Camden Medicaid spending for procedures and professional services rises to $659,112 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Camden Medicaid providers billed a total of $659,112 for services under the Procedures / Professional Services category in 2024, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 24.9% rise from 2023, when $527,917 in claims were submitted for the same services.

Medicaid, which operates as a public health insurance program, is managed by individual states with funding supplied in partnership by federal and state governments. The program serves people and families with low income, seniors, children, and individuals with disabilities and is among the largest health care programs in the United States.

Since Medicaid dollars are taxpayer-funded, shifts in how much is billed locally reflect how health care resources are distributed throughout the community.

The Procedures / Professional Services category consists of Medicaid claims for services based on standardized HCPCS and CPT code groupings. For this data, each procedural code fits into one service area, determined by uniform code prefixes and range to allow like services to be compared, prevent code overlap, and ensure consistent analysis year-over-year.

While multiple Medicaid service areas in Camden saw rising expenditures, Procedures / Professional Services was the second-largest category by total Medicaid spending in 2024.

Statewide in Delaware, the Procedures / Professional Services category placed sixth for total Medicaid spending in 2024.

Across the five-year period ending in 2024, Camden’s Medicaid payments related to Procedures / Professional Services increased by $626,286, or 48.7%. The pace of growth varied, with significant annual gains reported in both 2020 and 2022.

These payments were spread over the city, but a small set of ZIP codes accounted for much of the spending. For 2024, ZIP code 19934 alone reported $659,111 in Medicaid payments for Procedures / Professional Services. Collectively, this top ZIP code made up 100% of category spending within Camden for the year.

Payments within the Procedures / Professional Services area were also largely focused on a limited selection of billing codes.

To put trends in context, the 24.9% increase in Medicaid payments for Procedures / Professional Services in Camden from 2023 to 2024 contrasts with a 6.1% change across all Medicaid claim categories in the same city and period.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid expenditures stood at around $871.7 billion in fiscal year 2023—about 18% of all U.S. health spending—as compared to $613.5 billion in 2019, the year before the COVID-19 pandemic.

This represents growth of about 40% over several years, primarily attributed to broader enrollment and greater service utilization during, as well as after, the pandemic.

Recent federal budget bills from the Trump administration have featured major suggestions to decrease federal Medicaid funding and adjust the structure of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade, with policy shifts including work requirements and greater cost-sharing that could restrict coverage or funding for certain beneficiaries. These steps likely mean states will shoulder more costs, potentially constraining federal Medicaid support, even as the program continues to serve millions nationwide.

Medicaid Payments Tied to Procedures / Professional Services in Camden, Delaware Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $1,285,397 123.8%
2021 $618,173 -51.9%
2022 $556,486 -10%
2023 $527,916 -5.1%
2024 $659,111 24.9%
Top Categories by Medicaid Payments in Camden, Delaware, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary National Codes (Non-Medicare) $1,004,611 34.2%
2 Procedures / Professional Services $659,111 22.4%
3 Evaluation and Management $497,747 16.9%
4 National Codes Established for State Medicaid Agencies $416,974 14.2%
5 Pathology and Laboratory Procedures $233,424 7.9%
6 Ambulance and Other Transport Services and Supplies $79,609 2.7%
7 Medicine Services and Procedures $34,209 1.2%
8 Hearing Services $13,083 0.4%
9 Surgery $395 <0.1%
Top 20 HCPCS Codes Within the Procedures / Professional Services Category in Camden, Delaware, 2024

HCPCS Code Description Medicaid Payments Claims
G0481 Drug test def 8-14 classes $609,775 12
G0299 Hhs/hospice of rn ea 15 min $42,459 8
G0151 Hhcp-serv of pt,ea 15 min $5,300 1
G0300 Hhs/hospice of lpn ea 15 min $1,575 1

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.



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