Chester Medicaid payments for National Codes Established for State Medicaid Agencies reach $292,769 in 2024

Chester Medicaid providers billed $292,769 in 2024 for services counted under the National Codes Established for State Medicaid Agencies category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 23.7% rise over 2023, when providers billed $236,691 for these same services.

Medicaid is a public health insurance program administered by states with funding from both the federal and state governments; it serves low-income families and individuals, children, seniors, and people with disabilities, making up one of the largest portions of U.S. health care.

Since Medicaid payments use taxpayer dollars, shifts in local billing totals highlight how community health care funding is distributed.

The “National Codes Established for State Medicaid Agencies” category includes a set of services billed to Medicaid and categorized by type of care using standardized HCPCS and CPT code groupings. In this reporting, each procedure code was grouped into only one service category using set code prefixes and number ranges, so that related services could be analyzed together and duplication or ranking errors over time were avoided.

Although Medicaid spending grew within a variety of service categories, in Chester, National Codes Established for State Medicaid Agencies stood as the top category in total Medicaid payments for 2024.

Statewide in Illinois, National Codes Established for State Medicaid Agencies was also the highest-ranked category for Medicaid spending in 2024.

For the five years ending in 2024, payments for National Codes Established for State Medicaid Agencies services in Chester climbed $46,103—a rise of 18.7%. Some of the sharpest increases occurred in the years 2023 and 2022.

While these payments spanned the city, totals were heavily weighted toward a small number of ZIP codes. During 2024, the highest volume of Medicaid payments in this category went to ZIP code 62233, totaling $292,769. In that year, this ZIP code represented 100% of all Chester’s Medicaid payments for National Codes Established for State Medicaid Agencies services.

Within this service category, Medicaid fees were concentrated among a small selection of billing codes.

In percentage terms, Chester’s Medicaid payments for National Codes Established for State Medicaid Agencies services grew 23.7% from 2023 to 2024; by comparison, total Medicaid payments across all claim categories in the city rose by 21.3% during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending reached approximately $871.7 billion in the 2023 fiscal year, accounting for around 18% of overall national health costs, a significant jump from $613.5 billion in 2019, before COVID-19.

This jump amounts to around 40% growth in just a few years, driven primarily by expanded enrollment and increased service use during and after the COVID-19 period.

Recent federal budget policy under the Trump administration included major plans to reduce federal Medicaid funds and change the program’s structure. For instance, the “One Big Beautiful Bill Act,” passed in 2025, is set to reduce federal Medicaid spending by more than $1 trillion over the next decade and brings in changes such as work requirements and greater cost-sharing that may lower coverage and funding for some who qualify. These adjustments will likely move more costs to state budgets and slow federal spending growth, although Medicaid will remain a central part of U.S. health care for millions.

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.