In 2024, Medicaid providers in Williamsport billed $14,615,114 for services under the National Codes Established for State Medicaid Agencies, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 3.2% increase from 2023, when providers logged $14,166,729 in claims for the same set of services.
Medicaid is a state-administered public health insurance program that is jointly financed by the federal and state governments. The program covers populations such as low-income people, families, seniors, children, and individuals with disabilities, making it a major component of the American health care landscape.
As Medicaid spending is derived from taxpayer funds, changes in local claims reflect how public health resources are distributed throughout the community.
The “National Codes Established for State Medicaid Agencies” group consists of Medicaid-billed services categorized by type of care, following standardized HCPCS and CPT code sets. In this analysis, a consistent approach was used to assign each billing code to one service group, relying on code prefixes and ranges in order to assess trends and rankings without double counting services over time.
The analysis found that National Codes Established for State Medicaid Agencies represented the highest total Medicaid payments for any service category in Williamsport in 2024.
This category was the second-largest in terms of total Medicaid payments statewide in Pennsylvania in 2024.
Across the five years preceding 2024, Williamsport Medicaid payments associated with National Codes Established for State Medicaid Agencies climbed by $9,051,307, or 162.7%. Notably, the pace of growth increased in several periods, with large year-over-year gains in 2020 and 2023.
Although spending under this category occurred throughout Williamsport, payments were largely focused in a small set of ZIP codes. In 2024, the highest Medicaid payments linked to this services category overall came from ZIP code 17701, which totaled $14,615,113. The top 1 ZIP code jointly accounted for 100% of Medicaid payments under this category in Williamsport for the year.
Payments in the National Codes Established for State Medicaid Agencies category also centered on a limited set of individual billing codes.
Over the span from 2023 to 2024, Williamsport Medicaid payments for services in this category climbed 3.2%, whereas the aggregate for all Medicaid services in the city rose just 0.2% in the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending totaled about $871.7 billion for fiscal 2023, or roughly 18% of total national health costs—a significant increase over $613.5 billion in 2019, prior to the COVID-19 pandemic.
This surge reflects roughly 40% overall growth in just a few years, much of it attributable to higher enrollment and increased utilization during and following the pandemic era.
Recent federal budget measures during the Trump administration include major proposals for scaling back federal Medicaid spending and modifying program structure. The “One Big Beautiful Bill Act,” signed in 2025, is expected to cut federal Medicaid expenditures by more than $1 trillion over the decade and includes provisions such as employment requirements and higher cost-sharing, which could reduce access and support for some recipients. As a result, greater costs may shift to states and growth in federal Medicaid funding may slow, even as tens of millions of Americans remain in the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $5,563,807 | 72% |
| 2021 | $7,812,703 | 40.4% |
| 2022 | $7,985,937 | 2.2% |
| 2023 | $14,166,728 | 77.4% |
| 2024 | $14,615,113 | 3.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $14,615,113 | 46.2% |
| 2 | Medicine Services and Procedures | $6,234,929 | 19.7% |
| 3 | Procedures / Professional Services | $2,839,744 | 9% |
| 4 | Alcohol and Drug Abuse Treatment | $2,641,232 | 8.4% |
| 5 | Evaluation and Management | $2,588,345 | 8.2% |
| 6 | Ambulance and Other Transport Services and Supplies | $1,365,987 | 4.3% |
| 7 | Radiology Procedures | $291,938 | 0.9% |
| 8 | Medical And Surgical Supplies | $247,312 | 0.8% |
| 9 | Pathology and Laboratory Procedures | $221,568 | 0.7% |
| 10 | Durable Medical Equipment | $203,861 | 0.6% |
| 11 | Vision Services | $184,695 | 0.6% |
| 12 | Temporary National Codes (Non-Medicare) | $87,178 | 0.3% |
| 13 | Administrative, Miscellaneous and Investigational | $38,300 | 0.1% |
| 14 | Surgery | $37,613 | 0.1% |
| 15 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $14,148 | <0.1% |
| 16 | Dental Services | $0 | <0.1% |
| 16 | Drugs Administered Other than Oral Method | $0 | <0.1% |
| 16 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1003 | Lpn/lvn services up to 15min | $7,361,402 | 35 |
| T1015 | Clinic service | $5,639,405 | 328 |
| T1017 | Targeted case management | $1,048,740 | 25 |
| T2042 | Hospice routine home care | $390,092 | 6 |
| T1016 | Case management | $164,529 | 18 |
| T1002 | Rn services up to 15 minutes | $8,624 | 6 |
| T1001 | Nursing assessment/evaluatn | $2,320 | 1 |
| T1023 | Program intake assessment | $0 | 12 |
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.
