Berlin Medicaid claims tied to state-established national codes climbed 15.8% in 2024

In 2024, Medicaid providers in Berlin billed $2,762,171 for services within the National Codes Established for State Medicaid Agencies category, U.S. Department of Health and Human Services Medicaid Provider Spending data shows. That total marks a 15.8% increase over 2023, when $2,386,188 was billed for the same category.

Medicaid is a state-administered, jointly funded public health insurance program supported by both state and federal budgets. It provides coverage to low-income families and individuals, seniors, children, and people with disabilities, ranking among the largest health programs nationwide.

Shifts in local Medicaid payment levels reflect how taxpayer-funded health care resources are allocated in a community.

The “National Codes Established for State Medicaid Agencies” encompasses groupings of Medicaid services organized by care type, using standardized HCPCS and CPT code ranges. For this report, individual billing codes were placed within one service category according to shared prefixes and numerical ranges, ensuring accuracy by avoiding duplicated assignments and maintaining consistent tracking over time.

This category led all Medicaid-billed service groupings in Berlin for total payments in 2024, even as spending across various categories increased.

Statewide in New Hampshire, National Codes Established for State Medicaid Agencies also ranked first by payment volume during the year.

Comparing 2024 to five years prior, Medicaid payments in Berlin linked to this category climbed by $1,090,068, amounting to 65.2% growth. There were particularly notable increases for specific years, including 2023 and 2021.

Though Medicaid spending in this category served multiple parts of Berlin, disbursements were mainly concentrated in just a few ZIP codes. For 2024, ZIP code 03570 received the highest category-linked Medicaid payments, with the full $2,762,171 attributed there, accounting for 100% of all such payments locally this year.

Within the National Codes category, a select group of billing codes accounted for most of the Medicaid payments.

Comparatively, Medicaid spending tied to this category in Berlin jumped by 15.8% from 2023 to 2024, while all Medicaid service categories combined reflected a 0.2% change over the same span citywide.

The Centers for Medicare & Medicaid Services reports that joint federal and state Medicaid expenditures hit about $871.7 billion in fiscal year 2023, comprising nearly 18% of overall U.S. health spending, a significant jump from $613.5 billion in 2019, before the COVID-19 pandemic.

This rise represents close to 40% overall growth within several years, due mainly to increased enrollment and utilization related to and following the pandemic.

Recent federal budget measures during the Trump administration have advanced major reductions and restructuring for federal Medicaid funds. One example is the “One Big Beautiful Bill Act,” enacted in 2025, which is forecast to reduce federal Medicaid spending by over $1 trillion in the next decade while bringing in work requirements and more cost-sharing—policies that may limit both funding and access for some beneficiaries. Financial pressure is projected to shift further toward states, even as federal funding support slows against a backdrop of sustained high enrollment.

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.