Fairhaven’s Medicaid payments for state-established national codes reach $4,040,615 in 2024

In 2024, Medicaid providers in Fairhaven received $4,040,615 in payments for services associated with the National Codes Established for State Medicaid Agencies category, figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This sum was a 25.9% increase over 2023, when providers submitted $3,208,316 in claims for this group of services.

Medicaid, a public insurance program managed by states and co-funded by the federal and state governments, serves low-income populations— including families, seniors, children, and individuals with disabilities— and represents a significant part of the U.S. health care framework.

Since taxpayer dollars fund Medicaid payments, shifts in local billing levels reveal how community resources support public health care costs.

The “National Codes Established for State Medicaid Agencies” category groups Medicaid services according to standardized HCPCS and CPT-coded care. Each code in this analysis is placed within a single service category by prefix and range, allowing consistent grouping, avoiding duplication, and producing accurate rankings year over year.

While multiple service types accounted for rising Medicaid costs, National Codes Established for State Medicaid Agencies was the third-largest Medicaid category by total payments in Fairhaven in 2024.

Statewide, National Codes Established for State Medicaid Agencies secured the top spot for Medicaid payments across Massachusetts in 2024.

In the five years preceding 2024, Fairhaven’s Medicaid payments for the National Codes Established for State Medicaid Agencies category grew by $3,911,836— an increase of 3037.6%. The pace of expenditure growth quickened at points during that span, including notable rises in 2023 and 2022.

Despite coverage citywide, Medicaid spending on this category centered primarily in a restricted set of ZIP codes. In 2024, ZIP code 02719 comprised $4,040,615 of these Medicaid payments, accounting for 100% of the category’s payment volume in Fairhaven.

Additionally, a small subset of individual billing codes drove a large share of payments within the National Codes Established for State Medicaid Agencies group.

Comparatively, Fairhaven’s Medicaid payments in the National Codes Established for State Medicaid Agencies group increased 25.9% from 2023 to 2024, while all Medicaid claim categories together experienced a 13.1% rise over the same period.

According to the Centers for Medicare & Medicaid Services, Medicaid funding from federal and state governments totaled roughly $871.7 billion in fiscal 2023, representing about 18% of the country’s health expenditures and marking a substantial jump from $613.5 billion in 2019 prior to the COVID-19 emergency.

The uptick reflects nearly 40% overall growth within several years, fueled predominantly by higher enrollment and greater care use during and following the pandemic.

Federal budget legislation under the Trump administration advanced major proposed cuts and Medicaid restructuring, including the “One Big Beautiful Bill Act,” signed in 2025. That law aims to reduce federal Medicaid spending by more than $1 trillion over ten years, add work mandates, and raise cost-sharing— measures cited to lessen coverage and federal funding for some eligible populations. These approaches are anticipated to place more financial responsibility on states and slow federal spending growth even as Medicaid remains pivotal for millions nationwide.

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.