Medicaid Medicine Services and Procedures payments in Waldwick reached $1,324 in 2024, up 9.9%

In Waldwick, Medicaid providers billed $1,324 in 2024 for Medicine Services and Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 9.9% rise from 2023, when $1,205 was claimed for these services.

Medicaid, a state-administered health insurance program funded by both the federal and state governments, provides coverage for low-income populations, seniors, children and individuals with disabilities. This makes it one of the nation’s largest public health programs.

Because payments are taxpayer-funded, shifts in Medicaid billing locally highlight how public health resources are distributed within each community.

The “Medicine Services and Procedures” group includes Medicaid services categorized by type of care, following standardized HCPCS and CPT coding. Each billing code for this review was designated to a single service group by code range and prefix, providing consistent categorization, preventing double counting, and helping maintain accurate trends over time.

Medicaid outlays increased in several areas, but Medicine Services and Procedures placed fourth among all Medicaid payment categories in Waldwick for 2024.

This category also stood at fourth place statewide in New Jersey for total Medicaid payments over the same year.

Between 2020 and 2024, Waldwick’s Medicaid payments for Medicine Services and Procedures increased by $136, or 9.3%. The rate of growth accelerated in certain years, particularly 2022 and 2021, which saw larger percentage increases.

In 2024, while spending in the Medicine Services and Procedures category was citywide, the largest payments were limited to a few ZIP codes, including 07463. That ZIP code alone totaled $1,324, representing all Medicaid payments for this category in Waldwick for the year.

A small group of individual billing codes accounted for the majority of payments within Medicine Services and Procedures in the area.

Comparatively, this 9.9% increase in category spending in Waldwick between 2024 and 2023 was less than the 45.9% growth observed across all Medicaid claim groupings in the city during that time.

According to the Centers for Medicare & Medicaid Services, federal and state spending on Medicaid together topped about $871.7 billion for fiscal year 2023. This made up about 18% of total national health expenditures, marking an increase from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This nearly 40% rise in a span of several years was largely attributed to more Medicaid enrollees and increased service usage during and following the pandemic.

Enacted under the Trump administration, recent federal budget policy measures have featured plans to reduce federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” passed in 2025, is anticipated to trim more than $1 trillion from federal Medicaid expenditures over the next 10 years while adding requirements such as mandatory employment and greater cost sharing, potentially impacting coverage and available funding for some recipients. As a result, states could face higher costs and federal support is expected to increase more slowly, although Medicaid remains a critical source of health care for millions.

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.