Procedures / Professional Services Medicaid payments in Bordentown up 47.7% in 2024

In 2024, Medicaid providers in Bordentown billed $1,137 for services under the Procedures / Professional Services category, U.S. Department of Health and Human Services Medicaid Provider Spending data showed. That marked a 47.7% rise from 2023, when claims for this category totaled $770.

Medicaid is a public health insurance program operated by states and funded by a partnership between federal and state governments. It provides coverage for low-income individuals and families, seniors, children and people with disabilities—making it a significant component of the U.S. health care structure.

As Medicaid is funded by taxpayers, shifts in local billing levels reveal changes in how public health funds are used within communities.

The Procedures / Professional Services category includes various Medicaid-covered services, grouped by the type of care rendered according to standard HCPCS and CPT code sets. This analysis assigned each billing code to a single service category using consistent code prefixes and numerical ranges to allow for accurate comparisons and prevent duplicate counting.

While many service categories experienced increases in Medicaid spending, Procedures / Professional Services was the fourth-highest by total Medicaid payments in Bordentown in 2024.

At the state level, Procedures / Professional Services ranked seventh among categories for total Medicaid payments in 2024 in New Jersey.

From the five years prior to 2024, Medicaid payments for Procedures / Professional Services in Bordentown rose by $14,448, or 92.7%. Some periods saw accelerated growth, with significant year-on-year increases in 2020 and 2022.

Spending on this category was distributed across Bordentown but concentrated in a specific subset of ZIP codes. In 2024, ZIP code 08505 saw $1,136 in Medicaid payments for Procedures / Professional Services, accounting for 100% of the city’s total in this category for the year.

Within the Procedures / Professional Services category, a small number of individual billing codes accounted for most Medicaid payments.

Compared to all Medicaid claim categories, Procedures / Professional Services payments rose by 47.7% in Bordentown from 2023 to 2024, while total payments across all categories grew by 18.9% over the same time frame.

The Centers for Medicare & Medicaid Services report that federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, making up about 18% of all national health expenditures. This is a sharp increase from $613.5 billion in 2019, before the COVID-19 emergency.

This represents roughly 40% growth in a short period, propelled by expanded enrollment and higher service use during and after the pandemic.

Federal budget bills passed during the Trump administration brought significant proposals to reduce Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” approved in 2025, is slated to cut over $1 trillion in federal Medicaid funds over the coming decade, introducing work requirements and higher cost shares that could limit coverage and funding for some enrollees. These steps are expected to push more costs to states and slow the rise of federal Medicaid spending, even as the program remains a major safety net for millions.

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.