Brookville Medicaid providers submitted $215,631 in claims for services within the National Codes Established for State Medicaid Agencies category in 2024, based on the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 9.4% increase compared with 2023, when providers billed $197,190 for the same category of services.
Medicaid is a state-operated public health insurance program, funded jointly by federal and state governments. It serves low-income adults and families, seniors, children, and those with disabilities, making it a significant component of the nation’s health system.
With Medicaid payments sourced from taxpayer funds, shifts in billing locally reveal how public health dollars are distributed in the area.
The “National Codes Established for State Medicaid Agencies” category includes a selection of Medicaid-billed services defined under certain types of care, using standard HCPCS and CPT code groupings. For reporting, each billing code was placed into one service category using uniform code prefixes and numeric ranges, enabling analysis of related services together without double counting or distorting rankings over time.
Although total Medicaid payments increased across several service categories, National Codes Established for State Medicaid Agencies led Brookville in total Medicaid payments for 2024.
On a statewide level, National Codes Established for State Medicaid Agencies placed second in Pennsylvania for total Medicaid payments in 2024.
Between the five years through 2024, Medicaid payments in Brookville for the National Codes Established for State Medicaid Agencies category climbed by $182,522, an increase of 551.3%. There were marked acceleration periods, particularly in 2021 and 2023, where year-over-year growth was significant.
Though the spending was distributed across Brookville, Medicaid payments in the National Codes Established for State Medicaid Agencies category were concentrated within a few ZIP codes. In 2024, ZIP code 15825 recorded $215,630 in payments, making up 100% of Brookville’s Medicaid payments for this category in that year.
Within this service category, Medicaid reimbursements were heavily focused on a small collection of specific billing codes.
In Brookville, Medicaid payments linked to this category rose 9.4% from 2023 to 2024, compared with a 11.9% increase spanning all Medicaid claims categories in the city during the same time period.
According to the Centers for Medicare & Medicaid Services, the combined state and federal Medicaid expenditures totaled approximately $871.7 billion in fiscal year 2023, or close to 18% of the nation’s total health spending. This is a marked increase from the roughly $613.5 billion reported for 2019, before the impact of the COVID-19 pandemic.
This reflects nearly 40% growth in a matter of a few years, primarily the result of expanding enrollment and greater use of services during and after the pandemic era.
Recent federal budget changes under the Trump administration implemented major proposals to curtail federal Medicaid funding and modify the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut over $1 trillion from federal Medicaid expenditures in the next decade, introducing policies such as work requirements and larger cost-sharing obligations, which may decrease coverage or funding for portions of the Medicaid population. These policy adjustments are likely to shift additional costs to states and limit the expansion of federal support, even as Medicaid serves many millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $33,109 | 42.1% |
| 2021 | $123,119 | 271.9% |
| 2022 | $83,198 | -32.4% |
| 2023 | $197,189 | 137% |
| 2024 | $215,630 | 9.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $215,630 | 54.6% |
| 2 | Evaluation and Management | $85,969 | 21.8% |
| 3 | Medicine Services and Procedures | $82,134 | 20.8% |
| 4 | Pathology and Laboratory Procedures | $11,075 | 2.8% |
| 5 | Drugs Administered Other than Oral Method | $0 | <0.1% |
| 5 | Procedures / Professional Services | $0 | <0.1% |
| 5 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $215,630 | 34 |
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.
