Chelsea Medicaid payments for state-defined national codes total $1,588,640 in 2024

In 2024, Chelsea providers billed $1,588,640 for Medicaid services categorized under National Codes Established for State Medicaid Agencies, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount represents a 40.3% rise compared to 2023, when Medicaid claims in this category reached $1,132,629.

Medicaid, a public health insurance option jointly funded by federal and state governments and operated by states, covers people with low incomes, families, seniors, children, and people with disabilities and is one of the largest segments of U.S. health care.

As Medicaid is funded by taxpayers, shifts in local billing reflect how health care dollars from the public sector are distributed within a given area.

The “National Codes Established for State Medicaid Agencies” grouping indicates a set of Medicaid-billed services identified according to the type of care delivered, based on standardized HCPCS and CPT codes. During this analysis, each code was sorted into a specific service category by using defined prefixes and numeric ranges, allowing analysts to track related services together while ensuring claims were counted only once and category rankings stayed accurate.

Medicaid spending increased in multiple service categories, with National Codes Established for State Medicaid Agencies ranking second in Chelsea by total payments for 2024.

Statewide in Massachusetts, National Codes Established for State Medicaid Agencies ranked first by overall payment amounts during 2024.

Over the five years prior to 2024, Chelsea Medicaid payments for National Codes Established for State Medicaid Agencies rose by $1,174,899—a 284% increase. The growth rate accelerated at various points, including significant jumps in 2021 and 2023.

Payments for National Codes Established for State Medicaid Agencies were distributed throughout Chelsea, but most dollars were billed in a small number of ZIP codes. In 2024, ZIP code 02150 saw the largest payments in this category, accounting for $1,588,639. The leading 1 ZIP code represented 100% of all Chelsea Medicaid payments in this service group during the year.

Within this service group, most Medicaid payments were linked to a concentrated set of billing codes.

To compare, Medicaid payments associated with National Codes Established for State Medicaid Agencies in Chelsea increased by 40.3% between 2024 and 2023, while all Medicaid claim categories in Chelsea gained 3.9% in the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled approximately $871.7 billion during fiscal year 2023. This was about 18% of all national health expenditures, up significantly from around $613.5 billion in 2019, before the COVID-19 pandemic.

The escalation amounts to about 40% growth in a few years, primarily due to expanded enrollment and greater use since the pandemic.

Recent federal budget legislation under the Trump administration brought forward substantial proposals to trim federal Medicaid support and alter the system. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid spending by over $1 trillion over the coming decade and implements policies such as work requirements and increased cost-sharing, potentially lowering coverage and federal contributions for some groups. These adjustments are projected to move more costs to the states and restrict federal Medicaid growth even as it remains an essential program 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 obtained from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data can be found here.