Medicaid providers in Chandler received $83,296,710 in 2024 for claims classified under the National Codes Established for State Medicaid Agencies category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 1.3% increase over 2023, when $82,191,556 was paid for the same services.
Medicaid is a state-run, federally and state-funded public health insurance program. It provides coverage for low-income families and individuals, seniors, children, and people with disabilities, making it one of the country’s largest components of the health care system. Additional federal-state funding background is provided here.
Since Medicaid funding is sourced from taxpayers, shifts in the volume of local claims offer insight into how health dollars are distributed within communities.
The “National Codes Established for State Medicaid Agencies” group comprises services organized by the nature of care, according to consistent HCPCS and CPT codes and their corresponding prefixes and numbers. This approach assigns a billing code to only one service category, making it possible to evaluate related services collectively and avoid duplicating totals or rankings across years.
Although spending increased across multiple Medicaid service groups, National Codes Established for State Medicaid Agencies was second by total outlays for Medicaid in Chandler in 2024.
Across Arizona, National Codes Established for State Medicaid Agencies took the top spot in overall Medicaid payment categories statewide for 2024.
In the five years preceding 2024, Medicaid payments reported under the National Codes Established for State Medicaid Agencies category in Chandler rose by $43,148,905, a 107.5% gain. At certain intervals, spending accelerated sharply, with significant annual increases in 2020 and 2022.
Although services in this category occurred in locations throughout Chandler, the majority of Medicaid dollars were concentrated within a few ZIP codes. In 2024, ZIP code 85224 accounted for $72,614,188 of these payments, with 85286 totaling $5,713,970, and 85225 reporting $4,898,356. Combined, these top 3 ZIP codes made up 99.9% of all Chandler Medicaid spending under this category for the year.
Within the category, Medicaid payments were distributed among comparatively few billing codes.
In terms of growth, Medicaid payments for this category in Chandler posted a 1.3% year-over-year increase for 2024 against 2023, which was lower than the 7.3% change observed for all Medicaid spending across claim categories in the city for the same period.
According to the Centers for Medicare & Medicaid Services, state and federal Medicaid spending reached $871.7 billion for the 2023 fiscal year, comprising about 18% of total U.S. health expenditures, up substantially from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This surge reflects growth of almost 40% in just a few years, prompted mainly by enrollment expansion and heavier utilization during and following the pandemic.
Federal budget measures enacted during the Trump administration include proposals to decrease federal Medicaid allocations and alter program structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is anticipated to reduce federal Medicaid spending by over $1 trillion over the next decade; it introduces policies such as work mandates and heightened cost sharing that could decrease coverage and limit funding for certain beneficiaries. This would push more responsibilities onto states and restrict federal Medicaid growth, even as the program continues to serve millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $40,147,804 | 135.7% |
| 2021 | $47,287,713 | 17.8% |
| 2022 | $62,731,009 | 32.7% |
| 2023 | $82,191,555 | 31% |
| 2024 | $83,296,709 | 1.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $123,153,777 | 40.3% |
| 2 | National Codes Established for State Medicaid Agencies | $83,296,709 | 27.3% |
| 3 | Evaluation and Management | $29,511,628 | 9.7% |
| 4 | Medicine Services and Procedures | $23,805,159 | 7.8% |
| 5 | Enteral and Parenteral Therapy | $16,107,469 | 5.3% |
| 6 | Alcohol and Drug Abuse Treatment | $9,766,662 | 3.2% |
| 7 | Radiology Procedures | $8,936,517 | 2.9% |
| 8 | Drugs Administered Other than Oral Method | $4,450,725 | 1.5% |
| 9 | Orthotic Procedures and services | $1,596,505 | 0.5% |
| 10 | Surgery | $1,545,930 | 0.5% |
| 11 | Pathology and Laboratory Procedures | $1,129,199 | 0.4% |
| 12 | Ambulance and Other Transport Services and Supplies | $748,968 | 0.2% |
| 13 | Procedures / Professional Services | $568,542 | 0.2% |
| 14 | Durable Medical Equipment | $259,881 | 0.1% |
| 15 | Medical And Surgical Supplies | $213,167 | 0.1% |
| 16 | Dental Services | $159,373 | 0.1% |
| 17 | Temporary Codes | $80,981 | <0.1% |
| 18 | Anesthesia | $78,257 | <0.1% |
| 19 | Administrative, Miscellaneous and Investigational | $39,396 | <0.1% |
| 20 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $28,328 | <0.1% |
| 21 | Outpatient PPS | $10,164 | <0.1% |
| 22 | Pathology and Laboratory Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2017 | Habil res waiver 15 min | $66,203,350 | 26 |
| T2033 | Res, nos waiver per diem | $7,874,470 | 53 |
| T1016 | Case management | $4,497,911 | 140 |
| T1015 | Clinic service | $2,318,428 | 12 |
| T2016 | Habil res waiver per diem | $990,260 | 7 |
| T2021 | Day habil waiver per 15 min | $963,529 | 12 |
| T1002 | Rn services up to 15 minutes | $241,925 | 12 |
| T4534 | Youth size pull-on | $77,386 | 12 |
| T4530 | Ped size brief/diaper lg | $50,970 | 12 |
| T4532 | Ped size pull-on lg | $29,975 | 12 |
| T4522 | Adult size brief/diaper med | $15,283 | 11 |
| T4526 | Adult size pull-on med | $12,706 | 11 |
| T4541 | Large disposable underpad | $10,024 | 17 |
| T4521 | Adult size brief/diaper sm | $7,402 | 8 |
| T4525 | Adult size pull-on sm | $1,379 | 3 |
| T2007 | Non-emer transport wait time | $1,211 | 3 |
| T4523 | Adult size brief/diaper lg | $492 | 1 |
Note: HCPCS codes appear for illustrative purposes within this category. The totals and rankings provided reference standardized groupings of services, not individual codes.
This article’s information is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The underlying data is located here.
