Providers accepting Medicaid in North Cape May billed a total of $666,522 in 2024 for services within the National Codes Established for State Medicaid Agencies category, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That total reflects a 94.1% increase compared to 2023, when providers in the area billed $343,476 for the same category of services.
Medicaid is a public insurance program operated by each state and funded in partnership with federal and state governments. The program covers low-income people and families, seniors, children, and those with disabilities, making it a significant component of the U.S. health system.
Since Medicaid is taxpayer-funded, changes in local claims volumes directly demonstrate how community public health care dollars are being distributed.
The “National Codes Established for State Medicaid Agencies” category details a set of Medicaid services grouped by care type, classified through standardized HCPCS and CPT code systems. This review assigned each code to a single service group using systematic prefixes and numeric categorizations, ensuring that related services were considered together, double-counting was avoided, and rankings stayed precise over time.
While Medicaid expenditures rose for many service types, National Codes Established for State Medicaid Agencies led all categories in North Cape May by total Medicaid payments for 2024.
Statewide, the National Codes Established for State Medicaid Agencies category held second place by total Medicaid payments in New Jersey for 2024.
From five years prior to 2024, Medicaid spending within this category in North Cape May increased by $321,155, or 93%. Some years saw faster growth, particularly with major year-over-year jumps occurring in 2022 and 2020.
Spending in the National Codes Established for State Medicaid Agencies category was distributed throughout North Cape May, but mostly concentrated in a few ZIP codes. In 2024, ZIP code 08204 represented the highest Medicaid spending for this service category, totaling $666,522. The leading ZIP code accounted for all Medicaid payments under this category in the city that year.
Among the services classified as National Codes Established for State Medicaid Agencies, a small set of billing codes represented the majority of Medicaid payments.
In context, Medicaid payments in North Cape May for this category increased by 94.1% from 2023 to 2024, while payments across all local Medicaid services climbed 30.2% in the same timeframe.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together reached about $871.7 billion in the 2023 fiscal year, making up about 18% of total national health expenditures—a sharp rise from about $613.5 billion in 2019, before the start of the COVID-19 pandemic.
This almost 40% rise in spending over just a few years largely resulted from expanded enrollment and increased service demand during and after the pandemic.
Recent federal budget legislation during the Trump administration featured major proposals to decrease federal Medicaid funding and modify the program’s structure. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade and includes measures such as work requirements and higher cost-sharing, which may constrict coverage and funding for certain recipients. These changes are anticipated to transfer more costs to states and restrain growth in federal Medicaid support, even as the program continues to aid tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $345,367 | 33.2% |
| 2021 | $327,674 | -5.1% |
| 2022 | $494,045 | 50.8% |
| 2023 | $343,476 | -30.5% |
| 2024 | $666,522 | 94.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $666,522 | 89.9% |
| 2 | Medicine Services and Procedures | $53,185 | 7.2% |
| 3 | Evaluation and Management | $21,315 | 2.9% |
| 4 | Surgery | $215 | <0.1% |
| 5 | Pathology and Laboratory Procedures | $19 | <0.1% |
| 6 | Other Services | $10 | <0.1% |
| 7 | Drugs Administered Other than Oral Method | $0 | <0.1% |
| 7 | Medical And Surgical Supplies | $0 | <0.1% |
| 7 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2031 | Assist living waiver/diem | $666,522 | 11 |
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.
