Surgery services see $3,522 in Medicaid payments in Hopewell Junction for 2024

Hopewell Junction Medicaid providers received $3,522 in payments for Surgery-related services in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 10.9% rise from 2023, when $3,176 was billed for the same service type.

Medicaid, a public health insurance initiative managed by states with joint state and federal funding, provides coverage to low-income people and families, the elderly, children, and individuals with disabilities, making it a central pillar of the U.S. health care network. For more on Medicaid funding, see this overview.

Because taxpayer funding supports Medicaid, changes in what providers bill locally indicate shifts in how public health resources are allocated in the area.

The Surgery category refers to Medicaid-billed services based on the nature of care provided, categorized through standardized HCPCS and CPT code groupings. This report designated each code to a single service group using set prefixes and numeric ranges, allowing related services to be examined jointly while avoiding duplicate counts and ensuring ranking accuracy over time.

While spending from Medicaid climbed in several service groups, Surgery was the third-largest category in Hopewell Junction by Medicaid payments for 2024.

Statewide in New York, Surgery ranked 10th by Medicaid payment totals in 2024.

Between the five years prior to 2024, Hopewell Junction saw Medicaid payments for Surgery rise by $2,795, or 384.6%. Spending accelerated in certain years, with notable annual increases in both 2023 and 2021.

Although Surgery-related Medicaid payments were documented throughout Hopewell Junction, the majority were in a small selection of ZIP codes. ZIP code 12533 led with $3,521 in payments for these services in 2024. As a result, the top ZIP code represented 100% of total Medicaid Surgery category payments in Hopewell Junction for the year.

Within the Surgery category, a small group of specific billing codes drew the largest share of Medicaid payments.

Comparatively, Surgery-related Medicaid payments in Hopewell Junction were up 10.9% from 2023 to 2024, while total billings for all Medicaid claim types in the city rose by 32.4% over the same time frame.

The Centers for Medicare & Medicaid Services reported that combined federal and state Medicaid spending reached about $871.7 billion in fiscal 2023, representing around 18% of total U.S. health expenditures—up significantly from approximately $613.5 billion in 2019, before the COVID-19 outbreak.

The surge equates to a roughly 40% spending increase in just a few years, mainly due to expanded coverage and higher service use in and after the pandemic.

Federal budget measures enacted under the Trump administration proposed sharp reductions in federal Medicaid outlays and several structural reforms. Among them, the “One Big Beautiful Bill Act,” which became law in 2025, is forecast to cut federal Medicaid spending by more than $1 trillion over 10 years. The law also sets out work requirements and increased cost-sharing, which may decrease funding and eligibility for some beneficiaries. These moves are expected to shift greater financial responsibility to states and constrain growth in federal support for Medicaid, even as enrollment remains in the tens of millions.

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.