a single service category using specific code prefixes and numeric ranges, ensuring related services are evaluated together without overlap and maintaining consistent rankings over time.

While Medicaid spending has grown across various categories, the National Codes Established for State Medicaid Agencies was the leading category by total Medicaid payments in Conneautville during 2024.

Across Pennsylvania, this category ranked second by total Medicaid payments in 2024.

During the five-year period ahead of 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies in Conneautville went up by $131,219—an increase of 329.4%. Growth was faster in specific years, with especially large increases reported in 2020 and 2021.

Spending for this Medicaid category was scattered across the city, yet payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 16406 recorded $171,059 in payments—the highest in the city for this category. The top ZIP code made up 100% of Medicaid payments for this service type in Conneautville in 2024.

Within this category, payments were also focused on a limited group of billing codes.

Looking at category-specific growth, Medicaid payments associated with the National Codes Established for State Medicaid Agencies in Conneautville increased 22.2% from 2023 to 2024. For all Medicaid claim categories locally, the change during the same period was 22.3%.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending was about $871.7 billion for fiscal year 2023—approximately 18% of total national health expenditures—which reflects a significant rise from nearly $613.5 billion in 2019, before the COVID-19 pandemic.

This equates to about 40% growth in just a few years, mostly due to broader enrollment and greater health service use during and after the pandemic.

Federal budget legislation enacted under the Trump administration has included proposals to cut Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by over $1 trillion during the next decade and brings measures such as work requirements and increased cost-sharing, likely leading to decreased coverage and support for some recipients. As a result, states could assume more financial responsibility for Medicaid, while federal funding growth slows—even as enrollment remains substantial.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $39,840 2343.6%
2021 $89,288 124.1%
2022 $85,975 -3.7%
2023 $140,029 62.9%
2024 $171,059 22.2%
Top Categories by Medicaid Payments in Conneautville, Pennsylvania, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $171,059 99.9%
2 Evaluation and Management $215 0.1%
3 Dental Services $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Conneautville, Pennsylvania, 2024

HCPCS Code Description Medicaid Payments Claims
T1015 Clinic service $171,059 28

Note: HCPCS codes are provided for context within this category. Category totals and rankings reported in this article reflect standardized service groupings rather than individual billing codes.

Data in this article was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.



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