Medicaid spending on Medicine Services and Procedures jumps 1121% in North Plainfield for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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North Plainfield Medicaid providers billed $70,806 in 2024 for services classified under the Medicine Services and Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a significant 1121% jump from 2023, when claims for these services totaled $5,799.

Medicaid serves as a public health insurance program funded through both federal and state governments. The program provides coverage to low-income families and individuals, seniors, children, and those with disabilities, making it a substantial part of the broader U.S. health care system.

As Medicaid payments derive from taxpayers, fluctuations in local billing directly reflect how public health care funds are used within communities.

The “Medicine Services and Procedures” category encompasses a defined set of Medicaid-billed services grouped by care type, based on established HCPCS and CPT code ranges and prefixes. For analytical consistency, each billing code was placed into a distinct service category so related claim trends could be tracked over time while maintaining accurate ordering and data integrity.

Across various service categories, Medicaid spending went up, and Medicine Services and Procedures placed third in North Plainfield for total Medicaid reimbursements in 2024.

Statewide in New Jersey, the Medicine Services and Procedures category ranked fourth in total Medicaid payments for 2024.

Throughout the five-year span leading up to 2024, Medicaid payments connected to Medicine Services and Procedures rose by $66,904 for North Plainfield—a 1714.5% increase. Acceleration was most notable in certain years, including 2021 and 2023, with marked year-over-year growth.

Within the city, spending linked to Medicine Services and Procedures was spread throughout but centers mostly in certain ZIP codes. In 2024, ZIP code 07060 accounted for $70,805—the entirety of the category’s Medicaid payments in North Plainfield that year.

For this category, payments were concentrated to only a select few billing codes.

To put this into perspective, Medicaid payments for Medicine Services and Procedures rose by 1121% from 2023 to 2024, while overall Medicaid claims across all service categories in the city changed 5.9% during the same timeframe.

According to the Centers for Medicare & Medicaid Services, total Medicaid spending by federal and state combined was roughly $871.7 billion in fiscal year 2023. That figure made up about 18% of all national health expenditures, a significant increase from nearly $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This reflects a growth of about 40% in just a few years, mainly stemming from expanded Medicaid rolls and higher service use around the pandemic period and after.

Federal budget changes passed during the Trump administration have included measures to trim federal Medicaid funding and realign the program. Notably, the “One Big Beautiful Bill Act,” signed in 2025, is anticipated to reduce federal Medicaid spending by more than $1 trillion over the coming decade and to implement policy provisions—such as work requirements and greater cost-sharing—likely to impact beneficiary coverage and funding levels. The resulting shifts are expected to place more financial responsibility on states and curb federal Medicaid growth, even while millions continue to rely on the program.

Medicaid Payments Tied to Medicine Services and Procedures in North Plainfield, New Jersey Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $3,902 -38.7%
2021 $5,992 53.6%
2022 $5,135 -14.3%
2023 $5,799 12.9%
2024 $70,805 1121%
Top Categories by Medicaid Payments in North Plainfield, New Jersey, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $4,589,780 88.7%
2 Evaluation and Management $426,099 8.2%
3 Medicine Services and Procedures $70,805 1.4%
4 Surgery $29,124 0.6%
5 Ambulance and Other Transport Services and Supplies $26,196 0.5%
6 Orthotic Procedures and services $22,635 0.4%
7 Procedures / Professional Services $8,148 0.2%
8 Pathology and Laboratory Procedures $162 <0.1%
9 Drugs Administered Other than Oral Method $135 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in North Plainfield, New Jersey, 2024

HCPCS Code Description Medicaid Payments Claims
90999 Unlisted dialysis procedure $69,997 4
96372 Ther/proph/diag inj sc/im $238 3
93000 Electrocardiogram complete $203 1
90658 Iiv3 vaccine splt 0.5 ml im $203 1
96127 Brief emotional/behav assmt $163 5

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.



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