Mansfield sees $315,315 in Medicaid billing for National Codes Established for State Medicaid Agencies in 2024

In 2024, Mansfield Medicaid providers billed $315,315 for services listed 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 figure is a 10.1% increase from 2023, when claims for the same category amounted to $286,473.

Medicaid is a public health insurance program overseen by the states and financed by both federal and state governments. The program covers low-income families and individuals, seniors, children, and those with disabilities, making it a cornerstone of the U.S. health system.

Since taxpayer dollars fund Medicaid payments, trends in local billing reflect how public health care resources are distributed within a community.

The “National Codes Established for State Medicaid Agencies” classification includes a set of Medicaid services defined by the type of care, grouped by standardized HCPCS and CPT coding. For this analysis, each billing code was categorized using unified code prefixes and numeric sequences, enabling a combined view of services without duplicating counts and maintaining accurate ranking trends over time.

National Codes Established for State Medicaid Agencies was the third-largest Medicaid spending category in Mansfield in 2024, even as overall Medicaid expenditures increased in several categories.

Statewide, this category ranked first in total Medicaid payments for Massachusetts during 2024.

Between 2020 and 2024, Mansfield’s Medicaid spending for the National Codes Established for State Medicaid Agencies category grew by $280,627, an 809% surge. Spending growth often accelerated in specific years, with substantial annual increases seen in 2022 and 2021.

In 2024, Medicaid payments for care in the National Codes Established for State Medicaid Agencies category were mainly focused within a select group of ZIP codes. ZIP code 02048 accounted for $315,315, representing 100% of Mansfield’s Medicaid payments for this category that year.

Payments were also concentrated within a limited number of individual billing codes inside the National Codes Established for State Medicaid Agencies category.

Comparing Mansfield’s Medicaid billing, payments for this category climbed by 10.1% between 2024 and 2023, while the citywide increase across all Medicaid categories stood at 6.9% during that period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid support grew to about $871.7 billion in fiscal 2023, equal to roughly 18% of total national health costs, up significantly compared with $613.5 billion in 2019 prior to the COVID-19 pandemic.

This change represents about 40% growth over a few years, influenced mainly by increased enrollment and higher use during and after the pandemic.

Federal budget legislation passed under the Trump administration included proposals for major reductions to federal Medicaid funding and program restructuring. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to slash federal Medicaid expenses by more than $1 trillion through the next decade and applies requirements such as mandatory work and additional cost-sharing, potentially reducing access and resources for some beneficiaries. These policy changes could transfer more costs to the states and restrict increases in federal contributions, even as Medicaid continues to provide for 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.