Orthotic Procedures and services Medicaid payments increase 37.5% in Bayonne for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Bayonne billed $1,797,730 for services listed under the Orthotic Procedures and services category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 37.5% rise over 2023, when providers filed $1,307,725 in claims for these services.

Medicaid is a public health insurance initiative managed by states and financed through joint support from state and federal governments. It assists low-income families and individuals, seniors, children, and people with disabilities, making it a significant component of the U.S. health care system.

Since taxpayer funds fuel Medicaid expenses, variations in local billing levels demonstrate how community health care dollars are allocated.

The “Orthotic Procedures and services” classification includes a set of Medicaid-billed services identified by the care delivered, using standardized HCPCS and CPT coding groups. For this study, each billing code was attributed to a specific service category using uniform code prefixes and number ranges, so related services could be reviewed together while preventing double-counting and reliably tracking rankings over time.

Medicaid spending increased in several service categories, but Orthotic Procedures and services ranked sixth overall in Bayonne by total Medicaid reimbursements in 2024.

The statewide comparison shows that the Orthotic Procedures and services category placed 14th for total Medicaid payments across New Jersey during 2024.

From 2019 through 2024, Medicaid spending in Bayonne for the Orthotic Procedures and services category rose by $1,451,000, or 418.5%. The pace of spending climbed in certain years, with large annual increases seen in 2021 and 2022.

While Orthotic Procedures and services spending was spread throughout the city, the bulk of payments occurred in only a handful of ZIP codes. In 2024, ZIP code 07002 received $1,797,730 in Medicaid payments tied to these services. This top ZIP code represented 100% of Medicaid payments in this category for Bayonne that year.

Only a select group of individual billing codes made up the majority of Medicaid payments within the Orthotic Procedures and services category.

Looking at comparative increases, Medicaid payments in Bayonne for Orthotic Procedures and services went up 37.5% from 2023 to 2024. By comparison, all Medicaid service categories in the city saw a 4.7% change during that time frame.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached about $871.7 billion in fiscal year 2023. This accounted for roughly 18% of all U.S. health care spending, an increase from about $613.5 billion in 2019 before the COVID-19 public health emergency.

The data shows nearly 40% growth in just a few years, largely spurred by expanded enrollment and increased use of services during and after the pandemic.

Major federal budget legislation passed during the Trump administration contained significant proposals to decrease federal Medicaid contributions and alter the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is forecasted to cut federal Medicaid spending by over $1 trillion over the next decade and put in place measures such as work requirements and higher cost-sharing, which may reduce coverage or benefits for some recipients. The policy changes are likely to shift financial responsibility to states and slow the growth of federal Medicaid support, while the program continues to serve millions of Americans.

Medicaid Payments Tied to Orthotic Procedures and services in Bayonne, New Jersey Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $346,729
2021 $1,410,657 306.8%
2022 $2,091,849 48.3%
2023 $1,307,724 -37.5%
2024 $1,797,730 37.5%
Top Categories by Medicaid Payments in Bayonne, New Jersey, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $22,521,011 50.1%
2 National Codes Established for State Medicaid Agencies $10,290,417 22.9%
3 Evaluation and Management $3,204,625 7.1%
4 Medicine Services and Procedures $2,951,332 6.6%
5 Temporary National Codes (Non-Medicare) $2,852,720 6.3%
6 Orthotic Procedures and services $1,797,730 4%
7 Ambulance and Other Transport Services and Supplies $291,931 0.6%
8 Radiology Procedures $288,372 0.6%
9 Procedures / Professional Services $239,572 0.5%
10 Durable Medical Equipment $226,892 0.5%
11 Medical And Surgical Supplies $130,328 0.3%
12 Pathology and Laboratory Procedures $103,916 0.2%
13 Surgery $49,007 0.1%
14 Vision Services $19,566 <0.1%
15 Dental Services $11,753 <0.1%
16 Drugs Administered Other than Oral Method $3,279 <0.1%
17 Anesthesia $3,206 <0.1%
18 Temporary Codes $2,425 <0.1%
19 Outpatient PPS $68 <0.1%
Top 20 HCPCS Codes Within the Orthotic Procedures and services Category in Bayonne, New Jersey, 2024

HCPCS Code Description Medicaid Payments Claims
L3000 Ft insert ucb berkeley shell $606,012 31
L0648 Lso sag r an/pos pnl pre ots $233,896 10
L1833 Ko adj jnt pos r sup pre ots $195,914 10
L3960 Sewho airplan desig abdu pos $132,687 10
L1971 Afo w/ankle joint, prefab $99,501 10
L0631 Lso sag r an/pos pnl pre cst $95,462 9
L3216 Orthoped ladies shoes dpth i $88,622 20
L3031 Foot lamin/prepreg composite $69,501 5
L3221 Orthopedic mens shoes dpth i $65,299 18
L3809 Whfo w/o joints pre ots $52,948 10
L0174 Cerv sr 2pc thor ext pre ots $49,526 10
L2397 Suspension sleeve lower ext $42,310 10
L0635 Lso sagit rigid panel prefab $24,937 3
L3202 Oxford w/ supinat/pronator c $20,640 13
L3762 Eo rigid w/o joints pre ots $7,593 7
L3710 Eo elas w/metal jnts pre ots $4,941 3
L1660 Ho abduction static plastic $4,402 2
L4397 Static or dynami afo pre ots $2,719 1
L1902 Afo ankle gauntlet pre ots $651 1
L1820 Ko elas w/ condyle pads & jo $158 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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