Providers serving Medicaid patients in Hicksville billed $61,281,607 for services categorized as National Codes Established for State Medicaid Agencies in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 21.6% jump from 2023, when providers billed $50,412,789 for these services.
Medicaid, the public health insurance initiative run by states and jointly financed by federal and state entities, covers low-income people and families, older adults, children, and people with disabilities. It is a significant component of the U.S. health care system.
As Medicaid funding is taxpayer-supported, shifts in local spending patterns highlight how community public health dollars are allocated.
The “National Codes Established for State Medicaid Agencies” group includes a range of Medicaid-billed services identified by the care provided, sorted by standardized HCPCS and CPT code clusters. This analysis uses uniform code prefixes and numerical groups to assign each code to one service type, ensuring services are grouped together without double counting and with accurate ranking.
Spending for several Medicaid service groups rose, with National Codes Established for State Medicaid Agencies topping Hicksville’s list for total Medicaid payments in 2024.
Statewide in New York, National Codes Established for State Medicaid Agencies also led all categories by payment volume in 2024.
Between the five years before 2024, payments for National Codes Established for State Medicaid Agencies in Hicksville climbed by $42,704,480 (229.9%). The growth rate accelerated in certain years, including marked annual increases in 2020 and 2021.
Though these payments were distributed throughout Hicksville, a few ZIP codes received the majority. In 2024, ZIP code 11801 saw the highest amount of Medicaid payments in this category, totaling $61,281,606. This ZIP accounted for all (100%) payments in this service category in Hicksville for the year.
Within this service group, a handful of specific billing codes generated the bulk of Medicaid expenditures.
From 2023 to 2024, Medicaid payments for National Codes Established for State Medicaid Agencies in Hicksville rose by 21.6%, in contrast to the 4.5% increase seen across all Medicaid claim categories locally during the same period.
According to the Centers for Medicare & Medicaid Services, total Medicaid spending from both federal and state sources reached about $871.7 billion in fiscal 2023, making up approximately 18% of all national health expenditures—an increase from $613.5 billion in 2019, prior to the COVID-19 emergency.
This roughly 40% increase over a handful of years stemmed chiefly from greater enrollment and service utilization during and following the pandemic.
Recent federal budget legislation under the Trump administration included major efforts to decrease federal Medicaid spending and redesign the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is set to reduce federal Medicaid outlays by more than $1 trillion across the next decade, introducing mandates such as work requirements and higher cost sharing. These provisions could lower coverage and funding for some enrollees, shifting more financial responsibility to states while placing new limits on the growth of federal Medicaid support, as the program continues to provide coverage for tens of millions nationally.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $18,577,126 | 64.6% |
| 2021 | $27,011,368 | 45.4% |
| 2022 | $34,679,536 | 28.4% |
| 2023 | $50,412,789 | 45.4% |
| 2024 | $61,281,606 | 21.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $61,281,606 | 69.5% |
| 2 | Pathology and Laboratory Procedures | $14,420,845 | 16.4% |
| 3 | Medicine Services and Procedures | $3,716,821 | 4.2% |
| 4 | Procedures / Professional Services | $3,709,516 | 4.2% |
| 5 | Evaluation and Management | $2,431,235 | 2.8% |
| 6 | Alcohol and Drug Abuse Treatment | $1,549,761 | 1.8% |
| 7 | Temporary National Codes (Non-Medicare) | $372,720 | 0.4% |
| 8 | Durable Medical Equipment | $185,009 | 0.2% |
| 9 | Surgery | $119,905 | 0.1% |
| 10 | Medical And Surgical Supplies | $116,426 | 0.1% |
| 11 | Dental Services | $95,459 | 0.1% |
| 12 | Radiology Procedures | $78,656 | 0.1% |
| 13 | Vision Services | $72,007 | 0.1% |
| 14 | Ambulance and Other Transport Services and Supplies | $47,759 | 0.1% |
| 15 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $1,280 | <0.1% |
| 16 | Orthotic Procedures and services | $847 | <0.1% |
| 17 | Drugs Administered Other than Oral Method | $733 | <0.1% |
| 18 | Pathology and Laboratory Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $60,313,752 | 48 |
| T1020 | Personal care ser per diem | $440,005 | 4 |
| T1022 | Contracted services per day | $256,253 | 9 |
| T1015 | Clinic service | $112,617 | 10 |
| T1016 | Case management | $86,583 | 6 |
| T4523 | Adult size brief/diaper lg | $21,064 | 10 |
| T4522 | Adult size brief/diaper med | $16,674 | 10 |
| T1017 | Targeted case management | $12,994 | 7 |
| T2002 | N-et; per diem | $9,280 | 3 |
| T1040 | Comm bh clinic svc per diem | $7,890 | 1 |
| T4524 | Adult size brief/diaper xl | $3,161 | 2 |
| T4535 | Disposable liner/shield/pad | $1,327 | 3 |
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.
