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

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

Medicaid is a jointly funded public health insurance program operated by states and the federal government. It offers coverage to low-income people, families, seniors, children and those with disabilities, forming one of the largest segments of the U.S. health care system. More information is available at this explainer.

Because Medicaid payments use taxpayer funds, fluctuations in local billing provide insight into how a community’s public health dollars are allocated.

The “National Codes Established for State Medicaid Agencies” category includes certain Medicaid-billed services, based on standardized HCPCS and CPT code groupings. For this analysis, a single service category was assigned for each billing code using uniform code prefixes and numeric ranges, aligning similar services and avoiding double counting for accurate long-term rankings.

Medicaid spending rose in several service categories in Holbrook, and the National Codes Established for State Medicaid Agencies category held the second-highest total Medicaid payments locally for 2024.

Statewide, the category was the top-ranked Medicaid category by payment total in Arizona in 2024.

Medicaid payments under the National Codes Established for State Medicaid Agencies category in Holbrook climbed $403,411, or 81.3%, over the five years up to 2024. Growth surged especially during some periods, posting marked year-to-year gains in 2023 and 2021.

While spending in this category was spread throughout Holbrook, payments concentrated in just a few ZIP codes. In 2024, Medicaid payments for the category in ZIP code 86025 reached $899,460, making up 100% of all related Medicaid payments in Holbrook that year.

Payments within this Medicaid category were also focused among select individual billing codes.

To compare, Medicaid payments tied to the National Codes Established for State Medicaid Agencies category increased by 1% between 2024 and 2023 in Holbrook, whereas all Medicaid claim categories citywide saw a 7.2% change in that same timeframe.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending totaled around $871.7 billion in fiscal 2023, making up nearly 18% of total U.S. health expenditures—a sharp increase from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

That growth represents an approximately 40% increase within just a few years, primarily from higher enrollment and increased service use during and after the pandemic period.

Federal budget legislation enacted during the Trump administration proposed significant reductions in federal Medicaid support and restructured aspects of the program. For example, the “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade, adding rules such as work requirements and higher cost-sharing that could cut coverage and funding for some recipients. These changes are projected to place more financial responsibility on states and restrict growth in federal Medicaid support, even as the program serves 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.