Medicaid payments linked to National Codes Established for State Medicaid Agencies rise 54.2% in Morgantown for 2024

In 2024, Medicaid providers in Morgantown billed $116,424 for services classified within the National Codes Established for State Medicaid Agencies category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 54.2% rise versus 2023, when providers filed $75,488 in claims for these services.

Medicaid is operated by the states and jointly funded by both federal and state governments together. The program insures low-income populations, seniors, children, and people with disabilities, making it among the nation’s largest health systems.

Since Medicaid payments are funded by taxpayers, shifting billing totals reflect how public dollars for health care are distributed locally.

The “National Codes Established for State Medicaid Agencies” category encompasses groups of Medicaid-billed services categorized by type of care, according to standardized HCPCS and CPT code sets. This analysis grouped individual codes into a single service category based on consistent prefixes and numeric bands, enabling the measurement of similar services without duplication and helping ensure valid year-over-year rankings.

Medicaid spending saw growth across various types of services; for 2024, National Codes Established for State Medicaid Agencies was the highest-ranked Medicaid payment category in Morgantown.

Statewide in Pennsylvania, National Codes Established for State Medicaid Agencies was the second highest among categories by total Medicaid payments in 2024.

During the five-year period through 2024, Morgantown’s Medicaid payments tied to National Codes Established for State Medicaid Agencies climbed by $112,209—an increase of 2661.9%. The data show especially rapid increases year over year in 2022 and 2023.

Spending for services within this category was allocated to multiple areas of the city, but most payments were concentrated in a small set of ZIP codes. In 2024, ZIP code 19543 accounted for $116,424; altogether, the top 1 ZIP code represented 100% of all Medicaid spending related to the National Codes Established for State Medicaid Agencies classification in Morgantown for the year.

Within the National Codes Established for State Medicaid Agencies category, most Medicaid payments were focused on just a few billing codes.

By way of comparison, Morgantown’s Medicaid payments related to the National Codes Established for State Medicaid Agencies group increased 54.2% from 2023 to 2024, while the cumulative change for all claims in the city over that timeframe was 75.1%.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023, which amounts to about 18% of total U.S. health expenditures. This is up from around $613.5 billion in 2019, prior to the onset of the COVID-19 pandemic.

This increase shows growth of roughly 40% in just a few years, primarily attributed to expanded enrollment and higher demand and service use during and following the pandemic.

Recent federal budgets passed under the Trump administration have included significant initiatives to decrease federal Medicaid contributions and restructure the program. Legislation such as the “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid payments by over $1 trillion over 10 years, introducing policy shifts like mandatory work requirements and greater cost-sharing which could lower coverage rates and funding for affected groups. The changes are likely to place more financial responsibility on state governments while limiting the growth rate of federal Medicaid allocations, despite ongoing robust program enrollment 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.