Hearing Services billed to Medicaid in Fair Lawn top $196,000 in 2024, surging 179%

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Medicaid providers in Fair Lawn billed a total of $196,010 for services in the Hearing Services category in 2024. This amount marks a 179.4% rise compared to 2023, when $70,165 was claimed for these services.

Medicaid, a public health insurance initiative managed by states with both federal and state funding support, covers eligible low-income people, seniors, children, and individuals with disabilities, making it a major element of the U.S. health care system. More on its funding can be found through the Commonwealth Fund.

Because Medicaid dollars come from the public, fluctuations in local billing reveal how health care funds are distributed within a community.

The “Hearing Services” classification includes a specified group of Medicaid services identified by the nature of care using standardized HCPCS and CPT codes. In this analysis, billing codes were assigned to a single service type based on uniform code prefixes and ranges, helping clarify trends without duplicate reporting and ensuring precise category rankings through time.

Hearing Services ranked 10th for total Medicaid payments in Fair Lawn in 2024, even as other categories also saw higher expenditures.

Statewide in New Jersey, Hearing Services held the 18th position for Medicaid spending among all categories in 2024.

Between 2019 and 2024, Medicaid billing for Hearing Services in Fair Lawn rose by $153,592, up 362.1%. Several years in that period, especially 2021 and 2022, saw more rapid increases in annual spending.

While Hearing Services payments spanned the whole city, spending was concentrated in a handful of ZIP codes. The 07410 ZIP code generated $196,010 in claims for the category in 2024—amounting to 100% of Fair Lawn’s Medicaid spending on Hearing Services that year.

Medicaid claims within Hearing Services were also focused on a limited selection of billing codes.

To compare, payments resulting from Hearing Services in Fair Lawn jumped 179.4% from 2023 to 2024, while overall Medicaid claims in the city went up 16.6% over the same span.

According to the Centers for Medicare & Medicaid Services, Medicaid expenditures nationwide rose to $871.7 billion in fiscal 2023. This represented about 18% of all U.S. health care spending, a substantial increase from $613.5 billion back in 2019, ahead of the COVID-19 outbreak.

This jump amounts to roughly 40% growth in merely a few years, with factors like rising enrollment and increased service use during and after the pandemic playing key roles.

Federal budget legislation enacted during the Trump administration included significant efforts to scale back federal Medicaid contributions and revise the program structure. For example, the “One Big Beautiful Bill Act,” became law in 2025, calling for over $1 trillion in Medicaid cuts over the next decade and imposing policies like work requirements and greater cost-sharing that could limit some beneficiaries’ coverage and shift more financial responsibility to states.

Medicaid Payments Tied to Hearing Services in Fair Lawn, New Jersey Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $42,418 -27.6%
2021 $79,254 86.8%
2022 $89,764 13.3%
2023 $70,165 -21.8%
2024 $196,010 179.4%
Top Categories by Medicaid Payments in Fair Lawn, New Jersey, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $35,887,991 57.9%
2 Temporary National Codes (Non-Medicare) $12,698,780 20.5%
3 Alcohol and Drug Abuse Treatment $3,177,074 5.1%
4 Surgery $3,043,505 4.9%
5 Medicine Services and Procedures $2,073,383 3.3%
6 Evaluation and Management $1,648,663 2.7%
7 Procedures / Professional Services $1,606,002 2.6%
8 Pathology and Laboratory Procedures $959,820 1.5%
9 Ambulance and Other Transport Services and Supplies $291,933 0.5%
10 Hearing Services $196,010 0.3%
11 Medical And Surgical Supplies $124,988 0.2%
12 Dental Services $119,257 0.2%
13 Radiology Procedures $65,148 0.1%
14 Orthotic Procedures and services $61,642 0.1%
15 Vision Services $22,064 <0.1%
16 Coronavirus Diagnostic Panel $3,490 <0.1%
17 Drugs Administered Other than Oral Method $572 <0.1%
18 Administrative, Miscellaneous and Investigational $80 <0.1%
Top 20 HCPCS Codes Within the Hearing Services Category in Fair Lawn, New Jersey, 2024

HCPCS Code Description Medicaid Payments Claims
V5261 Hearing aid, digit, bin, bte $126,158 3
V5160 Dispensing fee binaural $45,468 9
V5266 Battery for hearing device $18,571 22
V5011 Hearing aid fitting/checking $4,837 11
V5010 Assessment for hearing aid $974 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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