Gowanda Medicaid providers billed $515,300 for services under National Codes Established for State Medicaid Agencies in 2024

In 2024, Medicaid providers in Gowanda billed $515,300 for services categorized under National Codes Established for State Medicaid Agencies, with figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database showing a 16.9% rise from 2023, when providers accounted for $440,912 in claims for these services.

Medicaid is a state-administered public health insurance program funded jointly by state and federal governments. It offers coverage to low-income families and individuals, seniors, children, and people with disabilities, making it a major component of the U.S. health care system.

Because Medicaid relies on taxpayer funding, fluctuations in local billing help illustrate the allocation of public health care resources within a community.

The “National Codes Established for State Medicaid Agencies” group includes a set of Medicaid-billed services defined by specific care types using standardized HCPCS and CPT code groupings. For this report, each billing code was matched to a single service category based on consistent code prefixes and numeric ranges, enabling collective analysis and avoiding duplicate counts over time.

While Medicaid spending increased across several service groups, National Codes Established for State Medicaid Agencies had the highest total in Gowanda for Medicaid payments in 2024.

Statewide in New York, the National Codes Established for State Medicaid Agencies category also led by total Medicaid payments during 2024.

Between 2019 and 2024, Medicaid payments linked to the National Codes Established for State Medicaid Agencies in Gowanda rose by $515,300, or 0%. Growth accelerated at certain points, especially during year-over-year gains in 2023 and 2022.

Although Medicaid services within this category spanned the city, payments were mainly concentrated in a small number of ZIP codes. In 2024, ZIP code 14070 made up $515,299 of these payments. Altogether, the top 1 ZIP code represented 100% of all Medicaid payments related to National Codes Established for State Medicaid Agencies in Gowanda that year.

Payments linked to this Medicaid service category were also focused on a few specific individual billing codes.

Comparatively, Medicaid payments for this category in Gowanda increased by 16.9% from 2023 to 2024, outpacing the 9.6% gain recorded across all Medicaid claim categories within the city in that same time frame.

Data from the Centers for Medicare & Medicaid Services showed joint federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, accounting for around 18% of all national health spending, which is up significantly from $613.5 billion in 2019 before the COVID-19 pandemic.

This change marks roughly 40% growth in just a few years, largely due to increases in enrollment and service use during and after the pandemic.

Recent federal budget proposals under the Trump administration have included major suggestions to limit federal Medicaid funding and reshape the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut over $1 trillion from federal Medicaid spending over the next decade and brings new measures such as work requirements and greater cost-sharing, which could reduce access and funding for certain recipients. These changes are expected to shift more expenses to states and curb the growth of federal Medicaid support, even as the program remains vital for 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 sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data is available here.