Depew Medicaid payments for state-named national codes climb 28.1% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Depew billed a total of $157,875 for services under the National Codes Established for State Medicaid Agencies category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an increase of 28.1% over the $123,225 billed for these services in 2023.

Medicaid, a state-administered health insurance program funded jointly by federal and state governments, covers eligible low-income individuals, seniors, children, and people with disabilities, positioning it as a major element of the U.S. health care system.

Because taxpayer money funds Medicaid, changes in billing patterns locally help reveal how public health care resources are distributed in specific communities.

The “National Codes Established for State Medicaid Agencies” category comprises Medicaid-billed services organized by the care provided and includes standardized HCPCS and CPT code groupings. For this report, service categories were assigned consistently using set code prefixes and numeric spans, ensuring that related services could be grouped and trends tracked without overlap or inflated counts.

National Codes Established for State Medicaid Agencies led all service categories in Medicaid payments in Depew for 2024.

Across New York, this category was also ranked highest statewide by total Medicaid payments for 2024.

Between 2019 and 2024, Medicaid reimbursement for the National Codes Established for State Medicaid Agencies category in Depew rose by $143,325, an increase of 985.1%. Periods such as 2022 and 2021 saw especially rapid annual growth in spending.

Most spending in this category was recorded in just a few ZIP codes across the city. In 2024, ZIP code 14043 accounted for $157,875 in Medicaid payments associated with these national codes, comprising 100% of such payments in Depew for the year.

Payments for this group of services in Depew were focused among a narrow collection of billing codes.

To compare, the 28.1% rise in Medicaid payments for this category in Depew from 2023 to 2024 was significantly higher than the 5.3% increase recorded for all Medicaid claim categories citywide during that span.

According to the Centers for Medicare & Medicaid Services, total state and federal Medicaid expenditures were about $871.7 billion in fiscal year 2023, representing around 18% of the nation’s health spending. This is a sharp rise from the $613.5 billion recorded in 2019 before the COVID-19 outbreak.

This roughly 40% surge in expenditures was largely fueled by greater enrollment and increased service use during and after the pandemic period.

Major changes in federal funding were included in budget legislation passed under the Trump administration. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion from federal Medicaid funding over the coming decade, with measures such as new work requirements and higher cost-sharing, potentially reducing program coverage and support for some enrollees. These shifts are projected to increase cost burdens on states and slow federal Medicaid spending growth, though the program continues to provide health coverage for millions.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Depew, New York Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $14,550 6.6%
2021 $30,275 108.1%
2022 $88,150 191.2%
2023 $123,225 39.8%
2024 $157,875 28.1%
Top Categories by Medicaid Payments in Depew, New York, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $157,875 35.5%
2 Medicine Services and Procedures $131,604 29.6%
3 Evaluation and Management $107,811 24.2%
4 Temporary National Codes (Non-Medicare) $43,535 9.8%
5 Pathology and Laboratory Procedures $4,070 0.9%
6 Procedures / Professional Services $185 <0.1%
7 Surgery $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Depew, New York, 2024

HCPCS Code Description Medicaid Payments Claims
T1001 Nursing assessment/evaluatn $157,875 11

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.



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