National Codes Established for State Medicaid Agencies services billed for $4,896,739 in Georgetown in 2024

Georgetown Medicaid providers submitted $4,896,739 in charges for services under the National Codes Established for State Medicaid Agencies category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This was a 64.6% rise from 2023, when providers billed $2,974,899 for these services.

Medicaid, a state-administered program funded jointly by federal and state governments, provides health coverage for low-income individuals, families, seniors, children, and people with disabilities, and remains among the largest segments of the national health system.

Since Medicaid relies on taxpayer dollars, changes in billing levels locally highlight how health funding is distributed within communities.

The “National Codes Established for State Medicaid Agencies” category includes a range of Medicaid services defined by care type, with classification based on consistent HCPCS and CPT code prefixes and numeric ranges. This approach groups related services for analysis and prevents double counting to maintain accurate tracking and rankings over time.

In 2024, National Codes Established for State Medicaid Agencies was the second-highest Medicaid service category by payments in Georgetown, driven by growing expenditures across multiple classification groups.

Across Delaware, National Codes Established for State Medicaid Agencies ranked No. 1 in terms of total Medicaid payments in 2024.

Between the five years prior to 2024, payments linked to National Codes Established for State Medicaid Agencies services in Georgetown totaled $4,857,107 more, an increase of 12255.5%. Several years, including 2021 and 2022, saw especially sharp year-over-year growth.

Though spending spanned across the city, most Medicaid payments for services in this category were concentrated within a small number of ZIP codes. In 2024, ZIP code 19947 represented $4,896,738 in payments, meaning the top ZIP code alone accounted for 100% of Georgetown’s Medicaid spending for this service type that year.

Among the National Codes Established for State Medicaid Agencies group, a small subset of billing codes captured the majority of Medicaid payments in 2024.

From 2023 to 2024, Medicaid payments in Georgetown associated with National Codes Established for State Medicaid Agencies increased 64.6%. In comparison, Medicaid payments for all service categories citywide changed by 18% during the same span.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion during fiscal year 2023. This represented about 18% of total national health care spending, up significantly from roughly $613.5 billion in 2019 before the onset of the COVID-19 pandemic.

This rise equates to around 40% growth in just a few years, largely due to expanded Medicaid enrollment and increased health care use during and after the pandemic.

Recent federal budget changes signed during the Trump administration include major proposals to reduce and restructure Medicaid. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and adds requirements such as work stipulations and more cost-sharing. These changes could restrict coverage for some recipients and place greater financial responsibility on states, limiting federal Medicaid growth while maintaining service for 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.