Winterset Medicaid claims for medical and surgical supplies rise to $8,432 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Winterset Medicaid providers billed $8,432 for medical and surgical supplies in 2024. This amount was 162% higher than in 2023, when providers reported $3,218 worth of claims in the category.

Medicaid is a public insurance initiative operated by state governments in partnership with federal funding. The program provides coverage for low-income adults and families, seniors, children and individuals with disabilities, making it a key pillar of the U.S. health care system.

Since Medicaid is funded by taxpayers, shifts in local billing figures reflect how health care spending is distributed throughout the community.

The “Medical And Surgical Supplies” category encompasses a set of Medicaid-billed services grouped by care type, based on HCPCS and CPT code standards. The analysis consistently assigned each billing code to one service category by using uniform code ranges and prefixes to facilitate accurate trend and comparison data over time while preventing duplication.

While Medicaid expenditures increased across various service categories, medical and surgical supplies ranked eighth by payment size among Winterset Medicaid services in 2024.

Across Iowa, medical and surgical supplies stood as the 11th largest service category by Medicaid payments for 2024.

Looking at the period covering the five years through 2024, Winterset’s Medicaid-linked payments for this category climbed by $7,808, or 48.1%. Some of the most pronounced yearly percentage gains occurred during 2022 and 2023.

Though spending in this category was reported citywide, the majority of payments came from a small group of ZIP codes. In 2024, Medicaid payment activity for medical and surgical supplies was most concentrated in 50273, with a total of $8,431 — representing 100% of local spending for the category in the city that year.

Additionally, a small number of distinct billing codes accounted for the majority of category-specific Medicaid payments in Winterset.

For context, Medicaid payments for this service category were up 162% between 2024 and 2023 in Winterset, compared to a 35.6% change across the city spanning all Medicaid claim types over the same period.

According to the Centers for Medicare & Medicaid Services, national Medicaid spending from federal and state funds was around $871.7 billion for fiscal year 2023, making up close to 18% of all U.S. health expenses. This total was up significantly from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This jump reflects an overall growth of 40% in a few years, fueled primarily by increases in program enrollment and greater health service utilization during and after the pandemic.

Legislation affecting the federal budget enacted under the Trump administration has advanced proposals to decrease federal Medicaid allocations and modify its structure. The “One Big Beautiful Bill Act,” signed in 2025, is anticipated to reduce federal outlays by over $1 trillion through the next decade, implementing new work requirements and increased copayments—changes expected to push more funding obligations to the states and potentially lower coverage growth rates for eligible beneficiaries, while the program continues to insure millions of people nationwide.

Medicaid Payments Tied to Medical And Surgical Supplies in Winterset, Iowa Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $16,239
2021 $2,696 -83.4%
2022 $3,001 11.3%
2023 $3,217 7.2%
2024 $8,431 162.1%
Top Categories by Medicaid Payments in Winterset, Iowa, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $557,309 55.4%
2 Medicine Services and Procedures $190,392 18.9%
3 Alcohol and Drug Abuse Treatment $127,434 12.7%
4 Durable Medical Equipment $36,121 3.6%
5 Evaluation and Management $35,939 3.6%
6 Temporary National Codes (Non-Medicare) $32,838 3.3%
7 Pathology and Laboratory Procedures $10,598 1.1%
8 Medical And Surgical Supplies $8,431 0.8%
9 Ambulance and Other Transport Services and Supplies $3,776 0.4%
10 Surgery $2,024 0.2%
11 Dental Services $1,530 0.2%
12 Durable medical equipment (DME) Medicare administrative contractors (MACs) $346 <0.1%
Top 20 HCPCS Codes Within the Medical And Surgical Supplies Category in Winterset, Iowa, 2024

HCPCS Code Description Medicaid Payments Claims
A7031 Replacement facemask interfa $4,889 9
A7038 Pos airway pressure filter $1,482 11
A4604 Tubing with heating element $1,051 6
A7034 Nasal application device $683 1
A7035 Pos airway press headgear $325 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.



Related

Dr. Mehmet Oz CMS Administrator

Lacona Medicaid alcohol and drug abuse treatment payments climb to $678,311 in 2024

In 2024, Medicaid providers in Lacona received $678,311 for Alcohol and Drug Abuse Treatment services—an increase of 25.8% from the prior year.

Dr. Mehmet Oz CMS Administrator

Indianola Medicaid payments for Medical And Surgical Supplies increase 4.1% in 2024

In 2024, Medicaid providers in Indianola submitted $2,440 in claims for Medical And Surgical Supplies, marking a 4.1% rise from the prior year.

Dr. Mehmet Oz CMS Administrator

Charles City Medicaid expenditures for alcohol, drug abuse treatment hit $7,013 in 2024

In 2024, providers in Charles City billed Medicaid $7,013 for alcohol and drug abuse treatment services, reflecting a 669.8% increase over the prior year.

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from South DSM News.