Basking Ridge sees $3,063 in Medicaid claims for Procedures / Professional Services in 2024

In 2024, providers in Basking Ridge billed $3,063 under the Procedures / Professional Services category through Medicaid, using information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents an 18.6% increase from 2023, when $2,583 was claimed for the same services.

Medicaid, jointly funded by state and federal governments, is a public health insurance program. It serves low-income residents, older adults, children, and individuals with disabilities, making it a major component of the U.S. health care system. More details on funding are available at the Commonwealth Fund.

Since Medicaid spending draws on taxpayer resources, shifts in billing at the local level show how health care dollars are distributed within a given area.

The “Procedures / Professional Services” category groups Medicaid-billed services according to care type, using standard HCPCS and CPT code sets. To ensure accuracy, every code was categorized by typical prefixes and numbers, enabling grouped analysis and eliminating overlap while maintaining correct rankings across years.

Medicaid expenditures in Basking Ridge grew in several service groups, and in 2024, Procedures / Professional Services was the fifth largest by total payments in the city.

Statewide, the Procedures / Professional Services category was ranked seventh by total Medicaid dollars spent in New Jersey for 2024.

From 2019 through 2024, Basking Ridge saw Medicaid payments for the Procedures / Professional Services category rise by $88, or about 3%. Certain periods saw higher annual growth, with particularly large jumps in 2023 and 2022.

Payments for care in the Procedures / Professional Services category were spread throughout Basking Ridge but focused in only a few ZIP codes. In 2024, ZIP code 07920 reported the highest total with $3,062, accounting for 100% of the city’s Medicaid payments in this service group for the year.

Within the Procedures / Professional Services category, payments through Medicaid were largely tied to a small subset of individual billing codes.

Looking at year-over-year comparisons, the 18.6% increase in Basking Ridge for the Procedures / Professional Services category from 2023 to 2024 exceeded the 15.6% growth seen across all local Medicaid claim categories over the same span.

The Centers for Medicare & Medicaid Services reports that joint federal and state Medicaid spending totaled about $871.7 billion in fiscal 2023, or around 18% of total national health dollars—a substantial rise from roughly $613.5 billion in 2019, pre-pandemic.

This rapid increase—around 40% in a few years—was fueled by surging enrollment and greater health care use during and after COVID-19.

Recent federal budget actions under the Trump administration have directly targeted Medicaid, including plans to reduce federal support and alter the program’s structure. The “One Big Beautiful Bill Act,” which became law in 2025, is projected to lower federal Medicaid spending by more than $1 trillion over 10 years and adds requirements like work eligibility and increased beneficiary cost-sharing. These policies may lower coverage and federal spending for some participants, shifting a greater share of costs to state budgets and limiting growth, even as the program continues to serve tens of millions of people 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.