In 2024, Medicaid providers in Marlton billed $8,304,245 for services classified under the National Codes Established for State Medicaid Agencies category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 3.4% rise over 2023, when claims for these services totaled $8,028,909.
Medicaid is a government health insurance program managed by the states with funding shared between federal and state governments. The program provides coverage for low-income individuals, families, seniors, children, and those with disabilities, making it a major part of the U.S. health care system.
Since Medicaid is financed by taxpayers, amounts billed in a given area reflect how public health funds are used within that community.
The “National Codes Established for State Medicaid Agencies” designation covers a collection of Medicaid services defined by specific types of care, using standardized HCPCS and CPT coding systems. For this report, each billing code was grouped into one service category following uniform code prefixes and number ranges, so related services could be accurately tracked and double-counting avoided across years.
National Codes Established for State Medicaid Agencies was the fourth largest Medicaid payment category in Marlton in 2024, even with increased spending in several major service areas.
Across New Jersey, the National Codes Established for State Medicaid Agencies category placed second in total Medicaid payments statewide in 2024.
From 2019 to 2024, local Medicaid payments for this category in Marlton rose by $3,576,888, or 75.7%. Spending accelerated in some years, with significant year-over-year increases observed in 2023 and 2020.
Spending under this category was spread throughout Marlton, but most Medicaid payments were concentrated in a small group of ZIP codes. In 2024, ZIP code 08053 alone accounted for $8,304,244, representing 100% of Marlton Medicaid payments linked to this group of services for the year.
Within the National Codes Established for State Medicaid Agencies category, a concentration of Medicaid spending occurred among a few specific billing codes.
Comparing changes, Medicaid payments for this category in Marlton increased by 3.4% from 2023 to 2024, compared to a broader 11.6% rise across all Medicaid claim categories in the city in the same time frame.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures reached around $871.7 billion in fiscal 2023. This accounted for roughly 18% of all U.S. health care spending, up substantially from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This marks an approximately 40% increase within several years, mainly due to expanded Medicaid enrollment and higher service usage during and after the pandemic.
Recent federal budgets under the Trump administration featured major proposals to reduce federal Medicaid funding and reorganize the program. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over the next decade. The law introduces changes such as work requirements and higher cost-sharing that could limit coverage and resources for some beneficiaries. As a result, states may shoulder greater costs as federal Medicaid support growth is held back, while the program continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $4,727,357 | 8.2% |
| 2021 | $4,576,970 | -3.2% |
| 2022 | $4,915,926 | 7.4% |
| 2023 | $8,028,908 | 63.3% |
| 2024 | $8,304,244 | 3.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $25,566,144 | 35.7% |
| 2 | Alcohol and Drug Abuse Treatment | $18,754,484 | 26.2% |
| 3 | Medicine Services and Procedures | $9,796,346 | 13.7% |
| 4 | National Codes Established for State Medicaid Agencies | $8,304,244 | 11.6% |
| 5 | Temporary National Codes (Non-Medicare) | $5,196,935 | 7.3% |
| 6 | Procedures / Professional Services | $1,124,360 | 1.6% |
| 7 | Pathology and Laboratory Procedures | $742,582 | 1% |
| 8 | Enteral and Parenteral Therapy | $479,891 | 0.7% |
| 9 | Radiology Procedures | $477,747 | 0.7% |
| 10 | Surgery | $344,637 | 0.5% |
| 11 | Durable Medical Equipment | $302,936 | 0.4% |
| 12 | Dental Services | $168,442 | 0.2% |
| 13 | Anesthesia | $118,288 | 0.2% |
| 14 | Medical And Surgical Supplies | $92,248 | 0.1% |
| 15 | Orthotic Procedures and services | $61,647 | 0.1% |
| 16 | Prosthetic Procedures | $44,294 | 0.1% |
| 17 | Ambulance and Other Transport Services and Supplies | $44,076 | 0.1% |
| 18 | Drugs Administered Other than Oral Method | $40,540 | 0.1% |
| 19 | Vision Services | $4,252 | <0.1% |
| 20 | Temporary Codes | $242 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1024 | Team evaluation & management | $3,458,204 | 20 |
| T1019 | Personal care ser per 15 min | $3,066,212 | 12 |
| T2021 | Day habil waiver per 15 min | $1,197,130 | 13 |
| T1018 | School-based iep ser bundled | $349,846 | 6 |
| T1030 | Rn home care per diem | $232,311 | 11 |
| T1001 | Nursing assessment/evaluatn | $540 | 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.
