Medicaid spending for surgery services up 14.5% in Little Silver in 2024

Little Silver Medicaid providers billed $686,474 for Surgery services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure shows a 14.5% rise from 2023, when claims for the category totaled $599,591.

Medicaid, a public health insurance program run by states and funded by both federal and state governments, covers low-income families, seniors, children, and people with disabilities, making it one of the core components of the U.S. health care system.

Since Medicaid is supported by taxpayers, shifts in billing levels locally highlight how community health funding is distributed.

The “Surgery” category includes a range of Medicaid services grouped by care type and defined using standardized HCPCS and CPT code sets. In this analysis, each billing code was classified into a single category through consistent code prefixes and numbering, which helps compare related services and keep accurate rankings without double counting.

While overall Medicaid spending climbed in several service areas, Surgery ranked first by total Medicaid payments in Little Silver for 2024.

Statewide, the Surgery category placed ninth in total Medicaid payments in New Jersey in 2024.

From 2019 to 2024, Medicaid payments for the Surgery category in Little Silver grew $491,116, or 251.4%. Growth sped up at intervals, with prominent increases year over year seen in 2023 and 2021.

Spending for Surgery care in Little Silver was present throughout the city, but most payments were focused in only a few ZIP codes. In 2024, ZIP code 07739 accounted for $686,474 in Surgery-linked Medicaid payments. That means the top ZIP code made up 100% of Surgery category payments in Little Silver for the year.

Within Surgery, Medicaid payments were also heavily focused on select billing codes.

For context, Surgery-linked Medicaid payments in Little Silver increased 14.5% from 2023 to 2024, compared with a 5.7% overall rise across all Medicaid claim categories in the city for the same timeframe.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid expenditures hit about $871.7 billion in fiscal year 2023, or roughly 18% of the nation’s total health spending—a steep increase from about $613.5 billion in 2019, before the COVID-19 pandemic.

This change represents a growth of about 40% in just several years, mainly due to increased enrollment and greater use of services during and after the pandemic.

Recent federal budget acts crafted under the Trump administration brought forth significant measures to cut federal Medicaid funding and redesign the program. The “One Big Beautiful Bill Act,” signed in 2025, is forecasted to reduce federal Medicaid spending by over $1 trillion during the next decade and places new policies such as work requirements and more cost-sharing onto the program—potentially reducing coverage and funding for certain participants. The adjustments are likely to increase the share of state-level costs and slow the expansion of federal Medicaid support, even as the program continues reaching tens of 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.