Westbrook Medicaid payments for state-established service codes climb to $68 million in 2024

Providers in Westbrook billed $68,145,521 to Medicaid for services under the National Codes Established for State Medicaid Agencies in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 13.1% increase from the prior year, when payments for these services totaled $60,233,053.

Medicaid, a state-run program funded collaboratively by federal and state governments, supplies coverage to low-income people and families, children, seniors, and individuals with disabilities. This makes it a key component of America’s health care landscape.

Because Medicaid funding comes from the public, local payment figures show community resource allocation for health services.

The “National Codes Established for State Medicaid Agencies” service group identifies Medicaid-billed care by standardized HCPCS and CPT code criteria. For this report, each code was linked to one main category with consistent prefix and number classifications, grouping similar care types while preventing double-counting and ensuring time-based accuracy for rankings.

Spending rose for multiple Medicaid categories, but National Codes Established for State Medicaid Agencies led Westbrook in total Medicaid payments reported for 2024.

On a statewide level, Maine reported the same category as having the highest Medicaid payment total in 2024.

Across the five-year span ending in 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies in Westbrook grew by $28,458,256, an increase of 71.7%. Notably, growth was pronounced in particular years, such as 2020 and 2023, due to heightened increases over those periods.

The distribution of Medicaid expenditures in this category covered all of Westbrook, but the bulk was concentrated in certain ZIP codes. In 2024, payments in ZIP code 04092 made up $68,145,521, accounting for 100% of this category’s payments in Westbrook that year.

Likewise, inside this category, spending was focused within a small selection of individual billing codes.

Comparing changes by service type, National Codes Established for State Medicaid Agencies expenditures in Westbrook went up 13.1% from 2023 to 2024, which is steeper than the 6.9% growth across all categories citywide in the same period.

The Centers for Medicare & Medicaid Services reports that total Medicaid outlays from federal and state sources amounted to approximately $871.7 billion in fiscal year 2023—about 18% of national health expenditures—growing sharply from roughly $613.5 billion in 2019 before the COVID-19 outbreak.

This roughly 40% growth was propelled by higher enrollment and greater health service use during and after the pandemic years.

Recent federal budget law under the Trump administration brought notable recommendations to curtail federal Medicaid spending and reform the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, aims to reduce over $1 trillion from federal Medicaid costs over 10 years by implementing policies such as mandatory work requirements and raising cost-sharing, steps that could lessen coverage and funding for some recipients. These provisions are expected to shift added responsibility to states and restrain the pace of federal support, even as Medicaid continues to reach tens of millions nationally.

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.