Glen Ridge Medicaid spending for Medicine Services and Procedures climbs 21% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Medicaid providers in Glen Ridge billed $326,091 for services within the Medicine Services and Procedures category in 2024, according to data reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 21% rise from 2023, when local providers tallied $269,599 in claims for the same services.

Medicaid operates as a public health insurance program, administered by states and funded through joint federal and state resources. The program serves low-income individuals and families, seniors, children, and people with disabilities, making it a key component of the U.S. health care system.

As Medicaid relies on taxpayer funding, fluctuations in local billing levels reflect the outlays of public health care resources within specific communities.

The “Medicine Services and Procedures” category encompasses a set of Medicaid-billed services grouped by the care delivered, based on standardized HCPCS and CPT code criteria. For this analysis, billing codes were consistently assigned to a single service grouping using established prefixes and numeric thresholds, enabling a focused review of related services, free from overlap and ensuring reliable orderings.

While Medicaid spending grew across a range of service types, Medicine Services and Procedures received the highest total payments from Medicaid among all categories in Glen Ridge during 2024.

Statewide in New Jersey, Medicine Services and Procedures placed fourth among all Medicaid service categories by payment total for the year.

Over the five-year span reaching 2024, Medicaid disbursements linked to the Medicine Services and Procedures category in Glen Ridge rose by $326,091, an increase of 0%. Certain periods experienced steeper year-over-year gains, with marked increases in both 2022 and 2023.

Spending for Medicine Services and Procedures was seen throughout the city, but payments were primarily grouped in a few ZIP codes. In 2024, ZIP code 07028 accounted for $326,091. The leading ZIP code represented 100% of Medicaid payments for this category in Glen Ridge that year.

Within Medicine Services and Procedures, most Medicaid dollars went to a small subset of individual billing codes.

To compare, payments under Medicine Services and Procedures increased 21% between 2024 and 2023 in Glen Ridge, while citywide payments across all Medicaid claim categories grew by 5% in the same interval.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid spending totaled approximately $871.7 billion for the 2023 fiscal year, making up about 18% of total U.S. health care expenditures. That figure rose sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth amounts to an increase near 40% in only a few years, fueled primarily by expanded enrollment and elevated service usage during and following the pandemic.

Recent federal budget acts introduced under the Trump administration have put forward substantial reductions in federal Medicaid allocations and potential structural reforms. The “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid spending by more than $1 trillion over a decade and includes provisions like work mandates and higher cost-sharing that may limit coverage and funding for particular beneficiaries. These reforms are intended to increase the funding burden on states and curb the pace of federal support, even as Medicaid continues to assist millions nationally.

Medicaid Payments Tied to Medicine Services and Procedures in Glen Ridge, New Jersey Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2021 $24,325
2022 $95,063 290.8%
2023 $269,599 183.6%
2024 $326,091 21%
Top Categories by Medicaid Payments in Glen Ridge, New Jersey, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $326,091 91.6%
2 Evaluation and Management $28,208 7.9%
3 Surgery $1,402 0.4%
4 Radiology Procedures $128 <0.1%
5 Temporary Codes $5 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Glen Ridge, New Jersey, 2024

HCPCS Code Description Medicaid Payments Claims
90837 Psytx w pt 60 minutes $278,112 24
90791 Psych diagnostic evaluation $26,556 9
97803 Med nutrition indiv subseq $20,449 10
97802 Medical nutrition indiv in $972 1

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.



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