Brunswick Medicaid payments for National Codes Established for State Medicaid Agencies reach $1,061,143 in 2024

In 2024, Medicaid providers in Brunswick reported $1,061,143 in billings for services categorized under National Codes Established for State Medicaid Agencies, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The amount reflects a 32085.1% increase over 2023, when $3,297 in claims were submitted for the same services.

Medicaid, administered by state governments with joint federal funding, provides public health insurance for low-income individuals and families, seniors, children, and people with disabilities. It accounts for a significant share of U.S. health care coverage, as outlined by the federal-state partnership structure.

Shifts in Medicaid billing at the community level reflect how public health care funds sourced from taxpayers are distributed locally.

The National Codes Established for State Medicaid Agencies category captures groups of Medicaid-billed services based on care type, defined with standardized HCPCS and CPT code groupings. For the purposes of this analysis, service codes were assigned to a unique category using uniform prefix and numeric ranges to prevent duplicated counts and accurately track service volume and payment ranking over time.

Medicaid spending rose in several categories in 2024, with National Codes Established for State Medicaid Agencies becoming Brunswick’s highest category by Medicaid payment totals.

The National Codes Established for State Medicaid Agencies category also ranked No. 1 for total Medicaid payments statewide in Ohio for 2024.

Looking across the five years leading up to 2024, Medicaid payments in Brunswick under the National Codes Established for State Medicaid Agencies category jumped by $347,476, an increase of 48.7%. There were pronounced payment increases during select periods, particularly noted in 2023 and 2022.

Spending in the National Codes Established for State Medicaid Agencies category was citywide but remained concentrated in a limited number of ZIP codes. In 2024, ZIP code 44212 generated $1,061,142 in Medicaid payments for these services, accounting for 100% of such claims in Brunswick during the year.

A small number of individual billing codes were responsible for much of the Medicaid payment volume in this category.

When compared with all Medicaid claim categories citywide, the National Codes Established for State Medicaid Agencies category increased by 32085.1% from 2023 to 2024, in contrast with a 278.5% rise among all claim categories during that same period.

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

The rise marks a roughly 40% jump within a few years, driven mainly by expanded enrollment numbers and more extensive use of services during and following the pandemic.

Recent budgeting enacted under the Trump administration introduced measures for decreased federal Medicaid funding and changes to program structure. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid outlays by over $1 trillion in the next decade, while introducing work requirements and increasing cost-sharing. These policies could affect program coverage and costs for some beneficiaries and are likely to shift financial responsibilities toward the states, reducing overall federal Medicaid support even as the program continues to cover 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.