In 2024, Bound Brook Medicaid providers submitted $274,102 in claims for Medicine Services and Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represents a 12.9% rise from 2023, when $242,866 was claimed for the same category of services.
Medicaid is a government health insurance program managed by states and funded in partnership with federal and state governments. It covers people with low incomes, the elderly, children, and individuals with disabilities—making it a core part of the U.S. health care infrastructure.
Because Medicaid funding is taxpayer-based, shifts in local billing indicate changes in how public health care dollars are distributed locally.
The “Medicine Services and Procedures” category includes a collection of Medicaid-billed services grouped by care type, sorted using standardized HCPCS and CPT codes. Each billing code for this analysis was classified within a single service group based on consistent prefix and numeric classifications, allowing for aggregated review of similar services with accurate, unduplicated year-over-year ranks.
While overall Medicaid spending rose across several service categories, Medicine Services and Procedures was the third-largest category in Bound Brook by total Medicaid payments in 2024.
Statewide, Medicine Services and Procedures ranked as the fourth category for total Medicaid payments in New Jersey in 2024.
Over the five years before 2024, Medicaid reimbursements for Medicine Services and Procedures in Bound Brook grew by $37,062, or 11.9%. Periods of accelerated spending included notably sharp annual increases during 2022 and 2022.
Although care classified under Medicine Services and Procedures occurred citywide, the bulk of Medicaid payments were concentrated within a handful of ZIP codes; in 2024, ZIP code 08805 accounted for $274,101, comprising 100% of all local Medicaid payments for the category in Bound Brook.
Spending in the Medicine Services and Procedures group was also clustered among relatively few billing codes.
Compared to the 12.9% annual increase in Bound Brook’s Medicine Services and Procedures category from 2023 to 2024, all Medicaid claim categories in the city saw a combined growth rate of 66.5% during this period.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached around $871.7 billion in fiscal 2023—about 18% of U.S. health expenditures—rising sharply from $613.5 billion in 2019, ahead of the COVID-19 pandemic.
This increase represents roughly 40% growth within a few years, largely propelled by higher enrollment and usage during and following the pandemic.
Recent federal budget measures signed during the Trump administration have put forth considerable changes to federal Medicaid funding and how the program is structured. The “One Big Beautiful Bill Act,” which became law in 2025, is projected to reduce federal Medicaid spending by over $1 trillion in the next decade. It introduces policies such as work requirements and greater cost-sharing, which could reduce both coverage for some recipients and federal funding overall, likely shifting further costs to states as Medicaid continues to cover tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $311,164 | -24.2% |
| 2021 | $186,322 | -40.1% |
| 2022 | $266,164 | 42.9% |
| 2023 | $242,866 | -8.8% |
| 2024 | $274,101 | 12.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $1,393,581 | 61.6% |
| 2 | Temporary National Codes (Non-Medicare) | $287,495 | 12.7% |
| 3 | Medicine Services and Procedures | $274,101 | 12.1% |
| 4 | Dental Services | $164,155 | 7.3% |
| 5 | Pathology and Laboratory Procedures | $67,098 | 3% |
| 6 | National Codes Established for State Medicaid Agencies | $56,959 | 2.5% |
| 7 | Ambulance and Other Transport Services and Supplies | $20,080 | 0.9% |
| 8 | Vision Services | $332 | <0.1% |
| 9 | Medical And Surgical Supplies | $0 | <0.1% |
| 9 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90834 | Psytx w pt 45 minutes | $171,626 | 12 |
| 90999 | Unlisted dialysis procedure | $86,375 | 10 |
| 90833 | Psytx w pt w e/m 30 min | $12,117 | 11 |
| 90791 | Psych diagnostic evaluation | $3,240 | 1 |
| 92004 | Compre oph exam new pt 1/> | $722 | 8 |
| 92250 | Fundus photography w/i&r | $18 | 9 |
| 90480 | Admn sarscov2 vac 1/only cmp | $0 | 2 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | $0 | 1 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | $0 | 2 |
| 92014 | Compre oph exam est pt 1/> | $0 | 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.
