According to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database, Medicaid providers in Haverhill billed $57,360,697 in 2024 for services under the National Codes Established for State Medicaid Agencies category. This figure represents a 54.3% jump from 2023, when providers billed $37,185,857 for the same services.
Medicaid, a public insurance initiative, is managed by the states with financial support from both federal and state sources. It provides health coverage to low-income people, children, seniors, and individuals with disabilities, making it a cornerstone of the nation’s health system.
Since Medicaid is funded through tax revenues, fluctuations in local claims data indicate how public health care resources are dispersed throughout the community.
The National Codes Established for State Medicaid Agencies category designates a set of billed Medicaid services based on the type of health care delivered, structured by standardized HCPCS and CPT code groupings. To conduct this analysis, services were grouped by consistent code prefixes and numeric ranges, allowing for aggregated reviews while preventing duplicative counting and preserving historical rankings.
Spending in multiple Medicaid service categories rose, with National Codes Established for State Medicaid Agencies reaching the highest total payments in Haverhill in 2024.
Statewide data show the National Codes Established for State Medicaid Agencies category also ranked first in Massachusetts by total payment in 2024.
The five-year period up to 2024 saw a $13,657,938—or 19.2%—increase in Medicaid spending for the National Codes Established for State Medicaid Agencies category in Haverhill. Certain years, including 2020 and 2022, experienced the most substantial annual gains.
Citywide Medicaid payments for national code services were highly concentrated, with a handful of ZIP codes comprising the majority of funds in 2024. ZIP code 01830 accounted for $53,145,944, 01832 recorded $2,546,013, and 01831 reported $1,331,944. Combined, these 3 ZIP codes represented 99.4% of all payments for this service category in Haverhill that year.
The majority of payments within this Medicaid category were attributed to a relatively small group of individual billing codes.
During the 2024-2023 period, Medicaid payments for these national code services in Haverhill increased 54.3%, while payments across all Medicaid claim categories citywide showed a 40.6% rise over the same interval.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures totaled around $871.7 billion in fiscal year 2023, about 18% of overall national health spending, which marks a considerable rise from $613.5 billion in 2019, prior to COVID-19.
This jump reflects roughly 40% overall growth over just a few years, largely a result of increased enrollment and higher health service utilization during and after the pandemic.
Major federal budget measures signed during the Trump administration included significant proposed cuts to federal Medicaid support and introduced structures to alter the program’s design. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid expenditures by over $1 trillion during the next decade and incorporates changes like work requirements and increased cost-sharing, potentially diminishing coverage and funding for certain beneficiaries. These policy shifts are expected to shift financial responsibility toward states and curtail growth in federal Medicaid funding even as the program remains essential for tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $71,018,634 | 10.2% |
| 2021 | $70,606,282 | -0.6% |
| 2022 | $38,116,705 | -46% |
| 2023 | $37,185,857 | -2.4% |
| 2024 | $57,360,696 | 54.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $57,360,696 | 68.1% |
| 2 | Temporary National Codes (Non-Medicare) | $18,116,196 | 21.5% |
| 3 | Alcohol and Drug Abuse Treatment | $2,529,580 | 3% |
| 4 | Pathology and Laboratory Procedures | $1,736,236 | 2.1% |
| 5 | Evaluation and Management | $1,598,384 | 1.9% |
| 6 | Dental Services | $976,337 | 1.2% |
| 7 | Medicine Services and Procedures | $924,103 | 1.1% |
| 8 | Surgery | $421,720 | 0.5% |
| 9 | Medical And Surgical Supplies | $231,611 | 0.3% |
| 10 | Durable Medical Equipment | $173,664 | 0.2% |
| 11 | Radiology Procedures | $101,827 | 0.1% |
| 12 | Drugs Administered Other than Oral Method | $31,754 | <0.1% |
| 13 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $30,273 | <0.1% |
| 14 | Procedures / Professional Services | $23,241 | <0.1% |
| 15 | Administrative, Miscellaneous and Investigational | $7,025 | <0.1% |
| 16 | Coronavirus Diagnostic Panel | $1,294 | <0.1% |
| 17 | Temporary Codes | $182 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2016 | Habil res waiver per diem | $50,556,045 | 10 |
| T2046 | Hospice long term care, r&b | $3,877,958 | 18 |
| T2023 | Targeted case mgmt per month | $1,356,509 | 4 |
| T2003 | N-et; encounter/trip | $699,593 | 20 |
| T2019 | Habil sup empl waiver 15min | $432,278 | 10 |
| T1019 | Personal care ser per 15 min | $336,794 | 7 |
| T1015 | Clinic service | $101,517 | 12 |
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.
