Roseland Medicaid payments for National Codes Established for State Medicaid Agencies total $5.1 million in 2024

Roseland Medicaid providers submitted $5,114,733 in claims for services within the National Codes Established for State Medicaid Agencies group in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 2.3% rise from 2023, when payments for the same services reached $4,999,154.

Medicaid, a public health insurance program administered by the states and funded jointly by state and federal governments, provides coverage to low-income families and individuals, seniors, children, and those with disabilities. As such, it remains a major segment of the U.S. health care system.

Since Medicaid is taxpayer funded, local shifts in billing levels help demonstrate how public health dollars are used within the community.

The “National Codes Established for State Medicaid Agencies” service category covers a specific set of Medicaid-billed services, defined by the care provided and structured into standardized HCPCS and CPT code groups. For this analysis, each billing code was placed into one category using consistent numbering and code prefixes to group related services, ensuring accuracy in both comparisons and rankings over time and reducing double counting.

Among the various service categories, National Codes Established for State Medicaid Agencies had the highest total Medicaid payment amount for Roseland in 2024.

Statewide in New Jersey, the same category was second by total Medicaid payments in 2024.

In the five years through 2024, Medicaid payments in Roseland for services under this category grew by $5,114,733, or 0%. Significant year-over-year gains were seen in both 2023 and 2022, showing accelerated growth during some periods.

Spending on National Codes Established for State Medicaid Agencies services was concentrated in a few ZIP codes across the city. In 2024, ZIP code 07068 reported the largest Medicaid payment amount at $5,114,733. These top 1 ZIP codes comprised 100% of the city’s Medicaid payments for this category during the year.

Payments under the National Codes Established for State Medicaid Agencies group also tended to focus on a small number of individual billing codes within the broader service group.

Between 2024 and 2023, Medicaid payments for this category in Roseland increased by 2.3%, compared to a 0.7% increase across all Medicaid claim categories in Roseland over the same period.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenditures reached approximately $871.7 billion for fiscal year 2023, making up around 18% of all national health spending. This represents a marked rise from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This overall increase equals about 40% growth in several years, largely driven by greater enrollment and increased utilization since the pandemic.

Recent federal budget measures under the Trump administration have included major proposals to reduce federal Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid spending by more than $1 trillion over a decade. It also brings new policies like work requirements and increased cost-sharing, which could restrict benefits and funding for some enrollees. These policy changes may shift further costs to states and limit future federal Medicaid growth, while the program continues to cover 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.