Medicaid payments in Newcastle reach $514,214 for state agency national codes in 2024

Newcastle Medicaid providers billed $514,214 in 2024 for services grouped under the National Codes Established for State Medicaid Agencies, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was an 83.4% rise compared to 2023, when the total was $280,375 for the same codes and category.

Medicaid, a state-run public health insurance program financed jointly by federal and state governments, covers seniors, low-income families and individuals, children, and people with disabilities, representing a significant component of the U.S. health care system.

Because Medicaid is funded through taxpayer dollars, shifts in billing totals locally reflect how community health care funding is distributed.

The “National Codes Established for State Medicaid Agencies” category includes Medicaid services organized by care type using standardized HCPCS and CPT code groups. Each code in this review was categorized into a single service group via uniform code prefixes and numeric ranges, avoiding overlaps and ensuring consistent rankings across years.

Payments for National Codes Established for State Medicaid Agencies topped all other Medicaid service categories by total amount in Newcastle for 2024.

Statewide in Wyoming, the National Codes Established for State Medicaid Agencies were also the leading service category by Medicaid payments in 2024.

Over the five years to 2024, Newcastle Medicaid payments for the National Codes Established for State Medicaid Agencies increased by $511,590, or 19,496.5%. The largest jumps occurred in periods such as 2022 and 2023, as spending accelerated year to year.

While spending associated with the National Codes Established for State Medicaid Agencies occurred throughout Newcastle, payments were concentrated within a small number of ZIP codes. In 2024, ZIP code 82701 accounted for $514,213 of the total, representing 100% of all payments in this category for the city that year.

Within the National Codes Established for State Medicaid Agencies, most payments were tied to a select group of billing codes.

Comparing 2024 to 2023, Newcastle saw an 83.4% increase in Medicaid spending on these services, while total Medicaid claims citywide grew by 72.1% over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state spending on Medicaid reached approximately $871.7 billion in fiscal year 2023, about 18% of national health costs and a sharp rise from $613.5 billion in 2019, pre-pandemic.

This surge represents about 40% growth in just a few years, with expanded enrollment and higher service use during and after the COVID-19 pandemic as main drivers.

Recent budget measures at the federal level under the Trump administration proposed sizable cuts and restructuring for Medicaid. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to trim federal Medicaid outlays by over $1 trillion in the coming decade. It also adds policies such as work requirements and higher cost-sharing, which could restrict access and shift more expenses to states, affecting coverage for some recipients even as Medicaid continues to cover millions.

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.