Port Monmouth Medicaid payments for National Codes Established category reach $1,298,661 in 2024

Port Monmouth Medicaid providers billed $1,298,661 for services within the National Codes Established for State Medicaid Agencies category in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 14.7% rise over 2023, when providers filed $1,132,030 in claims under the same category.

Medicaid, a joint state and federal public health insurance program, serves low-income residents, families, older adults, children, and people with disabilities, making it a major component of the U.S. health care system. Funding comes from both federal and state governments, as outlined by the Commonwealth Fund.

Because Medicaid draws on taxpayer funding, shifts in local billing highlight how health care dollars are distributed within a community.

The “National Codes Established for State Medicaid Agencies” category is defined by specific Medicaid-billed service types, grouped according to standardized HCPCS and CPT code ranges. For this analysis, billing codes were assigned to one service category using uniform prefixes and numeric groupings, ensuring related services were examined together without double counting and preserving ranking accuracy over time.

Spending increased across several Medicaid service categories, but the National Codes Established for State Medicaid Agencies category accounted for the highest total Medicaid payments in Port Monmouth in 2024.

Statewide in New Jersey, the National Codes Established for State Medicaid Agencies ranked second by overall Medicaid payments in 2024.

Over the five-year period ending in 2024, Medicaid payments attributed to the National Codes Established for State Medicaid Agencies category in Port Monmouth rose by $1,019,413, amounting to a 365.1% increase. Some years, including 2021 and 2022, saw particularly large annual spending increases.

While payments for National Codes Established for State Medicaid Agencies services occurred throughout Port Monmouth, the majority were concentrated in a small number of ZIP codes. In 2024, ZIP code 07758 alone accounted for $1,298,661. This single ZIP code represented 100% of all Medicaid payments linked to these services in the community during the year.

Within the National Codes Established for State Medicaid Agencies category, a small set of individual billing codes made up the bulk of Medicaid payments.

To compare, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Port Monmouth rose by 14.7% from 2023 to 2024, mirroring a 14.7% increase across all Medicaid claim categories in the city for the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached about $871.7 billion in fiscal 2023. That comprised around 18% of total national health expenditures and was up from approximately $613.5 billion in 2019, before the COVID-19 pandemic.

This jump reflects an increase of roughly 40% over several years, mainly due to expanded enrollment and higher use of services during and after the pandemic.

Recent budget measures under the Trump administration proposed large reductions to federal Medicaid funding and major program changes. The “One Big Beautiful Bill Act,” signed in 2025, is expected to cut over $1 trillion from federal Medicaid funding over 10 years and introduces policies like work requirements and higher cost-sharing, which could lower coverage and funding for some recipients. These adjustments are anticipated to increase costs for states and may limit federal Medicaid support growth, even as the program continues to serve 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.