Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Hartford City Medicaid providers billed $31,042 for services categorized under National Codes Established for State Medicaid Agencies in 2024. That total represents a 39.5% increase from 2023, when providers filed $22,258 in claims for the same services.
Medicaid, a public health insurance program administered by states and jointly financed by state and federal governments, covers people with low incomes, seniors, children, and people with disabilities. It represents one of the largest segments of the U.S. health care system.
Because Medicaid uses taxpayer funding, local spending trends highlight how public health care resources are distributed at the community level.
The “National Codes Established for State Medicaid Agencies” group includes Medicaid-billed services identified by certain standardized HCPCS and CPT codes. To produce this analysis, each code was assigned to a primary service category using matching prefixes and number groupings. This avoids double counting, maintains ranking accuracy, and lets related services be assessed as a group over time.
Despite wider increases in Medicaid costs for several service areas, the National Codes Established for State Medicaid Agencies category had the fourth-highest total Medicaid payments in Hartford City for 2024.
At the state level in Indiana, National Codes Established for State Medicaid Agencies also ranked fourth for total Medicaid payments in 2024.
Across the five years to 2024, Medicaid payments targeting the National Codes Established for State Medicaid Agencies category in Hartford City rose by $31,042, a change of 0%. There were periods of accelerated growth, with notable year-over-year gains seen in both 2023 and 2022.
Within Hartford City, while National Codes Established for State Medicaid Agencies services were paid in various neighborhoods, most payments were concentrated in select ZIP codes. Of these, ZIP code 47348 accounted for $31,042 in 2024—meaning the leading ZIP code made up 100% of the city’s Medicaid payments in this service area that year.
The payments in this category were focused on a small set of individual billing codes within the National Codes Established for State Medicaid Agencies grouping.
For context, Hartford City’s Medicaid payments for this category increased by 39.5% from 2023 to 2024, exceeding the 8.6% change observed across all Medicaid service categories locally during the same timeframe.
According to the Centers for Medicare & Medicaid Services, overall state and federal Medicaid spending reached about $871.7 billion during fiscal year 2023—roughly 18% of all national health care spending. This rose from approximately $613.5 billion in 2019, before the COVID-19 pandemic.
That climb marks near 40% growth in just a few years, largely driven by increasing enrollment and higher service use during and following the pandemic.
Major federal budget proposals during the Trump administration have sought notable reductions to Medicaid funding and new policy requirements. The “One Big Beautiful Bill Act,” signed into law in 2025, is estimated to cut more than $1 trillion in federal Medicaid spending over 10 years and would add work requirements and higher cost-sharing for some enrollees. Those measures are expected to move more Medicaid costs onto states and slow federal support, even as Medicaid provides coverage for tens of millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2023 | $22,257 | – |
| 2024 | $31,042 | 39.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $275,301 | 51.8% |
| 2 | Evaluation and Management | $192,192 | 36.2% |
| 3 | Vision Services | $31,789 | 6% |
| 4 | National Codes Established for State Medicaid Agencies | $31,042 | 5.8% |
| 5 | Pathology and Laboratory Procedures | $561 | 0.1% |
| 6 | Surgery | $138 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $31,042 | 60 |
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.

