Medicaid Surgery category payments total $6,037 in Thorofare for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show that providers in Thorofare billed $6,037 for services in the Surgery category. This represents a 5% rise from 2023, when claims for these services totaled $5,747.

Medicaid is a public health insurance program jointly funded by states and the federal government as explained here. The program serves low-income individuals and families, seniors, children and those with disabilities, making it a central component of the nation’s health care framework.

Since Medicaid relies on taxpayer funding, shifts in local claim figures illustrate how public health care dollars are distributed within communities.

The “Surgery” label comprises services Medicaid bills according to standardized HCPCS and CPT code groups. This analysis categorized each billing code into a single service group using preset code prefixes and numerical ranges, ensuring related services were grouped for trend tracking and accurate time-based ranks while minimizing duplication.

Across several service areas, Medicaid expenses climbed, with Surgery ranking third among Medicaid payments in Thorofare for 2024.

On a statewide basis, Surgery was the ninth largest category for Medicaid payouts in New Jersey in 2024.

Over the five years ending with 2024, Medicaid payments linked to the Surgery category in Thorofare increased by $4,958, a 459.3% growth. Certain years, such as 2021 and 2023, saw especially pronounced year-over-year rises.

Within Thorofare, health care billings for Surgery were distributed across the city but concentrated in only a few ZIP codes. In 2024, ZIP code 08086 accounted for $6,036, representing 100% of Medicaid payments in this category for Thorofare that year.

Surgery-related Medicaid spending in 2024 predominantly focused on a limited number of specific billing codes.

To compare, while Surgery claims jumped 5% in Thorofare between 2024 and 2023, combined Medicaid payments across all categories rose by 35.9% citywide in the same timeframe.

Centers for Medicare & Medicaid Services data indicate that state and federal Medicaid funding totaled about $871.7 billion nationwide in fiscal 2023—roughly 18% of all national health care expenditures—a notable jump from roughly $613.5 billion before the COVID-19 pandemic in 2019.

This increase reflects approximately 40% growth over a few years, propelled by increased enrollment and greater service use during and after the pandemic.

Recent federal budget acts passed during the Trump administration propose large reductions to federal Medicaid funding and reform the program’s structure. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to trim federal Medicaid spending by more than $1 trillion over 10 years, creating work mandates and more cost-sharing that may curtail coverage and funds for some enrollees. These changes could shift greater costs onto states and slow the pace of federal Medicaid growth, although the program will remain a core resource for millions of Americans.

Medicaid Payments Tied to Surgery in Thorofare, New Jersey Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $1,079
2021 $3,344 209.8%
2022 $4,077 21.9%
2023 $5,747 40.9%
2024 $6,036 5%
Top Categories by Medicaid Payments in Thorofare, New Jersey, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $16,394 45.1%
2 Radiology Procedures $13,911 38.3%
3 Surgery $6,036 16.6%
Top 20 HCPCS Codes Within the Surgery Category in Thorofare, New Jersey, 2024

HCPCS Code Description Medicaid Payments Claims
11721 Debride nail 6 or more $3,426 11
11056 Parng/cutg b9 hyprkr les 2-4 $1,312 9
11720 Debride nail 1-5 $826 10
11719 Trim nail(s) any number $471 11

Note: HCPCS codes are included for category context. The totals and rankings cited here follow standardized groupings by service, not individual codes.

This article’s source is the U.S. Department of Health and Human Services Medicaid Provider Spending database, with original data available here.



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