In 2024, Pleasantville Medicaid providers billed a total of $3,134,052 for Procedures / Professional Services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 32% increase from 2023, when claims for the same service totaled $2,375,058.
Medicaid, a public health insurance program overseen by states and funded by both federal and state governments, covers low-income individuals and families, seniors, children, and people with disabilities, making it a significant part of the U.S. health care system.
Since taxpayer funding supports Medicaid, changes in local billing levels highlight how public health care funds are used within a community.
The “Procedures / Professional Services” category includes Medicaid services based on the kind of care provided, following standardized HCPCS and CPT code groupings. For this report, each billing code was matched to a single service category using uniform code prefixes and number ranges, which enabled consistent service comparisons and accurate category rankings.
Though Medicaid spending rose across several categories, Procedures / Professional Services was the top-ranked category by total Medicaid payments in Pleasantville in 2024.
Statewide, Procedures / Professional Services was New Jersey’s seventh largest Medicaid category by spending in 2024.
Between 2019 and 2024, Medicaid payments in Pleasantville linked to the Procedures / Professional Services category increased by $3,133,550—or 624,163.4%. Spending grew most rapidly in certain years, with notable year-over-year spikes in 2021 and 2022.
Services within this category were provided throughout Pleasantville, but a small number of ZIP codes received the majority of payments. In 2024, ZIP code 08232 accounted for $3,134,052—100% of all Medicaid spending in this category in the city that year.
Medicaid payments under Procedures / Professional Services were also focused within a limited group of individual billing codes.
For additional context, Medicaid payments for Procedures / Professional Services in Pleasantville increased by 32% between 2024 and 2023, compared with a 3.9% increase across all Medicaid categories citywide during the same period.
According to the Centers for Medicare & Medicaid Services, total Medicaid spending by federal and state governments was about $871.7 billion in fiscal year 2023, equaling roughly 18% of national health expenditures, and rising significantly from $613.5 billion in 2019 before the COVID-19 pandemic.
This change marks an increase of nearly 40% over several years, driven in large part by expanded enrollment and higher use of services during and after the pandemic.
Recent federal budget laws approved during the Trump administration have proposed sizable reductions to federal Medicaid funds and program changes. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion in federal Medicaid spending over the next 10 years and add policies such as work requirements and greater cost-sharing, which may impact coverage and funding for some recipients. These provisions could shift increased costs to states and restrict growth in federal Medicaid support even as the program continues to serve tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $502 | – |
| 2021 | $419,566 | 83472.4% |
| 2022 | $1,851,563 | 341.3% |
| 2023 | $2,375,058 | 28.3% |
| 2024 | $3,134,052 | 32% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Procedures / Professional Services | $3,134,052 | 31.8% |
| 2 | National Codes Established for State Medicaid Agencies | $2,545,018 | 25.8% |
| 3 | Evaluation and Management | $1,858,307 | 18.9% |
| 4 | Temporary National Codes (Non-Medicare) | $957,227 | 9.7% |
| 5 | Ambulance and Other Transport Services and Supplies | $649,322 | 6.6% |
| 6 | Alcohol and Drug Abuse Treatment | $313,348 | 3.2% |
| 7 | Medicine Services and Procedures | $271,910 | 2.8% |
| 8 | Dental Services | $119,349 | 1.2% |
| 9 | Medical And Surgical Supplies | $446 | <0.1% |
| 10 | Pathology and Laboratory Procedures | $272 | <0.1% |
| 11 | Drugs Administered Other than Oral Method | $0 | <0.1% |
| 11 | Temporary Codes | $0 | <0.1% |
| 11 | Vision Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G2067 | Med assist tx meth wk | $2,827,941 | 12 |
| G2068 | Med assist tx bupre oral | $177,288 | 12 |
| G2076 | Intake act w/med exam | $128,822 | 11 |
| G0008 | Admin influenza virus vac | $0 | 1 |
| G0155 | Hhcp-svs of csw,ea 15 min | $0 | 10 |
| G0156 | Hhcp-svs of aide,ea 15 min | $0 | 8 |
| G0299 | Hhs/hospice of rn ea 15 min | $0 | 10 |
| G0300 | Hhs/hospice of lpn ea 15 min | $0 | 5 |
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.
