Palisades Park Medicaid providers charged $3,705,706 in 2024 for services included in the National Codes Established for State Medicaid Agencies category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 34.1% rise from 2023, when providers filed $2,763,088 in claims in the same service category.
Medicaid is a state-administered public health insurance program funded by both the federal and state governments. It offers coverage for low-income individuals and families, seniors, children and people with disabilities, making it a major component of the U.S. health care system.
With taxpayer funding for Medicaid, trends in local billing reflect how public funds for health care are distributed within a community.
The “National Codes Established for State Medicaid Agencies” section represents a collective of Medicaid-billed services identified by the type of care, utilizing standardized HCPCS and CPT coding groups. For this analysis, each code was mapped to a single service type through uniform code prefixes and numerical groupings, grouping similar services while preventing double counting and sustaining precise service category rankings over time.
Medicaid expenditures rose across several categories, yet National Codes Established for State Medicaid Agencies led all other Medicaid payment categories in Palisades Park for 2024.
Statewide in New Jersey, National Codes Established for State Medicaid Agencies had the second-highest total Medicaid payments among categories in 2024.
From 2019 through 2024, Medicaid payments related to National Codes Established for State Medicaid Agencies increased by $3,634,367, or 5094.5%, in Palisades Park. Certain years, including 2021 and 2022, saw more rapid growth in spending.
Although spending for this service category was distributed throughout the city, payments were heavily concentrated in a small number of ZIP codes. For 2024, ZIP code 07650 alone accounted for $3,705,706 in Medicaid claims within this category, representing 100% of local Medicaid payments for related services that year.
Within National Codes Established for State Medicaid Agencies, payments also centered on a small set of individual billing codes.
Between 2023 and 2024, Medicaid payments for this Palisades Park category jumped 34.1%, a faster pace than the 11.1% increase for all Medicaid claim categories in the city during the same time.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, amounting to around 18% of national health spending. This was up from approximately $613.5 billion in 2019, the year before the COVID-19 pandemic.
The rise represents roughly 40% growth within just a few years, primarily due to higher enrollment and increased health care use throughout and after the pandemic.
Recent federal budget measures during the Trump administration have proposed substantial federal Medicaid reductions and changes to the program. The “One Big Beautiful Bill Act,” signed in 2025, is expected to cut over $1 trillion from federal Medicaid over the next decade and implement policies such as work requirements and greater cost-sharing. These changes may reduce coverage and shift some Medicaid costs to states, limiting future growth in federal support while Medicaid continues to provide insurance to tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $71,338 | -47.1% |
| 2021 | $820,119 | 1049.6% |
| 2022 | $1,849,561 | 125.5% |
| 2023 | $2,763,087 | 49.4% |
| 2024 | $3,705,706 | 34.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $3,705,706 | 60.8% |
| 2 | Temporary National Codes (Non-Medicare) | $2,299,809 | 37.7% |
| 3 | Medicine Services and Procedures | $65,261 | 1.1% |
| 4 | Evaluation and Management | $24,927 | 0.4% |
| 5 | Surgery | $12 | <0.1% |
| 6 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $3,537,058 | 12 |
| T1018 | School-based iep ser bundled | $168,647 | 6 |
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.


