Holbrook sees 1% uptick in Medicaid payments for National Codes Established for State Medicaid Agencies in 2024

In 2024, Holbrook Medicaid providers billed $899,461 for services designated under the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That represented a 1% rise over the $890,306 providers billed for the same category in 2023.

Medicaid is a publicly funded health insurance program administered by states and funded through a federal-state partnership. It provides coverage for people with low incomes, seniors, children, and individuals with disabilities, making it a significant component of U.S. health care.

Since Medicaid payments rely on taxpayer funding, fluctuations in local billing demonstrate how public health care resources are distributed within communities.

The National Codes Established for State Medicaid Agencies category covers Medicaid-billed services specified by standardized HCPCS and CPT code classifications. For this analysis, each code was included in a single service category using consistent code ranges, making it possible to evaluate related services as a group, reduce duplicative counts, and ensure accuracy over time.

While Medicaid payments were up in multiple service groupings, National Codes Established for State Medicaid Agencies placed second in total Medicaid payments for Holbrook in 2024.

Statewide, National Codes Established for State Medicaid Agencies was the top-ranked category for Arizona by total payments in 2024.

Between 2019 and 2024, Holbrook’s Medicaid payments for this category increased $403,411, equivalent to 81.3%. Spending notched especially strong gains during certain years, with pronounced year-over-year growth in both 2023 and 2021.

Though the dollars for National Codes Established for State Medicaid Agencies services touched multiple parts of Holbrook, payments were highly concentrated among certain ZIP codes. In 2024, ZIP code 86025 accounted for $899,460—making up 100% of local Medicaid billings for this service category that year.

Among claims in this category, a small handful of individual billing codes captured most of the total spending.

For comparison, Holbrook’s 1% climb in this category from 2023 to 2024 contrasts with a 7.2% overall change across all Medicaid claim groupings in the city during that same stretch.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, making up around 18% of nationwide health care costs, up sharply from an estimated $613.5 billion in 2019 before the onset of COVID-19.

The approximately 40% rise over those years is tied to increases in both enrollment and health care utilization, especially during the pandemic.

Recent federal budget measures under the Trump administration have featured proposals to shrink Medicaid’s federal share and change program structures. The “One Big Beautiful Bill Act,” passed in 2025, is expected to trim more than $1 trillion from federal Medicaid funds over 10 years, introducing new requirements and higher cost-sharing for enrollees, which could reduce both funding and coverage for specific populations. Such policies are likely to increase costs for states and may constrain growth in federal Medicaid backing, even as millions remain covered by the program.

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.