Medicaid payments for surgery in Margate City reach $33,785 in 2024, marking 141% rise

In 2024, Margate City Medicaid providers submitted $33,785 in claims for surgery services, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represents a 141.1% gain when measured against 2023, when claims for the same category amounted to $14,011.

Medicaid is a state-managed health insurance initiative, funded collaboratively by federal and state governments. The program is a primary source of coverage for low-income residents, seniors, children, and those with disabilities, making it a major element in the U.S. health care system.

Since Medicaid funding is sourced from taxpayers, adjustments in local payment amounts reflect shifts in how public health care dollars are directed within a community.

The “Surgery” category refers to a segment of Medicaid-billed services determined by how care is provided, based on groupings using standardized HCPCS and CPT coding. For the purpose of this report, each billing code was assigned to a single service group according to code patterns and numerical divisions, which enables tracking comparable services while eliminating duplication and protecting accurate year-to-year comparisons.

Even as Margate City saw increased Medicaid expenditures in various service types, surgery placed fourth among local Medicaid payment categories for 2024.

Across New Jersey, surgery ranked ninth statewide in total Medicaid payments for 2024.

Between 2019 and 2024, payments through Medicaid for Margate City surgery claims increased by $19,868, or 142.8%. The pace of spending growth picked up in some years, highlighted by key annual increases in 2021 and 2022.

Though surgery claims were submitted by providers citywide, the largest payment amounts centered on a specific set of ZIP codes. The ZIP code 08402 reported $33,784 in Medicaid payments for surgery in 2024, representing 100% of these payments in Margate City for the year.

Payments within this Medicaid category were concentrated among relatively few individual surgery billing codes.

During the period from 2023 to 2024, Margate City’s Medicaid spending connected to surgery rose 141.1%. In contrast, payments spanning all Medicaid service types in the city posted a 9.2% change over the same time frame.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached $871.7 billion in the 2023 fiscal year. This spending accounted for about 18% of total U.S. health care expenses, rising sharply from roughly $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

That increase equates to growth of nearly 40% in just a few years, largely a result of higher enrollment numbers and greater utilization during and following the pandemic.

Recent federal budget laws introduced under the Trump administration featured substantial proposals to reduce Medicaid funding and adjust aspects of the program. As an example, the “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to cut more than $1 trillion from federal Medicaid allocations over the next 10 years. The bill implements measures like work requirements and greater cost-sharing, which may decrease benefits and financial support for several recipients. Experts expect this shift will require states to assume a larger share of program costs while federal Medicaid funding nationwide experiences more limited expansion—even as the program continues to support tens of millions of beneficiaries.

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.