In 2024, Medicaid providers in Pennington reported $106,030 in billings for Orthotic Procedures and services, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 65.5% increase over 2023, when providers filed $64,082 in claims for these services.
Medicaid is a public health insurance initiative administered by individual states with both federal and state funding. It serves low-income individuals and families, seniors, children, and those with disabilities, becoming one of the central elements of the U.S. health care landscape. For more information, see here.
Since Medicaid payments are funded by taxpayers, shifts in local provider billing reveal changes in how public health care dollars are distributed at the community level.
The Orthotic Procedures and services designation encompasses a set of claims identified by procedure types, established using consistent HCPCS and CPT code group ranges. This analysis matched each billing code to a specific service category using standardized prefixes and numeric placements, ensuring related procedures could be analyzed together, preventing double counting, and maintaining ranking consistency over different periods.
While Medicaid expenditures rose for several categories, Orthotic Procedures and services ranked eighth in Pennington by total Medicaid disbursements in 2024.
Statewide in New Jersey, Orthotic Procedures and services were fourteenth for total Medicaid payments during 2024.
Analyzing the five years up to 2024, spending in this service category for Pennington increased by $99,658, an increase of 1564%. Accelerated annual increases were noted particularly in 2021 and 2022.
Though these services were available throughout the city, Medicaid payments were primarily focused in a small number of ZIP codes. In 2024, the ZIP code 08534 accounted for $106,030—the full sum for the Orthotic Procedures and services category in Pennington that year.
Within this area, a small number of specific billing codes drove much of the Medicaid spending on Orthotic Procedures and services.
Year-over-year, payments for this category in Pennington grew by 65.5% between 2024 and 2023, while total Medicaid claims for all categories rose by 19.2% during the same timeframe.
According to the Centers for Medicare & Medicaid Services, Medicaid expenditures from state and federal sources totaled about $871.7 billion nationally in the 2023 fiscal year, making up around 18% of total U.S. health costs, and rising steeply from $613.5 billion in 2019, prior to the onset of COVID-19.
The jump equates to a roughly 40% expansion in a few years, driven mostly by larger enrollment numbers and greater health service use during and following the pandemic period.
Recent legislation at the federal level during the Trump administration introduced major initiatives to decrease federal Medicaid support and alter how the program is structured. The “One Big Beautiful Bill Act,” passed into law in 2025, is anticipated to trim more than $1 trillion from federal Medicaid outlays between now and the next decade, introducing requirements such as mandatory work participation and higher cost-sharing that may limit coverage or funding for certain recipients. These moves are expected to shift additional costs to state budgets and constrain federal funding growth, even as Medicaid continues to provide for tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $6,372 | – |
| 2021 | $58,948 | 825.1% |
| 2022 | $62,976 | 6.8% |
| 2023 | $64,082 | 1.8% |
| 2024 | $106,030 | 65.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $9,396,482 | 52.5% |
| 2 | Radiology Procedures | $2,911,824 | 16.3% |
| 3 | Surgery | $1,759,453 | 9.8% |
| 4 | Procedures / Professional Services | $1,605,709 | 9% |
| 5 | Medicine Services and Procedures | $1,390,858 | 7.8% |
| 6 | Pathology and Laboratory Procedures | $379,876 | 2.1% |
| 7 | Drugs Administered Other than Oral Method | $181,689 | 1% |
| 8 | Orthotic Procedures and services | $106,030 | 0.6% |
| 9 | Alcohol and Drug Abuse Treatment | $75,811 | 0.4% |
| 10 | National Codes Established for State Medicaid Agencies | $70,967 | 0.4% |
| 11 | Administrative, Miscellaneous and Investigational | $18,773 | 0.1% |
| 12 | Outpatient PPS | $4,947 | <0.1% |
| 13 | Dental Services | $4,172 | <0.1% |
| 14 | Chemotherapy Drugs | $3,044 | <0.1% |
| 15 | Temporary Codes | $2,207 | <0.1% |
| 16 | Pathology and Laboratory Services | $738 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| L3230 | Custom shoes depth inlay | $27,811 | 4 |
| L3649 | Orthopedic shoe modifica nos | $23,070 | 10 |
| L3020 | Foot longitud/metatarsal sup | $14,778 | 4 |
| L3221 | Orthopedic mens shoes dpth i | $13,952 | 5 |
| L3002 | Foot insert plastazote or eq | $11,041 | 3 |
| L3000 | Ft insert ucb berkeley shell | $5,085 | 1 |
| L3216 | Orthoped ladies shoes dpth i | $3,309 | 1 |
| L3580 | O shoe add instep velcro clo | $2,779 | 4 |
| L2999 | Lower extremity orthosis nos | $2,250 | 2 |
| L3040 | Ft arch suprt premold longit | $1,953 | 2 |
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.
