Muncy Medicaid payments for National Codes Established for State Medicaid Agencies reach $1,798,599 in 2024

In 2024, Medicaid providers in Muncy billed $1,798,599 for services under the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total was up 161.7% from 2023, when providers submitted $687,292 in claims for the same services.

Medicaid, a public health insurance initiative operated by states with both federal and state funding, covers individuals and families with low incomes, seniors, children, and people with disabilities. The program is a central part of health care in the United States. More about its funding is available at this link.

Since Medicaid relies on taxpayer funding, fluctuations in local billing amounts reflect how public health care resources are used within each community.

The “National Codes Established for State Medicaid Agencies” grouping represents a set of Medicaid-billed services, bundled by care type and determined through standard HCPCS and CPT codes. In this analysis, each billing code was matched to a single category using unified code prefixes and number ranges. This allows services to be tracked accurately and consistently and helps prevent counting overlaps.

In 2024, National Codes Established for State Medicaid Agencies ranked as the top category by Medicaid payments in Muncy amid overall growth in spending across several service groups.

On a statewide level, this category held the No. 2 spot in total Medicaid payments in Pennsylvania during 2024.

Between 2019 and 2024, Medicaid payments in Muncy for the National Codes Established for State Medicaid Agencies category rose by $1,797,507, a 164606.9% jump. Top year-over-year surges occurred during 2022 and 2023, showing accelerated growth across select periods.

Although services in this Medicaid category were delivered citywide, billing was heavily concentrated in a small set of ZIP codes. In 2024, ZIP code 17756 had the most Medicaid payments for these services, totaling $1,798,599. This represented 100% of all related Medicaid payments in Muncy for the year.

Payments under the National Codes Established for State Medicaid Agencies category also saw concentration among a few primary billing codes.

For comparison, while Muncy registered a 161.7% rise in Medicaid payments for this category between 2023 and 2024, overall Medicaid claim categories increased by 57.6% during the same period in the city.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures were approximately $871.7 billion in fiscal year 2023, making up about 18% of all national health spending. This was a significant increase from $613.5 billion in 2019, before the COVID-19 pandemic.

This nearly 40% increase over several years was fueled in large part by expanded program enrollment and higher service usage throughout and following the pandemic.

The Trump administration introduced federal budget measures aimed at reducing Medicaid outlays and reshaping the program’s structure. The “One Big Beautiful Bill Act,” signed in 2025, is estimated to decrease federal Medicaid costs by over $1 trillion in the next decade, adding work requirements and greater cost-sharing that may reduce funding and coverage for some enrollees. These policy changes are projected to shift additional Medicaid financial responsibility to states and curb future federal support, as Medicaid continues to cover 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.