Perth Amboy Medicaid providers received $11,318,433 for National Codes Established for State Medicaid Agencies in 2024

Perth Amboy Medicaid providers received $11,318,433 in 2024 for services included within the National Codes Established for State Medicaid Agencies, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an 8.6% increase over 2023, when the total claims for these services reached $10,420,258.

Medicaid is operated by states and jointly financed by federal and state governments, serving as a health insurance program for low-income people, seniors, children, and people with disabilities. It is among the largest segments of the U.S. health care system.

As Medicaid relies on taxpayer funding, variations in local billing reflect how health care dollars are distributed within a specific community.

The “National Codes Established for State Medicaid Agencies” represents a set of Medicaid-billed services, grouped by the type of care, using standardized HCPCS and CPT codes. For the purpose of analysis, each code was assigned to one service category based on consistent code prefixes and numbers, helping ensure accurate trends and rankings by gathering related services together and avoiding overlap.

National Codes Established for State Medicaid Agencies had the highest total Medicaid payment amount among all service categories in Perth Amboy for 2024.

Across New Jersey, this category ranked second for total Medicaid payments statewide in 2024.

Over the five-year span through 2024, Medicaid payments in this category for Perth Amboy increased by $3,851,201, or 51.6%. Periods of rapid growth were seen, including notable annual jumps in 2023 and 2021.

Although these Medicaid payments were distributed throughout the city, dollars were especially concentrated in a few ZIP codes. In 2024, ZIP code 08861 saw $11,318,433 associated with this category, representing 100% of such payments in Perth Amboy for the year.

A small number of billing codes accounted for a large share of the Medicaid payments in this category.

Between 2024 and 2023, Perth Amboy Medicaid payments in this category grew by 8.6%, whereas the increase across all Medicaid claims citywide was 11.8% over the same timeframe.

Data from the Centers for Medicare & Medicaid Services show that combined federal and state Medicaid expenditures were about $871.7 billion for fiscal year 2023, making up roughly 18% of national health spending, a significant rise from $613.5 billion in 2019 before the COVID-19 pandemic.

This figure marks about 40% growth in just several years as expanded eligibility and increased use during and after the pandemic period contributed to the higher spending.

Federal budget measures during the Trump administration have included key proposals to decrease the federal Medicaid funding commitment and revamp the program. The “One Big Beautiful Bill Act,”, passed in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion during the next decade and introduces work requirements and greater cost-sharing, potentially lowering coverage and funding for specific beneficiaries. As a result, more costs are anticipated to shift to the states, reducing federal Medicaid growth despite ongoing coverage for millions nationwide.

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.