In 2024, Medicaid providers in New Holland billed a total of $517,680 for services included in the National Codes Established for State Medicaid Agencies category, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 1.1% increase over 2023, when $512,279 in claims for these services were reported.
Medicaid, a public health insurance initiative managed by states and financed by both federal and state governments, serves low-income individuals and families, older adults, children, and those with disabilities. The program represents one of the major segments in U.S. health care.
Because taxpayer revenue funds Medicaid payments, fluctuations in claims billed locally demonstrate the distribution of public health care spending within the community.
The “National Codes Established for State Medicaid Agencies” category refers to services billed to Medicaid that are defined according to specific care types, characterized by standardized HCPCS and CPT code sequences. For analysis purposes, individual service codes were placed into a single designated category using unified code groupings, ensuring associated services could be monitored together and preventing duplicate counting, while maintaining proper ranking accuracy throughout the years.
National Codes Established for State Medicaid Agencies led all service categories in New Holland by the total amount of Medicaid payments in 2024, separate from the increases recorded across other groups.
On a state level, this category was ranked second in Pennsylvania for total Medicaid payment value in 2024.
Between 2019 and 2024, New Holland saw a $259,273 increase in Medicaid payments linked to the National Codes Established for State Medicaid Agencies category, equating to 100.3% growth. Notable surges occurred in individual years along this five-year period, especially during 2021 and 2020.
Payment distributions related to these care categories were citywide, though a handful of ZIP codes received higher concentrations of spending. In 2024, ZIP code 17557 accounted for the full $517,680 in the National Codes Established for State Medicaid Agencies category, totaling 100% of these payments within New Holland that year.
Most Medicaid funds in this group were further focused on a small group of individual billing codes within the broader care category.
When comparing growth rates, spending connected to the National Codes Established for State Medicaid Agencies category advanced by 1.1% from 2023 to 2024. This compares with a 9.7% change in Medicaid payments across all categories in the city within the same period.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached approximately $871.7 billion in the 2023 fiscal year. This spending represented about 18% of the country’s entire health care expenses, rising sharply from the roughly $613.5 billion reported in 2019, before the COVID-19 pandemic.
This jump equates to about 40% growth within just a few years, primarily attributed to wider program enrollment and higher service usage during and following the pandemic.
Recent federal budget legislation passed under the Trump administration has featured major proposed reductions in Medicaid funding at the federal level and program restructuring. The “One Big Beautiful Bill Act,” signed in 2025, is expected to remove more than $1 trillion from federal Medicaid support over 10 years. It also introduces work requirements and additional cost-sharing provisions, measures that may decrease both funding and health insurance coverage for some groups. These changes are set to shift a greater share of costs to states, even as millions of Americans continue being covered by the program and as limits are placed on federal Medicaid funding growth.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $258,406 | 28.4% |
| 2021 | $888,845 | 244% |
| 2022 | $638,480 | -28.2% |
| 2023 | $512,278 | -19.8% |
| 2024 | $517,680 | 1.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $517,680 | 73.9% |
| 2 | Ambulance and Other Transport Services and Supplies | $165,943 | 23.7% |
| 3 | Evaluation and Management | $16,957 | 2.4% |
| 4 | Dental Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $517,680 | 51 |
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.









