Medicaid payments for National Codes Established for State Medicaid Agencies jump 44.1% in Westfield in 2024

Westfield Medicaid providers billed $830,466 in 2024 for services classified under the National Codes Established for State Medicaid Agencies, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflects a 44.1% rise over 2023, when providers submitted $576,283 in claims for the same service group.

Medicaid is a publicly run health coverage program administered by states and jointly funded by the federal and state governments. Serving low-income residents, seniors, children, and individuals with disabilities, the program remains a significant part of the U.S. health care landscape.

Because taxpayer money supports Medicaid payments, fluctuations in local billing reflect how public health funds are distributed within a community.

The “National Codes Established for State Medicaid Agencies” category includes Medicaid-billed services grouped by care type, using standardized HCPCS and CPT code classifications. Billing codes were placed into a single category in this analysis using uniform code prefixes and ranges, enabling an accurate look at related services and trends without double counting.

Although overall Medicaid spending rose in several service areas, National Codes Established for State Medicaid Agencies ranked fourth by total Medicaid outlays in Westfield in 2024.

Statewide in Massachusetts, this category led all others by total Medicaid payments in 2024.

From five years prior to 2024, Westfield’s Medicaid spending in the National Codes Established for State Medicaid Agencies rose by $371,301, or 30.9%. Growth in spending was particularly pronounced during certain intervals, such as 2020 and 2023, when year-over-year increases were significant.

While spending in this category occurred across Westfield, payments were largely issued in just a few ZIP codes. In 2024, ZIP code 01085 saw $830,465 in Medicaid payments tied to this category. Altogether, the leading ZIP code comprised 100% of Medicaid payments for the National Codes Established for State Medicaid Agencies in Westfield during the year.

Individual billing codes within this category also concentrated Medicaid payments among a small subset of codes.

By comparison, Medicaid payments in this category in Westfield increased by 44.1% from 2023 to 2024, while the total for all Medicaid claim categories in the city rose by 7.4% over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, accounting for about 18% of the nation’s health spending—a sharp rise from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

This growth amounts to roughly 40% over several years, primarily attributed to increased enrollment and utilization during and following the pandemic.

Recent federal budget measures under the Trump administration have featured major plans to reduce federal Medicaid spending and change program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to decrease federal Medicaid spending by more than $1 trillion over the next decade and bring in policies such as work requirements and expanded cost-sharing, possibly resulting in less coverage and reduced funding for some participants. These adjustments are projected to shift additional financial responsibility to states and restrict federal Medicaid growth, even as the program continues to cover tens of millions of Americans.

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.