Colonia Medicaid spending on Procedures / Professional Services rises to $254 in 2024

In 2024, Medicaid providers in Colonia billed $254 for services classified in the Procedures / Professional Services category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 2016.7% increase compared to 2023, when the total was $12 for this service category.

Medicaid is a public health insurance initiative operated by each state and supported through joint federal-state funding. It provides health coverage for low-income people, families, seniors, children and those with disabilities, making it one of the nation’s largest health care payers.

Because taxpayer dollars fund Medicaid payments, shifts in local billing levels indicate how community health care resources are allocated.

The Procedures / Professional Services category consists of Medicaid-billed services grouped by care type, following standardized HCPCS and CPT codes. For this report, each code was consistently assigned to a single service group by code prefix and range, enabling trends to be tracked without duplicating services and maintaining accurate long-term rankings.

While several Medicaid service categories recorded increased spending, Procedures / Professional Services ranked eighth in Colonia by total Medicaid disbursements in 2024.

Statewide in New Jersey, the Procedures / Professional Services category held the seventh spot by aggregate Medicaid payout in 2024.

Over the five years up to 2024, Medicaid payments associated with Procedures / Professional Services in Colonia grew by $153, or 151.9%. There were periods of faster spending growth, with particularly notable year-to-year rises in 2021 and 2022.

Although payments for Procedures / Professional Services were spread across Colonia, a few ZIP codes saw the bulk of disbursement. In 2024, ZIP code 07067 accounted for $253, with the top 1 ZIP code representing 100% of all Colonia Medicaid spending in this category during the year.

Medicaid payments within Procedures / Professional Services were similarly concentrated among a small selection of billing codes.

For comparison, Procedure / Professional Services Medicaid payments in Colonia surged by 2016.7% between 2024 and 2023, while all Medicaid claim categories in the city combined experienced a 21% change in the same period.

The Centers for Medicare & Medicaid Services report notes combined federal and state Medicaid expenditures reached about $871.7 billion in the 2023 fiscal year, or roughly 18% of total U.S. health costs—a significant increase from the approximately $613.5 billion level seen in 2019, prior to the COVID-19 pandemic.

This uptick means national Medicaid spending grew about 40% within a few years, mainly due to broader enrollment and increased utilization during and after the pandemic.

Recent federal budget measures under the Trump administration introduced broad proposals to reduce federal Medicaid funding and overhaul its framework. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to trim over $1 trillion from federal Medicaid funding over 10 years while adding policies such as work requirements and higher cost-sharing. These actions are expected to shift more Medicaid program costs to states and may restrict federal Medicaid spending growth, even as the program continues to assist millions of Americans.

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.