Chambersburg Medicaid providers bill $39.9M under National Codes Established for State Medicaid Agencies in 2024

In 2024, Medicaid providers in Chambersburg submitted $39,859,902 in claims for services listed under the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 28.8% increase from 2023, when $30,955,497 was billed for the same services.

Medicaid is a public health insurance program administered by states and supported by both federal and state governments. It provides coverage to low-income individuals and families, older adults, children, and those with disabilities, making up a significant part of the U.S. health care system.

Changes in Medicaid billing locally indicate how taxpayer-funded health care dollars are being spent in specific communities.

The “National Codes Established for State Medicaid Agencies” category represents services billed to Medicaid as defined by care types, using standardized HCPCS and CPT code groups. For this analysis, billing codes were placed in single categories based on code prefixes and number ranges, enabling consistent grouping of services to ensure accurate comparisons and rankings over time.

Across multiple service categories, Medicaid spending increased, with National Codes Established for State Medicaid Agencies leading Chambersburg in total Medicaid payments for 2024.

Statewide in Pennsylvania, the National Codes Established for State Medicaid Agencies category was the second highest category for Medicaid payments in 2024.

Between 2019 and 2024, Chambersburg saw Medicaid payments in the National Codes Established for State Medicaid Agencies category rise by $20,266,804, a growth of 103.4%. Certain years, such as 2023 and 2021, experienced particularly sharp year-over-year increases.

Spending within this category was distributed throughout Chambersburg but primarily concentrated in a few ZIP codes. ZIP code 17201 accounted for $39,682,840 and 17202 for $177,062 in 2024, with these two ZIP codes comprising 100% of Medicaid payments for the category in the city that year.

Within this category, most Medicaid payments were associated with a relatively small set of individual billing codes.

Comparatively, the 28.8% increase in Chambersburg’s Medicaid payments for this category between 2024 and 2023 outpaced the 15.8% growth seen across all Medicaid claim categories in the city in the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached about $871.7 billion in fiscal year 2023, representing roughly 18% of total national health care spending. This was a significant rise from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase represents approximately 40% growth in several years, driven mainly by higher enrollment and increased utilization during and after the pandemic.

Recent federal budget legislation enacted under President Trump has included key measures to decrease federal Medicaid funding and change the program structure. The “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the next decade and introduce policies such as work requirements and greater cost-sharing, changes that may limit funding and coverage for some beneficiaries. These developments could lead to increased state responsibility for funding as federal support becomes more restricted, while Medicaid continues to serve 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.