Elmwood Park sees $6,243,144 in Medicaid reimbursements for state Medicaid agency code category in 2024

In 2024, Medicaid providers in Elmwood Park billed $6,243,144 for services grouped under the National Codes Established for State Medicaid Agencies, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 17.4% increase compared to the prior year, when providers submitted $5,318,566 in claims for the same service category.

Medicaid is a publicly funded health insurance program managed by the states and financed by both federal and state governments. Serving low-income residents, seniors, children, and individuals with disabilities, it represents a significant component of the nation’s health care landscape.

Since Medicaid payments are drawn from taxpayer funds, shifts in local billing levels can indicate how a community’s public health care resources are spent.

The “National Codes Established for State Medicaid Agencies” category encompasses a set of Medicaid services defined by care type, organized using established HCPCS and CPT coding schemes. In this analysis, each billing code was matched to a single service group based on code prefixes and number ranges, enabling group-level review that avoids counting services multiple times and maintains accurate trend comparisons over time.

While Medicaid spending grew in several service groups, National Codes Established for State Medicaid Agencies ranked second by total Medicaid payments in Elmwood Park for 2024.

Statewide in New Jersey, this category also placed second for total Medicaid reimbursement in 2024.

In the five years ending in 2024, Elmwood Park’s Medicaid payments connected to the National Codes Established for State Medicaid Agencies category increased by $6,243,144, or 0%. During some periods, growth quickened, with substantial year-over-year gains reported in 2023 and 2022.

Spending within the National Codes Established for State Medicaid Agencies category was distributed citywide but concentrated heavily within a few ZIP codes. In 2024, ZIP code 07407 accounted for $6,243,143 in Medicaid payments, representing 100% of the total for this service group in Elmwood Park that year.

Most payments within this service group were tied to a small subset of specific billing codes.

Comparatively, Medicaid payments for this category in Elmwood Park increased 17.4% from 2023 to 2024, while overall Medicaid claim categories in the city rose by 22.9% during this time.

According to the Centers for Medicare & Medicaid Services, federal and state spending on Medicaid totaled about $871.7 billion in fiscal 2023, or roughly 18% of the nation’s health expenditures, a sharp rise from $613.5 billion in 2019 before the COVID-19 public health emergency.

This growth represents an increase of about 40% within a few years, fueled primarily by higher enrollment and increased service utilization during and following the pandemic.

Recent budget legislation at the federal level during the Trump administration has introduced notable proposals to cut Medicaid funding and change the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid funding by more than $1 trillion over 10 years and institutes policies such as work requirements and greater cost-sharing. These changes could lead to reduced coverage and funding for some recipients, shifting more financial responsibility to states as federal support is constrained while the program continues serving tens of millions nationwide.

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.