Mercerville Medicaid spending on National Codes Established for State Medicaid Agencies climbs to $935,454 in 2024

Mercerville Medicaid providers billed $935,454 in 2024 for services categorized under the National Codes Established for State Medicaid Agencies, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 12.4% rise from 2023, when $832,327 in claims were submitted for the same category.

Medicaid is a public insurance program managed by states and financed in partnership by federal and state governments. It serves low-income individuals, families, seniors, children, and people with disabilities, making it one of the primary components of the U.S. health care system.

Since Medicaid funding comes from taxpayers, fluctuations in billing at the community level reflect how public health dollars are distributed locally.

The “National Codes Established for State Medicaid Agencies” group encompasses Medicaid-billed services identified by the nature of care provided, using standardized HCPCS and CPT code groupings. For this report, each billing code was categorized once using standardized prefixes and numbers, ensuring comparable services were grouped while avoiding double counting and preserving consistent rankings over time.

Among various Medicaid service categories, National Codes Established for State Medicaid Agencies led in Mercerville for total Medicaid spending in 2024.

Statewide in New Jersey, the National Codes Established for State Medicaid Agencies category ranked as the second largest by overall Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Mercerville rose by $574,323, or 38%. Spending increases accelerated at times, with significant annual growth recorded in 2020 and 2022.

Although this category’s spending was recorded throughout Mercerville, payments were heavily concentrated in just a few ZIP codes. In 2024, ZIP code 08619 accounted for $935,453, representing 100% of all Medicaid payments in the category for the city that year.

Within this group, Medicaid payments focused on a limited set of specific billing codes.

To compare, Medicaid payments in Mercerville for National Codes Established for State Medicaid Agencies grew 12.4% from 2023 to 2024, while all Medicaid services in the city saw an 11.3% change during that period.

The Centers for Medicare & Medicaid Services reported that federal and state Medicaid expenditures totaled about $871.7 billion for fiscal year 2023, making up roughly 18% of national health costs. This represents an increase from about $613.5 billion in 2019, before the COVID-19 pandemic hit.

The jump reflects approximately 40% growth in only a few years, largely resulting from greater enrollment and use of services during and following the pandemic.

Federal budget legislation enacted during the Trump administration included major changes aimed at reducing federal Medicaid funding and altering the program’s structure. For instance, the “One Big Beautiful Bill Act,” passed in 2025, is projected to reduce federal Medicaid contributions by more than $1 trillion over the next decade. The law adds work requirements and increased cost-sharing, which could reduce beneficiary coverage and federal support, placing more financial responsibility on states even as Medicaid remains a core resource for millions of people nationwide.

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.