Medicaid payments linked to national code services total $283,419 in Riverton for 2024

In 2024, Medicaid providers in Riverton submitted bills totaling $283,419 for services considered part of the National Codes Established for State Medicaid Agencies group, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount is a 12.1% gain from 2023, when claims under this service group reached $252,906.

Medicaid is a publicly funded health insurance initiative operated by each state with joint federal and state support, covering low-income families, seniors, children, and people living with disabilities. This system makes up a significant part of health care spending throughout the U.S.

Fluctuations in Medicaid payment amounts at the local level reveal how tax-funded healthcare monies are allocated within individual communities.

The “National Codes Established for State Medicaid Agencies” group consists of services billed to Medicaid based on specific healthcare delivery types, using organized HCPCS and CPT code groupings. Each billing code in the analysis was matched to just one service group via uniform prefix use and numeric definitions, minimizing double counting and offering accurate service category trends over time.

Despite broader increases in Medicaid expenses across multiple service categories, the National Codes Established for State Medicaid Agencies group recorded the highest total Medicaid payments among all categories in 2024 for Riverton.

Elsewhere, this service grouping ranked second across New Jersey by total Medicaid payments in 2024.

From 2019 through 2024, Medicaid-related payments tied to the National Codes Established for State Medicaid Agencies in Riverton grew by $237,110, or 45.6%. That change included annual spending jumps in both 2022 and 2022.

Though these services were billed across the city, Medicaid dollars typically concentrated within a small set of ZIP codes. In 2024, ZIP code 08077 saw the largest share, with claims amounting to $283,419. The top 1 ZIP codes collectively accounted for 100% of all Medicaid spending in this category in Riverton reported for the year.

A limited group of individual billing codes also drew the vast majority of spending within this service category in 2024.

Looking at recent trends, the 12.1% year-on-year rise in these payments for 2024 mirrored an overall 12.1% increase among all Medicaid claim types in Riverton.

According to the Centers for Medicare & Medicaid Services, Medicaid spending by both the federal and state governments totaled around $871.7 billion for fiscal year 2023, making up about 18% of total U.S. health expenditures. This marked a sharp rise from $613.5 billion in 2019, before the COVID-19 pandemic.

This represents about 40% total growth in just a few years, a spike attributed mainly to higher Medicaid enrollment figures and increased health service needs during and immediately after the pandemic.

Federal budget measures introduced during the Trump administration aimed to reduce national Medicaid funding and restructure the overall program. The “One Big Beautiful Bill Act,” passed in 2025, is estimated to lower federal Medicaid spending by more than $1 trillion over the coming decade. This law implements changes including new work requirements and increased cost-sharing, impacting who qualifies for benefits and how states pay for coverage, as federal assistance is expected to slow in growth while Medicaid enrollment stays high 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.