Glassboro Medicaid outlays for Evaluation and Management services total $1,776,264 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Glassboro billed a total of $1,776,264 for services classified under the Evaluation and Management category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an 8.2% rise over 2023, which saw $1,641,425 in claims for the same classification.

Medicaid operates as a public health insurance initiative managed by states and funded jointly by federal and state governments. It provides coverage to low-income people, seniors, children, and individuals with disabilities, making it integral to the U.S. health care system.

Since Medicaid expenditures are sourced from taxpayers, local shifts in billing highlight how health care resources are distributed within a community.

The “Evaluation and Management” category denotes a set of Medicaid services grouped according to the type of care, defined by standard HCPCS and CPT code classifications. This analysis assigned each billing code to a single service category utilizing consistent code prefixes and numeric intervals, ensuring that related services were grouped accurately while preventing duplication and maintaining proper rankings through time.

While Medicaid spending grew across several service categories, Evaluation and Management ranked second in Glassboro for total Medicaid payments in 2024.

Statewide in New Jersey, Evaluation and Management held the third-highest spot for Medicaid payments in 2024.

Looking at the five years preceding 2024, Medicaid payments connected to Evaluation and Management services in Glassboro rose by $795,480, an increase of 81.1%. Certain periods saw accelerated spending growth, with especially notable year-over-year increases in 2021 and 2023.

Though spending on Evaluation and Management care was distributed throughout the city, it was concentrated within a small number of ZIP codes. In 2024, payments in the 08028 ZIP code reached $1,776,263, accounting for the entirety of Medicaid payments in this category for Glassboro that year.

Medicaid reimbursements within the Evaluation and Management category were also focused on a few specific billing codes.

For context, Glassboro’s Medicaid payments for Evaluation and Management services increased by 8.2% between 2024 and 2023, compared with a 1% change across all Medicaid claim types in the city over the same period.

Centers for Medicare & Medicaid Services data shows that overall federal and state Medicaid spending was roughly $871.7 billion in fiscal year 2023, making up about 18% of total U.S. health spending, and marking a significant increase from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth amounts to an increase of about 40% over a few years, fueled by greater enrollment and usage during and following the pandemic period.

Major federal budget measures during the Trump administration introduced large-scale proposals to curtail federal Medicaid funds and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to trim more than $1 trillion from federal Medicaid allocations over the coming decade and brings policies such as mandatory work requirements and higher cost-sharing, which may reduce benefits and funding for some recipients. These adjustments are expected to transfer more costs to states and place a cap on the rate of federal Medicaid spending increases, even as the program continues to serve many Americans.

Medicaid Payments Tied to Evaluation and Management in Glassboro, New Jersey Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $980,784 21%
2021 $1,327,226 35.3%
2022 $1,310,844 -1.2%
2023 $1,641,424 25.2%
2024 $1,776,263 8.2%
Top Categories by Medicaid Payments in Glassboro, New Jersey, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary National Codes (Non-Medicare) $3,017,093 48.7%
2 Evaluation and Management $1,776,263 28.6%
3 Medicine Services and Procedures $683,493 11%
4 National Codes Established for State Medicaid Agencies $345,040 5.6%
5 Alcohol and Drug Abuse Treatment $246,960 4%
6 Radiology Procedures $77,880 1.3%
7 Surgery $40,227 0.6%
8 Dental Services $4,933 0.1%
9 Pathology and Laboratory Procedures $3,343 0.1%
10 Temporary Codes $2,593 <0.1%
11 Procedures / Professional Services $1,216 <0.1%
12 Drugs Administered Other than Oral Method $1,035 <0.1%
13 Vision Services $0 <0.1%
Top 20 HCPCS Codes Within the Evaluation and Management Category in Glassboro, New Jersey, 2024

HCPCS Code Description Medicaid Payments Claims
99214 Office o/p est mod 30 min $385,781 482
99213 Office o/p est low 20 min $374,793 427
99361 $293,322 4
99309 Sbsq nf care moderate mdm 30 $215,871 118
99215 Office o/p est hi 40 min $63,277 46
99308 Sbsq nf care low mdm 20 $53,302 83
99233 Sbsq hosp ip/obs high 50 $51,658 57
99223 1st hosp ip/obs high 75 $41,995 44
99204 Office o/p new mod 45 min $39,612 28
99306 1st nf care high mdm 50 $28,793 25
99205 Office o/p new hi 60 min $28,154 14
99232 Sbsq hosp ip/obs moderate 35 $27,952 41
99222 1st hosp ip/obs moderate 55 $25,701 37
99392 Prev visit est age 1-4 $24,459 17
99212 Office o/p est sf 10 min $23,269 31
99393 Prev visit est age 5-11 $22,243 14
99391 Per pm reeval est pat infant $16,399 12
99394 Prev visit est age 12-17 $13,936 8
99459 Pelvic examination $10,229 39
99310 Sbsq nf care high mdm 45 $8,241 12

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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