Palmyra Medicaid payments for National Codes Established for State Medicaid Agencies rise 1.4% in 2024

Medicaid providers in Palmyra submitted $5,778,803 in claims for services within the National Codes Established for State Medicaid Agencies category in 2024, according to information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 1.4% gain from 2023, when $5,700,547 was billed for these services.

Medicaid is a state-administered public health insurance program funded jointly by federal and state entities. Beneficiaries include individuals and families with low incomes, elderly adults, children, and people with disabilities, making Medicaid a cornerstone of the nationwide health care safety net.

Given that Medicaid spending originates from taxpayers, local billing figures provide insight into how public funds for health care are distributed in each community.

The “National Codes Established for State Medicaid Agencies” category encompasses Medicaid claims for types of care outlined by standardized HCPCS and CPT codes. For this evaluation, analysts grouped each billing code into a single service category using code prefixes and numeric ranges, which allowed for comprehensive analysis of related claims and consistent year-over-year rankings.

While spending climbed across several categories, National Codes Established for State Medicaid Agencies was the second-highest category for Medicaid payments in Palmyra in 2024.

This category also ranked second in total Medicaid payments across New Jersey in 2024.

From 2019 to 2024, Medicaid payments attributed to the National Codes Established for State Medicaid Agencies in Palmyra grew by $2,247,052, or 63.6%. Some years, such as 2022 and 2023, saw especially sharp increases compared with earlier periods.

Payments for services within this category were distributed citywide, but they were mainly concentrated in one ZIP code. In 2024, ZIP code 08065 alone accounted for $5,778,803 in Medicaid claims under this category, representing 100% of all such Medicaid payouts in Palmyra for the year.

Only a small subset of billing codes made up the bulk of Medicaid payments in this category.

To compare, Medicaid payments in Palmyra tied to the National Codes Established for State Medicaid Agencies group rose 1.4% from 2023 to 2024, while total Medicaid claims across all categories in the city saw a 2.2% year-over-year increase.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures totaled about $871.7 billion in fiscal 2023—around 18% of all U.S. health care spending—a notable jump from $613.5 billion in 2019 before the COVID-19 pandemic.

This represents an increase of approximately 40% within just a few years, largely attributed to higher enrollment and greater service usage during and following the pandemic.

Recent federal budget legislation signed into law under the Trump administration includes major plans to reduce federal Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion in federal Medicaid expenditure over the next decade and implements measures like work requirements and higher cost-sharing, which could reduce coverage and decrease funding for select groups. These adjustments are likely to shift higher costs to states while restraining the growth of federal Medicaid commitments, even as the program continues to serve millions across the country.

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.