Cape May Court House Medicaid payments for national code services reach $1,730,164 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Cape May Court House billed $1,730,164 for services under the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This figure reflects a 1.7% rise compared to 2023, when $1,701,689 in claims were submitted for these services.

Medicaid is a government health insurance program administered by states and funded jointly by federal and state governments. It provides coverage for low-income individuals, families, seniors, children, and people with disabilities, ranking as one of the largest components of the U.S. health system.

Because Medicaid payments are taxpayer-funded, local billing shifts reflect how public health care resources are allocated in a given area.

The “National Codes Established for State Medicaid Agencies” category includes a collection of Medicaid-billed services defined by specific care types, with groupings based on standardized HCPCS and CPT coding. Each code used in this assessment was matched to a primary service category by examining consistent code prefixes and numeric patterns, which enabled evaluation of related services without double counting and allowed for accurate historical comparisons.

Although spending rose across several Medicaid service types, the National Codes Established for State Medicaid Agencies category ranked third by total Medicaid payments in Cape May Court House for 2024.

Statewide in New Jersey, this category finished as the second-highest by overall Medicaid payment total for the year.

From 2019 through 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Cape May Court House increased by $228,005—a growth rate of 15.2%. Growth accelerated during select periods, with noticeable year-over-year increases in both 2022 and 2023.

This Medicaid spending was seen citywide but was concentrated within a handful of ZIP codes. In 2024, ZIP code 08210 accounted for the total $1,730,164 in Medicaid payments for this category, representing all such spending for Cape May Court House during that time.

Payments within the National Codes Established for State Medicaid Agencies category remained focused among just a few billing codes.

Over the period from 2023 to 2024, Medicaid payments in this category went up 1.7% in Cape May Court House, while the city’s spending across all Medicaid claims increased by 12.8% between those same years.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending totaled approximately $871.7 billion in fiscal year 2023, roughly 18% of all national health costs, up significantly from around $613.5 billion in 2019 before the COVID-19 pandemic.

This approximate 40% gain over several years was primarily driven by increases in enrollment and use during the pandemic and periods that followed.

Recent federal budget laws passed during the Trump administration featured major proposals aimed at lowering federal Medicaid outlays and restructuring program rules. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion in the coming decade and includes measures like work requirements and higher cost-sharing responsibilities that may shrink coverage for certain individuals. These adjustments are projected to increase state financial obligations and limit federal Medicaid growth, despite the program’s ongoing coverage of tens of millions of Americans.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Cape May Court House, New Jersey Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $1,502,159 -38.2%
2021 $1,320,220 -12.1%
2022 $1,531,318 16%
2023 $1,701,689 11.1%
2024 $1,730,164 1.7%
Top Categories by Medicaid Payments in Cape May Court House, New Jersey, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $9,738,636 50.6%
2 Evaluation and Management $3,382,186 17.6%
3 National Codes Established for State Medicaid Agencies $1,730,164 9%
4 Procedures / Professional Services $1,307,435 6.8%
5 Temporary National Codes (Non-Medicare) $1,209,363 6.3%
6 Medicine Services and Procedures $889,161 4.6%
7 Radiology Procedures $430,702 2.2%
8 Pathology and Laboratory Procedures $247,502 1.3%
9 Surgery $195,790 1%
10 Dental Services $57,943 0.3%
11 Ambulance and Other Transport Services and Supplies $17,772 0.1%
12 Coronavirus Diagnostic Panel $15,732 0.1%
13 Orthotic Procedures and services $11,384 0.1%
14 Temporary Codes $2,691 <0.1%
15 Drugs Administered Other than Oral Method $1,975 <0.1%
16 Outpatient PPS $853 <0.1%
17 Medical And Surgical Supplies $704 <0.1%
18 Pathology and Laboratory Services $177 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Cape May Court House, New Jersey, 2024

HCPCS Code Description Medicaid Payments Claims
T2021 Day habil waiver per 15 min $1,323,971 12
T1018 School-based iep ser bundled $266,111 16
T1017 Targeted case management $93,928 7
T1030 Rn home care per diem $29,690 9
T2031 Assist living waiver/diem $16,463 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.



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