Woodbury Heights Medicaid Evaluation and Management claims total $70,776 in 2024

In 2024, Medicaid providers in Woodbury Heights submitted $70,776 in claims for services categorized as Evaluation and Management, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 25% rise from 2023, when claims for the same services totaled $56,602.

Medicaid operates as a state-administered public health insurance program funded through both federal and state resources. The program covers low-income households, seniors, children, and people with disabilities, making it a major component of the U.S. health system.

Because taxpayer dollars finance Medicaid, fluctuations in local billing patterns reveal how healthcare funds are distributed within the community.

The Evaluation and Management category includes a range of Medicaid-billed services grouped by the nature of care provided, using standardized HCPCS and CPT code definitions. For this analysis, billing codes were each assigned to a specific service grouping by matching standard code prefixes and numeric sets, which ensures related services are grouped together, prevents duplicate counting, and supports consistent rankings across years.

Even though Medicaid spending increased among several service groups, Evaluation and Management ranked fourth in total Medicaid payments for Woodbury Heights in 2024.

Across New Jersey, Evaluation and Management placed third by total Medicaid payments at the state level in 2024.

During the five years through 2024, Medicaid payments associated with Evaluation and Management in Woodbury Heights grew by $2,659, or 3.9%. Spending accelerated at different points, notably with larger annual increases in 2021 and 2020.

While Evaluation and Management services were utilized throughout the city, the associated Medicaid payments were heavily concentrated in a small number of ZIP codes. In 2024, ZIP code 08097 accounted for $70,775, representing 100% of the Medicaid payments linked to Evaluation and Management in Woodbury Heights that year.

These Medicaid payments were further focused among only a few individual billing codes within Evaluation and Management.

When compared to 2023, Evaluation and Management Medicaid payments in Woodbury Heights grew by 25% in 2024. In contrast, all Medicaid payment categories in the city combined saw a 1.6% increase for the same interval.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending totaled approximately $871.7 billion in fiscal year 2023, making up about 18% of total U.S. health spending. This figure rose sharply from nearly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth equates to an increase of around 40% in just a few years, with much of it driven by increased enrollment and heightened service usage during and following the pandemic.

Recent federal budgets under the Trump administration have included major measures to decrease federal Medicaid contributions and revise program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to cut more than $1 trillion in federal Medicaid support over the next decade. It introduces requirements and policies such as work mandates and higher cost-sharing, which could lower both coverage and funding for some participants. Such changes are expected to shift increased costs to states and curb federal Medicaid funding growth, while the program continues to cover tens of millions of Americans.

Note: HCPCS codes are listed to provide context within the category. Totals and rankings here are based on standardized service groupings and not on each individual billing code.

Details in this article are sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.