Medicaid spending for Administrative, Miscellaneous and Investigational services climbs to $26,357 in New Hampshire in 2024

New Hampshire Medicaid expenditures for services within the Administrative, Miscellaneous and Investigational category reached $26,357 in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represents a 172.5% rise compared with 2023, when providers billed $9,672.

Medicaid is a public program administered by states and funded by both federal and state governments. It provides health coverage for low-income families and individuals, seniors, children, and people with disabilities, serving as a core part of the U.S. health care structure.

As Medicaid funds originate from taxpayers, fluctuations in local claims totals show how public health care resources get allocated within each community.

The “Administrative, Miscellaneous and Investigational” group includes various Medicaid services classified by the care type delivered, according to standardized HCPCS and CPT code groups. In this analysis, every billing code was assigned uniquely to a service category based on code prefix and number, letting similar services be grouped for review, while maintaining accurate counts without duplication.

When service categories cover more than one type of underlying care, the classification encompasses related treatment types often billed together to Medicaid, such as diagnostic tests, office visits and therapeutic procedures.

Spending for Administrative, Miscellaneous and Investigational services was shared throughout the state but concentrated in a handful of ZIP codes. In 2024, ZIP Code 03103 accounted for $14,925 (56.6% of the total), ZIP Code 03109 submitted $5,569 (21.1%), and $3,131 (11.9%) was linked to ZIP Code 03079.

In total, those top three ZIP codes made up 89.6% of Medicaid reimbursements for Administrative, Miscellaneous and Investigational care in New Hampshire during 2024.

Meanwhile, Medicaid claim totals across all categories went up 3.1% from 2023 to 2024 statewide.

Despite gains in several service groups, the Administrative, Miscellaneous and Investigational category placed among the top 22 categories statewide for 2024 by total Medicaid payments.

The Centers for Medicare & Medicaid Services reported federal and state Medicaid expenditures reached about $871.7 billion in the 2023 fiscal year, making up roughly 18% of total national health expenses, and rising considerably from about $613.5 billion in 2019, before the COVID-19 pandemic.

This expansion marks almost 40% growth over a few years, with the increase driven mostly by larger enrollment and more extensive service use during and after the pandemic.

Recent federal budgets under the Trump administration have featured broad proposals to cut federal Medicaid support and revamp the program. Notably, the “One Big Beautiful Bill Act,” signed in 2025, is set to reduce more than $1 trillion in federal Medicaid funding over the next 10 years and includes measures such as work mandates and increased cost-sharing, potentially scaling back benefits and funding for some. As a result, states may face greater financial responsibility as federal Medicaid expansion slows, even while the program continues covering tens of millions of Americans.