In 2024, Medicaid providers in Meadville reported submitting $6,842,278 in claims for services classified as National Codes Established for State Medicaid Agencies, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represented a 313.1% rise from 2023, when claims for these services amounted to $1,656,335.
Medicaid, a state-administered program funded jointly by federal and state governments, provides health coverage for low-income groups, older adults, children, and people with disabilities, making it a significant part of the U.S. health care landscape.
With Medicaid payments sourced from taxpayers, shifts in local billing trends highlight how health care resources are distributed within the community.
The “National Codes Established for State Medicaid Agencies” category refers to a collection of Medicaid-billed services defined by the type of care, grouped using standardized HCPCS and CPT coding ranges. In this review, each service billing code is assigned to a single category, applying consistent prefixes and numeric parameters. This method allows related services to be grouped together and prevents double counting for more robust historical trend analysis and rankings.
Although spending from Medicaid grew across multiple care categories, National Codes Established for State Medicaid Agencies led all service categories by total claimed Medicaid payments in Meadville in 2024.
The National Codes Established for State Medicaid Agencies category ranked second by total Medicaid payments across the state of Pennsylvania in 2024.
Over the five-year span ending in 2024, payments connected to National Codes Established for State Medicaid Agencies in Meadville advanced by $5,748,025, or 525.3%. Growth rates varied over time, with significant year-on-year rises in both 2021 and 2020.
Payment totals for services within the National Codes Established for State Medicaid Agencies category showed citywide distribution, but were concentrated predominantly in specific ZIP codes. In 2024, the 16335 ZIP code alone accounted for $6,842,278—meaning the top ZIP code represented 100% of related Medicaid payments for the category in Meadville that year.
A narrow set of individual billing codes accounted for most Medicaid payments within the National Codes Established for State Medicaid Agencies category.
For context, payments for National Codes Established for State Medicaid Agencies in Meadville jumped 313.1% from 2023 to 2024, compared to a 32.5% change observed for all Medicaid claim categories in the city during that period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion for fiscal 2023. Medicaid made up roughly 18% of all national health expenditures, a marked increase from around $613.5 billion in 2019, prior to the onset of the COVID-19 pandemic.
The rise reflects an increase of approximately 40% over several years, largely fueled by higher enrollment and greater care utilization during and after the pandemic period.
Recent federal legislation under the Trump administration incorporated notable proposals for reducing federal Medicaid outlays and modifying the structure of the program. As an example, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to trim more than $1 trillion from federal Medicaid spending over the following decade. The law also introduces measures like work requirements and higher cost-sharing by beneficiaries, which may lead to reduced coverage and funding for certain groups. These provisions are expected to shift some expenses to state governments and could limit increases in federal Medicaid contributions even as the program continues serving millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,094,253 | 47.6% |
| 2021 | $1,941,538 | 77.4% |
| 2022 | $1,609,283 | -17.1% |
| 2023 | $1,656,335 | 2.9% |
| 2024 | $6,842,278 | 313.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $6,842,278 | 42.1% |
| 2 | Alcohol and Drug Abuse Treatment | $4,731,990 | 29.1% |
| 3 | Medicine Services and Procedures | $2,103,281 | 12.9% |
| 4 | Procedures / Professional Services | $858,114 | 5.3% |
| 5 | Evaluation and Management | $744,570 | 4.6% |
| 6 | Ambulance and Other Transport Services and Supplies | $500,607 | 3.1% |
| 7 | Pathology and Laboratory Procedures | $178,998 | 1.1% |
| 8 | Temporary National Codes (Non-Medicare) | $160,889 | 1% |
| 9 | Radiology Procedures | $46,037 | 0.3% |
| 10 | Vision Services | $43,623 | 0.3% |
| 11 | Dental Services | $27,202 | 0.2% |
| 12 | Surgery | $17,640 | 0.1% |
| 13 | Durable Medical Equipment | $6,698 | <0.1% |
| 14 | Enteral and Parenteral Therapy | $4,695 | <0.1% |
| 15 | Medical And Surgical Supplies | $517 | <0.1% |
| 16 | Drugs Administered Other than Oral Method | $0 | <0.1% |
| 16 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1003 | Lpn/lvn services up to 15min | $4,255,047 | 15 |
| T1015 | Clinic service | $1,710,097 | 81 |
| T1002 | Rn services up to 15 minutes | $662,341 | 11 |
| T1017 | Targeted case management | $138,169 | 22 |
| T1016 | Case management | $76,623 | 9 |
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.
