Keansburg Medicaid spending on Evaluation and Management services rises to $1,319,310 in 2024

In 2024, Medicaid providers in Keansburg billed $1,319,310 for services under the Evaluation and Management category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That total reflects a 36.5% rise over 2023, when $966,431 in claims were submitted for the same services.

Medicaid, operated by individual states and funded through partnerships between federal and state governments, provides health coverage for low-income people, seniors, children and people with disabilities. This makes it one of the largest components of the U.S. health care system.

Since Medicaid is tax-funded, shifts in local billing levels offer a look at where public health care dollars are being spent in a community.

The “Evaluation and Management” group encompasses services billed to Medicaid based on specific types of care, as defined by standardized HCPCS and CPT code sets. In compiling this analysis, each billing code was assigned to a single service group using predefined code prefixes and number ranges, which prevents duplicate counts and maintains consistent service rankings over time.

While Medicaid expenditures increased in several areas, the Evaluation and Management category represented the largest share of Keansburg’s Medicaid payments in 2024.

Statewide in New Jersey, Evaluation and Management ranked as the third-highest category by total Medicaid payments for 2024.

Over the five years before 2024, Medicaid payments for Evaluation and Management in Keansburg rose by $664,489, or 101.5%. Notable year-over-year jumps in spending occurred in both 2021 and 2020.

Although such care was provided throughout Keansburg, Medicaid payments were mainly concentrated in a few ZIP codes. In 2024, ZIP code 07734 accounted for $1,319,309 in Medicaid payments tied to Evaluation and Management. Altogether, the top 1 ZIP code made up 100% of these payments in Keansburg during the year.

Within this category, payments were further concentrated among a limited group of individual billing codes.

Looking at year-over-year trends, payments in the Evaluation and Management category in Keansburg grew by 36.5% from 2023 to 2024, outpacing the 13.4% change observed across all Medicaid claim categories in the city during the same timeframe.

The Centers for Medicare & Medicaid Services reports that overall federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, representing roughly 18% of all national health expenditures. This is a significant jump from $613.5 billion in 2019, before the COVID-19 pandemic.

This increase reflects nearly 40% growth in a few years, largely due to expanded enrollment and greater utilization during and following the pandemic.

Recent federal budget legislation during the Trump administration has featured major proposals for cutting federal Medicaid funding and changing the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the next decade. It also introduces measures such as work requirements and increased cost-sharing, which could limit funding and coverage for some recipients. These policies are likely to shift additional costs to states and restrict federal Medicaid funding growth, even as tens of millions continue to rely on the program.

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.