Smithfield Medicaid payments for National Codes Established for State Medicaid Agencies reach $8.6 million in 2024

Smithfield’s Medicaid providers billed $8,604,281 for services categorized under National Codes Established for State Medicaid Agencies in 2024, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 28.9% rise over 2023, when $6,676,028 in claims were recorded for the same service group.

Medicaid is a government health insurance program jointly funded by the federal and state governments and operated by states. The program serves low-income residents, children, seniors, and people with disabilities, making it one of the largest components of the nation’s health care system. More information is available from the Commonwealth Fund.

Because Medicaid spending uses taxpayer dollars, fluctuations in local billing offer insight into how public health funding is distributed within a community.

The “National Codes Established for State Medicaid Agencies” category represents a collection of services grouped by care type, based on defined HCPCS and CPT code groupings. Each billing code for this analysis was assigned to only one service category by using consistent code prefixes and numbers, which ensures accurate comparisons over time and prevents double counting related services.

National Codes Established for State Medicaid Agencies formed the largest service category by Medicaid payments in Smithfield in 2024, among multiple categories showing growth that year.

Across Rhode Island, the National Codes Established for State Medicaid Agencies category also led all categories in total payments for 2024.

Looking at the five years prior to 2024, Medicaid charges linked to this category in Smithfield rose by $5,183,246, an increase of 151.5%. Spending accelerated notably during some years, particularly in 2021 and 2022.

Though payments in this service category supported providers throughout Smithfield, most funds were concentrated in just a few ZIP codes. Of note, ZIP code 02917 accounted for $8,604,281 in Medicaid payments in 2024—making up 100% of the city’s total Medicaid charges for the National Codes Established for State Medicaid Agencies category that year.

Payments attributed to this category were further concentrated among a small set of individual billing codes.

Smithfield’s 2024 Medicaid payments tied to the National Codes Established for State Medicaid Agencies category climbed 28.9% from 2023 to 2024, while overall citywide Medicaid claims across all categories increased 27.7% in the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state spending on Medicaid hit about $871.7 billion in the 2023 fiscal year—roughly 18% of national health expenditures. That’s up significantly from about $613.5 billion in 2019, before the COVID-19 pandemic.

This marks an increase of approximately 40% in only a few years, primarily driven by higher enrollment and greater use of services during and after the pandemic.

Recent federal legislation during the Trump administration included major proposals to cut federal Medicaid funding and revise the program’s structure. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and adds policies such as work requirements and greater beneficiary cost-sharing. These actions are expected to increase financial responsibilities for states and restrain federal Medicaid funding growth, while the program continues to support 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.