Bethpage Medicaid payments for national state codes climb to $565,029 in 2024

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Medicaid providers in Bethpage billed $565,029 in 2024 for services under the National Codes Established for State Medicaid Agencies category. This total represented an 86.4% rise over 2023, when providers submitted $303,097 in claims for that category.

Medicaid, a statewide public health insurance program funded by both federal and state governments, serves low-income individuals, families, children, seniors and people with disabilities, making it a major part of U.S. health care.

Since Medicaid payments are derived from taxpayer funds, fluctuations in local billing levels indicate how public health care dollars are distributed in a given community.

The “National Codes Established for State Medicaid Agencies” grouping includes Medicaid-billed services classified by care type, based on standardized HCPCS and CPT code clusters. Each billing code in this analysis was assigned to one service category according to code prefixes and number ranges to keep related services together, avoid double counting, and maintain ranking accuracy over time.

Although overall Medicaid spending increased in various service categories, National Codes Established for State Medicaid Agencies ranked fifth by total Medicaid payments in Bethpage for 2024.

Statewide, National Codes Established for State Medicaid Agencies ranked first in total Medicaid payments for New York in 2024.

From five years preceding 2024, Bethpage Medicaid payments tied to National Codes Established for State Medicaid Agencies rose by $318,397, or 129.1%. Periods of accelerated spending included notable annual increases in both 2023 and 2020.

While Medicaid spending for this category was spread across Bethpage, most payments were concentrated in just a few ZIP codes. In 2024, ZIP code 11714 made up $565,028 in National Codes Established for State Medicaid Agencies payments. For the year, the top ZIP code accounted for 100% of Medicaid payments assigned to this billing category in Bethpage.

A small number of individual billing codes collected most of the Medicaid payments within the National Codes Established for State Medicaid Agencies grouping.

By comparison, Medicaid payments tied to the National Codes Established for State Medicaid Agencies grouping in Bethpage increased by 86.4% from 2023 to 2024, in contrast to a 22.3% rise across all Medicaid claim categories in the city during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, approximately 18% of national health expenditures, up from around $613.5 billion in 2019, prior to the COVID-19 pandemic.

This represents about 40% growth in just a few years, driven mainly by higher enrollment and increased use during and after the pandemic.

Major federal budget changes under the Trump administration have included proposals to substantially reduce Medicaid funding and redesign the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion in federal Medicaid funds over 10 years, with new policies such as work requirements and increased cost-sharing that may lower coverage and funding for certain beneficiaries. These shifts are projected to move more cost responsibility to states and limit federal Medicaid growth, even as enrollment remains high 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.