New Jersey
#5 in Medicaid spending (4.29% of national total)
Total Spending
$46.95B
Total Claims
784.2M
Providers
15,992
Avg Cost/Claim
$60
Data Coverage Note: New Jersey has 91% of Medicaid enrollees in managed care. This data covers only fee-for-service (FFS) claims (est. 9% of enrollees). Actual total Medicaid spending in New Jersey is significantly higher than shown.
Enrollment (Latest)
1.8M
Managed Care
91%
ACA Expansion
Yes (2014)
FFS $/Enrollee
$4,233
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
DEPARTMENT OF HEALTH AND SENIOR SERVICES Specialist | $1.07B |
LABORATORY CORPORATION OF AMERICA HOLDINGS Clinical Medical Laboratory | $717.5M |
CARE FINDERS TOTAL CARE LLC Home Health | $708.7M |
QUEST DIAGNOSTICS INCORPORATED Clinical Medical Laboratory | $637.7M |
BIOREFERENCE HEALTH, LLC Clinical Medical Laboratory | $620.1M |
BANCROFT, A NEW JERSEY NONPROFIT CORPORATION Clinical Neuropsychologist | $560.4M |
WHITE GLOVE COMMUNITY CARE, INC. Case Management | $540.7M |
THE DEVEREUX FOUNDATION Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $401.2M |
NEWARK BETH ISRAEL MEDICAL CENTER INC Clinic/Center | $380.2M |
UNIVERSITY HOSPITAL General Acute Care Hospital | $362.9M |
ALLIES, INC. Day Training, Developmentally Disabled Services | $362.5M |
COMMUNITY ACCESS UNLIMITED Supports Brokerage | $355.7M |
THE COOPER HEALTH SYSTEM General Acute Care Hospital | $354.0M |
COMMUNITY OPTIONS, INC. Day Training, Developmentally Disabled Services | $337.9M |
JERSEY CITY MEDICAL CENTER General Acute Care Hospital | $336.4M |
NEW JERSEY DIVISION OF DEVELOPMENTAL DISABILITIES Day Training, Developmentally Disabled Services | $333.9M |
HMH HOSPITALS CORPORATION Ambulance | $333.0M |
ST JOSEPHS UNIVERSITY MEDICAL CENTER INC. Clinic/Center | $322.4M |
CARINGHOUSE PROJECTS Respite Care | $280.8M |
BAYADA HOME HEALTH CARE, INC. Home Health | $269.7M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| H2016 | Comp comm supp svc, per diem | $8.69B |
| T1019 | Personal care ser per 15 min | $4.24B |
| S5102 | Adult day care per diem | $2.10B |
| T2021 | Day habil waiver per 15 min | $1.68B |
| T1018 | School-based iep ser bundled | $1.63B |
| 99284 | Emergency dept visit mod mdm | $1.28B |
| 99213 | Office o/p est low 20 min | $1.08B |
| 99283 | Emergency dept visit low mdm | $1.06B |
| T2023 | Targeted case mgmt per month | $997.4M |
| 99214 | Office o/p est mod 30 min | $839.3M |
| H0019 | Alcohol and/or drug services | $778.0M |
| 99285 | Emergency dept visit hi mdm | $739.5M |
| T1003 | Lpn/lvn services up to 15min | $722.1M |
| H0035 | Mh partial hosp tx under 24h | $717.7M |
| H0036 | Comm psy face-face per 15min | $615.2M |
| 99361 | (no description) | $610.2M |
| H2021 | Com wrap-around sv, 15 min | $596.0M |
| U0003 | (no description) | $530.7M |
| G0378 | Hospital observation per hr | $512.5M |
| T2024 | Serv asmnt/care plan waiver | $490.6M |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| Clinic/Center | $6.18B | 1,611 |
| General Acute Care Hospital | $5.39B | 94 |
| Home Health | $5.04B | 343 |
| Day Training, Developmentally Disabled Services | $3.77B | 154 |
| Clinical Medical Laboratory | $3.10B | 122 |
| Community/Behavioral Health | $2.68B | 446 |
| Case Management | $2.36B | 161 |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $2.18B | 39 |
| Specialist | $1.41B | 378 |
| Local Education Agency (LEA) | $1.19B | 333 |
| Dentist | $1.05B | 1,972 |
| Durable Medical Equipment & Medical Supplies | $948.6M | 338 |
| Pediatrics | $901.0M | 684 |
| Respite Care | $844.9M | 31 |
| Internal Medicine | $735.5M | 2,005 |
| In Home Supportive Care | $726.9M | 65 |
| Clinical Neuropsychologist | $562.7M | 4 |
| Ambulance | $462.0M | 262 |
| Counselor | $456.9M | 209 |
| Community Based Residential Treatment Facility, Mental Illness | $452.2M | 27 |