Lock Haven Medicaid spending for national code services climbs to $4,049,396 in 2024

Lock Haven Medicaid providers charged $4,049,396 for services classified under the National Codes Established for State Medicaid Agencies category in 2024, with figures drawn from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 37.1% rise over 2023, when providers billed $2,952,960 for similar services.

Administered by states and jointly funded by federal and state governments, Medicaid is a public health insurance system for people with low incomes, older adults, children, and individuals with disabilities. It remains one of the primary elements of the U.S. health care system.

As tax dollars support Medicaid, shifts in local billing demonstrate how public health funds are allocated throughout communities.

The “National Codes Established for State Medicaid Agencies” category encompasses a set of Medicaid services defined by care type using standardized HCPCS and CPT code clusters. For this report, billing codes were grouped into service categories based on consistent prefixes and number sequences, helping to examine connected medical services together and avoid counting any codes twice or disrupting rankings by year.

Among all service groups, National Codes Established for State Medicaid Agencies received the highest sum of Medicaid payments in Lock Haven in 2024.

At the statewide level in Pennsylvania, this category was ranked second in overall Medicaid spending for 2024.

Over the five years leading into 2024, Lock Haven Medicaid payments tied to this category rose by $4,048,195, a 336953.6% increase, highlighted by substantial annual growth in both 2022 and 2023.

In 2024, Medicaid funds attached to the National Codes Established for State Medicaid Agencies group were spread across Lock Haven, but mainly concentrated within a few ZIP codes—particularly 17745, with $4,047,232, and 17445, at $2,163. The top 2 ZIP codes accounted for the full 100% of Medicaid payments in this category for the city during the year.

A handful of billing codes accounted for the majority of Medicaid payments listed under this category in Lock Haven.

During the period from 2023 to 2024, Lock Haven saw a 37.1% jump in Medicaid payments for services under the National Codes Established for State Medicaid Agencies banner, compared with a 3.4% change for all Medicaid claim categories in the area for the same span.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures came to about $871.7 billion for fiscal 2023, making up roughly 18% of all U.S. health spending, jumping from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This equates to about 40% growth in a few years, largely prompted by expanded coverage and higher utilization during and after the pandemic era.

Recent federal budget laws under the Trump administration featured major proposed reductions for Medicaid funding. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim more than $1 trillion from federal Medicaid spending over 10 years and mandate provisions such as work requirements and higher cost-sharing, potentially reducing insurance access and program dollars for certain recipients. These steps are projected to transfer greater fiscal responsibilities to states and curb the future rise of federal support, even as Medicaid still covers tens of millions of Americans.

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.