New Carlisle Medicaid providers submitted $693,870 in claims for services classified within the National Codes Established for State Medicaid Agencies category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total marks a 1.7% increase over 2023, when providers billed $682,291 for the same category of services.
Medicaid is a joint federal and state program offering public health insurance. It serves low-income people, children, seniors, and those with disabilities, making it a major component of health care in the United States.
Since Medicaid is funded by taxpayers, shifts in local billing illustrate how health care funds are allocated within a community.
The National Codes Established for State Medicaid Agencies category includes service types identified by standardized HCPCS and CPT groupings. For this analysis, each code was assigned to a single service grouping using consistent prefixes and numbers, which groups related services for comparison while preventing double counting and ensuring reliable rankings year-over-year.
Medicaid spending rose across several categories, but National Codes Established for State Medicaid Agencies had the highest total payments in New Carlisle in 2024.
The category also ranked at the top in Ohio statewide for total Medicaid payments in 2024.
From 2020 to 2024, New Carlisle Medicaid payments attributed to the National Codes Established for State Medicaid Agencies rose by $23,160, or 3.2%. The pace of spending growth increased during some of these years, with notable annual increases during 2023 and 2022.
Though spending was dispersed across New Carlisle, payments concentrated in just a few ZIP codes. In 2024, ZIP code 45344 accounted for $693,869, representing 100% of all Medicaid payments connected to this category in the city that year.
Within this category, most Medicaid payments in New Carlisle were tied to a small group of specific billing codes.
Medicaid payments tied to the National Codes Established for State Medicaid Agencies category in New Carlisle grew by 1.7% from 2023 to 2024. This compares to a 3.6% change across all Medicaid claims in the city during the same interval.
The Centers for Medicare & Medicaid Services reported that joint federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, accounting for roughly 18% of national health spending. This is up from around $613.5 billion in 2019, preceding the COVID-19 pandemic.
This growth of about 40% over a few years was fueled in large part by higher enrollment and increased use of services during and after the pandemic period.
Recent federal budget laws under the Trump administration feature major proposals aiming to reduce the federal share for Medicaid and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to cut more than $1 trillion in federal Medicaid funds over the next decade and introduces policy changes, such as work requirements and additional cost-sharing, that could limit coverage and funding for some participants. The changes are expected to increase state responsibility and moderate federal Medicaid support even as tens of millions continue to rely on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $717,030 | -9.6% |
| 2021 | $680,567 | -5.1% |
| 2022 | $590,041 | -13.3% |
| 2023 | $682,291 | 15.6% |
| 2024 | $693,869 | 1.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $693,869 | 56.1% |
| 2 | Medicine Services and Procedures | $175,147 | 14.2% |
| 3 | Dental Services | $103,175 | 8.3% |
| 4 | Evaluation and Management | $99,152 | 8% |
| 5 | Procedures / Professional Services | $76,415 | 6.2% |
| 6 | Pathology and Laboratory Procedures | $56,375 | 4.6% |
| 7 | Ambulance and Other Transport Services and Supplies | $31,337 | 2.5% |
| 8 | Surgery | $1,047 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2031 | Assist living waiver/diem | $551,365 | 10 |
| T1015 | Clinic service | $142,504 | 37 |
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.


