Hopelawn Medicaid bills for Procedures / Professional Services climb to $4,095 in 2024

In 2024, Medicaid providers in Hopelawn billed $4,095 for services under the Procedures / Professional Services category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflected a 470.3% rise compared to 2023, when providers submitted $718 in claims for the same services.

Medicaid, one of the nation’s largest health insurance programs, is administered by states and funded through a partnership between federal and state governments. Its coverage includes low-income people, seniors, children, and individuals with disabilities.

Because tax dollars support Medicaid payments, shifts in local billing reflect how a community directs its public health care spending.

The “Procedures / Professional Services” category groups Medicaid services based on their type, defined by standardized HCPCS and CPT code sets. In this analysis, codes were assigned to a single service category using a set method of code prefixes and ranges, so related services were grouped together but not double-counted, preserving historical accuracy and category rankings.

While Medicaid expenditures increased in other categories as well, Procedures / Professional Services were the third largest category in Hopelawn by total Medicaid spending for 2024.

Statewide, Procedures / Professional Services ranked seventh for New Jersey Medicaid payments in 2024.

Examining the period spanning five years through 2024, Medicaid payments related to Procedures / Professional Services in Hopelawn grew by $4,095 or stayed at 0%, with spending notably rising during some years, particularly in 2023 and 2022.

Payments related to this category were spread throughout Hopelawn, but most were concentrated in a small number of ZIP codes. In 2024, ZIP code 08861 accounted for $4,095, representing 100% of citywide Medicaid Procedures / Professional Services payments for the year.

Within this category, Medicaid spending was largely focused on a limited selection of billing codes.

Between 2024 and 2023, Medicaid outlays for Procedures / Professional Services in Hopelawn jumped by 470.3%. Across all claims categories in the city, the same period saw a 31.3% change.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid spending reached about $871.7 billion during the 2023 fiscal year, accounting for roughly 18% of national health expenditures. This was up from approximately $613.5 billion in 2019, just ahead of the COVID-19 pandemic.

This signifies nearly 40% growth over a few years, a change attributed largely to more people enrolling in Medicaid and using more services during and after the pandemic.

New federal budget measures enacted under the Trump administration have introduced notable proposals to limit federal Medicaid contributions and restructure the program. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to cut more than $1 trillion in federal Medicaid funding over 10 years. It also brings in rules like work requirements and higher cost-sharing, potentially impacting coverage and funding for certain beneficiaries. This could shift financial responsibility to the states and curb the expansion of federal Medicaid resources, even as the program continues supporting millions across the country.

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.