Chelsea’s Medicaid payments for National Codes Established for State Medicaid Agencies climb 10.1% in 2024

In 2024, Chelsea Medicaid providers billed $305,328 for services within the National Codes Established for State Medicaid Agencies group, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 10.1% increase compared to the previous year, when providers reported $277,219 in claims for the same services.

Medicaid, a joint endeavor between state and federal governments, is a public health insurance program for low-income adults, families, seniors, children and those with disabilities. The program plays a major role in the U.S. health care system, offering coverage to millions of Americans. Learn more at The Commonwealth Fund.

Because taxpayer money funds Medicaid payments, fluctuations in Chelsea’s billing levels point to how community health resources are distributed.

The National Codes Established for State Medicaid Agencies category comprises Medicaid-billed services grouped by care type, following standardized HCPCS and CPT code sets. In this report, billing codes were allocated to a primary service category using consistent prefixes and ranges to avoid duplicate counts and maintain accurate comparisons over time.

While multiple service areas saw Medicaid spending increases, National Codes Established for State Medicaid Agencies was the city’s third-highest category for Medicaid payments in 2024.

At the state level in Michigan, the National Codes Established for State Medicaid Agencies held the number 2 spot by total Medicaid payments in 2024.

Medicaid payments linked to the National Codes Established for State Medicaid Agencies in Chelsea climbed $95,827—or 45.7%—over the five years prior to 2024. Annual spending growth accelerated in select years, especially in 2022 and 2023.

Payments for services in this category were made across Chelsea; however, totals were heavily focused in a small number of ZIP codes. In 2024, the top ZIP code (48118) registered $305,328 in claims, with the top 1 ZIP codes accounting for all Medicaid payments connected to this category in the city for the year.

Individual billing code patterns also showed payments were concentrated within select codes inside this Medicaid service category.

Medicaid payments tied to this category in Chelsea increased by 10.1% between 2024 and 2023, compared with a 17.7% change for all Medicaid services within the city during that period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending reached approximately $871.7 billion in fiscal 2023, making up nearly 18% of all national health expenditures—a sharp increase from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This jump represents around 40% growth within just a few years, driven in large part by expanded enrollment and higher service usage during and after the pandemic.

Recent federal legislation under the Trump administration has included significant measures to reduce federal Medicaid support and overhaul the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion from federal Medicaid spending over the coming decade, introducing work requirements and increased cost-sharing that may limit coverage and funding for some users. These changes would increase state responsibilities and slow the growth of federal Medicaid contributions, even as the program continues serving millions nationwide.

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.