Somers Point Medicaid providers billed $102 for services in the Administrative, Miscellaneous and Investigational category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That figure represents an 82.1% jump from 2023, when $56 in claims were submitted for these services.
Medicaid serves as a public health coverage program managed by the states and funded cooperatively between federal and state governments. It provides coverage for low-income households, seniors, children and people with disabilities, forming a core component of the U.S. health care system.
Because Medicaid funding originates from taxpayers, fluctuations in local billing offer insight into how public health dollars are distributed within a community.
The “Administrative, Miscellaneous and Investigational” grouping represents a collection of Medicaid services organized by care type, aligned with HCPCS and CPT coding conventions. This review used consistent code groupings to assign billing codes into one category each based on code prefixes and numbers, ensuring related services were grouped together for analysis while avoiding repeated counts and supporting accurate rankings over time.
While overall Medicaid expenditures grew across many categories, Administrative, Miscellaneous and Investigational was the 14th highest category in Somers Point by total Medicaid payments in 2024.
Statewide in New Jersey, Administrative, Miscellaneous and Investigational ranked 24th among all Medicaid payment categories for 2024.
Looking at the five years leading to 2024, Medicaid payments in Somers Point for this category climbed by $489, or 82.8%. The rate of growth gained pace in some years, with sizable gains reported in both 2023 and 2022.
Though these payments supported care citywide, they were largely concentrated within select ZIP codes. In 2024, ZIP code 08244 accounted for $101 in Medicaid spending related to the Administrative, Miscellaneous and Investigational category. Together, the top ZIP code comprised 99.7% of total payments in this category for Somers Point during the year.
Within the Administrative, Miscellaneous and Investigational category, funding was focused on a limited set of specific billing codes.
To compare, Medicaid payments tied to Administrative, Miscellaneous and Investigational in Somers Point rose 82.1% from 2023 to 2024, while all Medicaid claim categories in the city saw a 25.5% change in the same interval.
According to the Centers for Medicare & Medicaid Services, federal and state spending on Medicaid totaled about $871.7 billion in the 2023 fiscal year, accounting for roughly 18% of total U.S. health expenditures. This is a significant increase from approximately $613.5 billion in 2019, prior to the onset of the COVID-19 pandemic.
This marks growth of roughly 40% in just a few years, primarily due to increased enrollment and utilization during and following the pandemic.
Recent federal budget laws enacted under the Trump administration have included major plans to scale back federal Medicaid funding and revise how the program is structured. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over 10 years and implement measures like work requirements and higher cost-sharing that may decrease benefits and funding for some enrollees. These policies are anticipated to shift more costs onto states and place limits on federal Medicaid contributions even as the program remains a key pillar for tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $591 | -88.9% |
| 2021 | $0 | -100% |
| 2022 | $40 | – |
| 2023 | $56 | 38.6% |
| 2024 | $101 | 81.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $6,304,153 | 58.7% |
| 2 | Temporary National Codes (Non-Medicare) | $1,430,620 | 13.3% |
| 3 | Radiology Procedures | $814,979 | 7.6% |
| 4 | Medicine Services and Procedures | $811,249 | 7.6% |
| 5 | Surgery | $490,630 | 4.6% |
| 6 | Procedures / Professional Services | $384,599 | 3.6% |
| 7 | Pathology and Laboratory Procedures | $214,449 | 2% |
| 8 | Outpatient PPS | $202,286 | 1.9% |
| 9 | National Codes Established for State Medicaid Agencies | $53,488 | 0.5% |
| 10 | Drugs Administered Other than Oral Method | $20,944 | 0.2% |
| 11 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $2,887 | <0.1% |
| 12 | Orthotic Procedures and services | $1,672 | <0.1% |
| 13 | Durable Medical Equipment | $284 | <0.1% |
| 14 | Administrative, Miscellaneous and Investigational | $101 | <0.1% |
| 15 | Vision Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A9270 | Non-covered item or service | $101 | 10 |
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.
