In 2024, Medicaid providers in Great Neck submitted $228,959,466 in claims for services within the National Codes Established for State Medicaid Agencies category, as reported by data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represented a 1.6% increase from 2023, when claims reached $225,250,422 for the same classification of services.
Medicaid serves as a public health insurance program operated at the state level with joint federal and state funding, covering low-income people and families, seniors, children, and individuals with disabilities. It is one of the core elements of the U.S. health care system.
Since Medicaid is funded by taxpayers, shifts in local billing reveal how public health resources are distributed within a community.
The “National Codes Established for State Medicaid Agencies” group encompasses a specific set of Medicaid services based on the nature of care provided, categorized according to standardized HCPCS and CPT code clusters. Each code in this study was assigned to a single service grouping, utilizing consistent numerical prefixes and ranges to analyze related services together, prevent counting overlaps, and maintain precise rankings over multiple years.
In Great Neck, National Codes Established for State Medicaid Agencies ranked first among all Medicaid service categories by total payments in 2024, with spending growth also seen in several other categories.
Statewide in New York, National Codes Established for State Medicaid Agencies also ranked first for total Medicaid payments in 2024.
Between 2019 and 2024, Medicaid payments attributed to the National Codes Established for State Medicaid Agencies group in Great Neck rose by $140,116,502, or 157.7%. Some periods saw surges in spending, with notable annual increases in 2020 and 2023.
Although payments for this category of services spanned Great Neck, the majority were concentrated in a small number of ZIP codes. In 2024, ZIP code 11021 accounted for $228,959,465 of spending—making up 100% of all Medicaid payments for the category in Great Neck during the year.
Within the National Codes Established for State Medicaid Agencies category, payments focused on a small set of individual billing codes.
From 2023 to 2024, Medicaid payments for this category in Great Neck grew by 1.6%, compared with a broader 9% increase across all Medicaid claim categories in the city over the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, making up roughly 18% of total U.S. health care expenditures. This represents a substantial jump from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
This rise equates to an estimated 40% increase within a short period, largely driven by enrollment growth and increased usage during and following the pandemic.
Recent federal budget measures passed under the Trump administration included notable proposals to decrease federal Medicaid funding and adjust the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the coming decade and introduces requirements such as work rules and higher cost-sharing that could impact coverage and funding for some enrollees. These policies are expected to increase state funding responsibilities and restrict the expansion of federal Medicaid support while the program continues to insure tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $88,842,964 | 67.4% |
| 2021 | $112,185,836 | 26.3% |
| 2022 | $152,190,569 | 35.7% |
| 2023 | $225,250,422 | 48% |
| 2024 | $228,959,465 | 1.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $228,959,465 | 77.5% |
| 2 | Evaluation and Management | $41,726,203 | 14.1% |
| 3 | Radiology Procedures | $8,244,629 | 2.8% |
| 4 | Medicine Services and Procedures | $6,933,336 | 2.3% |
| 5 | Alcohol and Drug Abuse Treatment | $3,370,098 | 1.1% |
| 6 | Temporary National Codes (Non-Medicare) | $2,216,704 | 0.8% |
| 7 | Surgery | $2,044,373 | 0.7% |
| 8 | Pathology and Laboratory Procedures | $718,527 | 0.2% |
| 9 | Drugs Administered Other than Oral Method | $710,184 | 0.2% |
| 10 | Ambulance and Other Transport Services and Supplies | $256,322 | 0.1% |
| 11 | Procedures / Professional Services | $128,871 | <0.1% |
| 12 | Dental Services | $55,939 | <0.1% |
| 13 | Anesthesia | $41,279 | <0.1% |
| 14 | Vision Services | $16,108 | <0.1% |
| 15 | Medical And Surgical Supplies | $7,820 | <0.1% |
| 16 | Enteral and Parenteral Therapy | $5,850 | <0.1% |
| 17 | Temporary Codes | $5,102 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $223,977,596 | 12 |
| T1020 | Personal care ser per diem | $3,607,665 | 12 |
| T1022 | Contracted services per day | $1,226,649 | 4 |
| T1015 | Clinic service | $145,980 | 15 |
| T1013 | Sign lang/oral interpreter | $1,573 | 2 |
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.
