Elma Medicaid spending on state agency-established national codes climbs to $3,445 in 2024

In 2024, Elma Medicaid providers billed a total of $3,445 for services under the National Codes Established for State Medicaid Agencies category, according to U.S. Department of Health and Human Services Medicaid Provider Spending data. This represented an 87.7% increase from 2023, when $1,835 was billed for the same services.

Medicaid, a joint public health insurance effort supported by state and federal governments, covers low-income Americans as well as seniors, children, and those with disabilities. It makes up a major component of the nation’s health care system. Learn more about how the program is funded here.

Because Medicaid spending uses taxpayer funds, changes in local billing levels reflect how public health resources are distributed in Elma.

The “National Codes Established for State Medicaid Agencies” category groups Medicaid claims by service types, identified with standardized HCPCS and CPT code sets. This analysis classifies each claim code into a specific service category by prefix and numeric range, making trends easier to track and preventing overlap in accounting and rankings over time.

Although there was growth in multiple Medicaid billing categories, National Codes Established for State Medicaid Agencies was the third-highest by overall Medicaid payments in Elma during 2024.

Statewide, the National Codes Established for State Medicaid Agencies category led all other categories in New York by total Medicaid payments in 2024.

Reviewing data over the five years through 2024 shows a $3,445 increase — or 0% overall change — in Medicaid spending in this category for Elma. However, some periods saw accelerated increases, with marked year-over-year growth in 2022 and 2023.

This type of Medicaid spending, while present across Elma, was mostly concentrated in a few ZIP codes. In 2024, the largest amount of Medicaid payments in this category was recorded in ZIP code 14059, making up $3,444. Collectively, the leading ZIP code accounted for 100% of these Medicaid payments in the city for the year.

Most Medicaid payments in this category were focused on a small set of individual billing codes.

To compare, payments attributed to this category in Elma rose by 87.7% between 2024 and 2023, surpassing the overall citywide increase of 19.6% across all Medicaid claim categories in that time frame.

Data from the Centers for Medicare & Medicaid Services show that combined federal and state Medicaid outlays hit approximately $871.7 billion in fiscal 2023, representing about 18% of total U.S. health spending, up from $613.5 billion in 2019, before the COVID-19 crisis.

This rise reflects roughly 40% growth over several years, largely due to surging enrollment and greater service utilization amid and after the pandemic period.

As part of recent federal budget actions adopted under the Trump administration, several major policies were enacted to curtail federal Medicaid spending and restructure the program. The “One Big Beautiful Bill Act,” signed in 2025, is estimated to reduce federal Medicaid outlays by more than $1 trillion over the coming decade and includes measures such as added work requirements and higher cost-sharing, which could shrink enrollment and funding for some groups. These reforms are projected to shift additional financial responsibility to states, potentially slowing the trajectory of federal Medicaid funding growth, even while the program continues to cover tens of millions nationwide.

Note: HCPCS codes are provided for reference within this category. Category metrics and rankings in this article use consolidated service groupings, not individual billing codes.

Source information was derived from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.