Medicaid payments for national code services rise 4.5% in South Amboy, reaching $1,418,219 in 2024

In South Amboy, Medicaid providers billed $1,418,219 for services categorized under the National Codes Established for State Medicaid Agencies in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 4.5% rise over 2023, when $1,356,807 in claims were submitted for similar services.

Medicaid functions as a public health insurance program administered by states and funded in partnership with federal and state governments. Its coverage extends to low-income individuals, families, seniors, children, and those with disabilities, making it a key part of the U.S. health care system.

Because taxpayer funds support Medicaid payments, fluctuations in local billing reflect how public health funding is distributed within a community.

The “National Codes Established for State Medicaid Agencies” designation groups Medicaid-billed services by care type, categorized using standardized HCPCS and CPT code clusters. For this analysis, each billing code was grouped into a single service category using consistent prefixes and ranges, allowing related services to be studied together and supporting accurate rankings over time without duplicating counts.

Although spending saw increases across various Medicaid service categories, payments for National Codes Established for State Medicaid Agencies ranked fourth in South Amboy for total Medicaid expenditures in 2024.

Statewide in New Jersey, National Codes Established for State Medicaid Agencies placed second by total Medicaid payments in 2024.

From 2019 through 2024, Medicaid payments assigned to the National Codes Established for State Medicaid Agencies in South Amboy climbed by $1,078,729, representing a 317.8% increase. Certain years, including 2021 and 2022, saw notably higher annual increases.

While these Medicaid payments were distributed citywide, most were clustered in a small number of ZIP codes. In 2024, ZIP code 08879 saw the largest share, totaling $1,418,218. The top ZIP code comprised 100% of Medicaid payments related to this service category in South Amboy for the year.

Within this category, a limited selection of individual billing codes accounted for the majority of payments.

For context, South Amboy’s Medicaid payments linked to National Codes Established for State Medicaid Agencies grew 4.5% from 2023 to 2024, while payments across all Medicaid claim categories in the city increased by 4.8% over the same period.

Data from the Centers for Medicare & Medicaid Services shows that total federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, representing roughly 18% of national health expenditures—a significant increase from around $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This rise—about 40% over a few years—was largely fueled by increased enrollment and utilization during and after the pandemic period.

Recent federal budget laws during the Trump administration have brought major proposals to scale back federal Medicaid funding and change the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid allocations by over $1 trillion in the next decade and includes measures like work requirements and higher cost-sharing, potentially affecting coverage and funding for certain beneficiaries. These shifts are expected to transfer more costs to states and restrain the growth of federal Medicaid assistance, despite the program continuing to serve 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.