Medicaid Evaluation and Management payments in Brielle rise 8.7% to $18,590 in 2024

In Brielle, Medicaid providers billed $18,590 in 2024 for services categorized under Evaluation and Management, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects an 8.7% rise over 2023, when claims submitted for this service category totaled $17,095.

Medicaid operates as a public health insurance program that is managed by states and jointly funded by federal and state governments. It provides coverage for low-income individuals and families, seniors, children, and people with disabilities, forming a major component of the U.S. health care system.

Because Medicaid draws from taxpayer support, changes in local billing activity reveal how health care resources are allocated within a community.

The Evaluation and Management category includes a collection of Medicaid-billed services, defined according to standardized HCPCS and CPT codes. For this report, each billing code is assigned to one service grouping using consistent code prefixes and ranges. This method enables analysis of related services while ensuring categories remain distinct and accurately ranked over time.

Although there were increases in Medicaid spending across various service categories, Evaluation and Management placed second among all categories by total Medicaid payments in Brielle in 2024.

Statewide, New Jersey ranked Evaluation and Management third by Medicaid payment total in 2024.

During the five years preceding 2024, Medicaid payments linked to the Evaluation and Management category in Brielle totaled $18,590, indicating no overall percentage change. However, certain periods saw faster spending growth, with notable year-over-year gains in 2023 and 2022.

Spending for Evaluation and Management services was present throughout Brielle, but payments largely concentrated in a few ZIP codes. Notably, in 2024, ZIP code 08730 accounted for $18,590 of these payments, representing 100% of the category’s Medicaid billing in Brielle that year.

Payments under this category were also focused among a small number of specific billing codes.

For comparison, Evaluation and Management-related Medicaid payments in Brielle grew by 8.7% between 2024 and 2023, whereas the total change across all Medicaid claim types in the city was 14.6% over the same period.

According to the Centers for Medicare & Medicaid Services, federal and state spending on Medicaid reached approximately $871.7 billion in fiscal year 2023, making up about 18% of all national health expenditures. This figure increased sharply from around $613.5 billion in 2019, prior to the COVID-19 pandemic.

This jump equates to a roughly 40% rise in a few years, primarily resulting from expanded enrollment and increased service use during and following the pandemic.

Recent federal budget acts passed during the Trump administration have introduced notable proposals for reducing federal Medicaid funding and overhauling the program. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to decrease federal Medicaid spending by more than $1 trillion over 10 years. The law includes measures such as new work requirements and increased cost-sharing, which could lessen coverage and funds for some participants. These adjustments are likely to place greater financial responsibility on states and constrain federal Medicaid support, even as the program serves tens of 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.