According to the U.S. Department of Health and Human Services Medicaid Provider Spending database, Winchester Medicaid providers submitted $749,176 in claims for Medical And Surgical Supplies services in 2024. This represented a 249% jump from 2023, when $214,641 was billed for the same category.
Medicaid is a state-administered health program with joint federal and state funding, as explained by the Commonwealth Fund. It serves low-income adults and families, seniors, children, and people with disabilities, making it a core component of the nation’s health system.
Because Medicaid uses taxpayer dollars for funding, fluctuations in local payment activity illustrate shifts in public health care spending at the community level.
The “Medical And Surgical Supplies” category covers specific Medicaid-billed services defined by the type of care delivered and grouped under standardized HCPCS and CPT codes. In this analysis, billing codes are assigned to their corresponding service groups using standard code prefixes and numeric sequences. This process ensures services are consistently categorized, reduces overlap, and allows for comparison over time.
While overall Medicaid payments rose in a number of categories, Medical And Surgical Supplies emerged as the 11th largest service by total Medicaid payments in Winchester for 2024.
Statewide in Virginia, Medical And Surgical Supplies ranked 12th by total Medicaid disbursements for 2024.
Over the five-year period ending with 2024, Winchester’s Medicaid payments for Medical And Surgical Supplies climbed by $740,833, an 8879.4% rise. Growth quickened in recent years, with significant increases recorded in 2023 and 2022.
Across the city’s ZIP codes, Medical And Surgical Supplies spending was concentrated geographically. In 2024, ZIP code 22601 accounted for $539,270 of these Medicaid payments, while 22603 reached $209,905. These two areas together represented the entirety of Medical And Surgical Supplies Medicaid spending in Winchester for the year.
Medicaid payments in this category also tended to be concentrated among a limited subset of billing codes.
Comparatively, between 2024 and 2023, Medicaid payments for Medical And Surgical Supplies in Winchester increased by 249%, while all Medicaid claim categories in the city grew by 9.2% for the same timeframe.
Centers for Medicare & Medicaid Services data shows aggregate Medicaid spending by both federal and state sources totaled about $871.7 billion for fiscal year 2023—roughly 18% of national health expenditures—marking a rise from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This means Medicaid spending expanded by around 40% in just a few years, a trend attributed largely to higher enrollment and increased use during and following the pandemic.
Recent federal budget actions under the Trump administration have introduced measures to scale back federal Medicaid allocations and alter the program’s structure. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to cut federal Medicaid spending by more than $1 trillion over 10 years and institutes policy changes, such as employment obligations and higher cost sharing, that could limit coverage and funding for select beneficiaries. As a result, costs are likely to shift toward states, potentially slowing the increase in federal Medicaid support as the program remains a core safety net for millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $8,343 | -56.5% |
| 2021 | $13,497 | 61.8% |
| 2022 | $31,326 | 132.1% |
| 2023 | $214,641 | 585.2% |
| 2024 | $749,175 | 249% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $26,598,375 | 38.7% |
| 2 | Evaluation and Management | $11,529,328 | 16.8% |
| 3 | Medicine Services and Procedures | $11,097,109 | 16.1% |
| 4 | National Codes Established for State Medicaid Agencies | $5,891,923 | 8.6% |
| 5 | Radiology Procedures | $2,797,183 | 4.1% |
| 6 | Procedures / Professional Services | $2,331,392 | 3.4% |
| 7 | Surgery | $1,896,760 | 2.8% |
| 8 | Pathology and Laboratory Procedures | $1,837,856 | 2.7% |
| 9 | Temporary National Codes (Non-Medicare) | $1,584,651 | 2.3% |
| 10 | Ambulance and Other Transport Services and Supplies | $885,382 | 1.3% |
| 11 | Medical And Surgical Supplies | $749,175 | 1.1% |
| 12 | Durable Medical Equipment | $592,356 | 0.9% |
| 13 | Temporary Codes | $512,432 | 0.7% |
| 14 | Outpatient PPS | $158,800 | 0.2% |
| 15 | Vision Services | $108,734 | 0.2% |
| 16 | Anesthesia | $86,923 | 0.1% |
| 17 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $25,256 | <0.1% |
| 18 | Drugs Administered Other than Oral Method | $22,651 | <0.1% |
| 19 | Orthotic Procedures and services | $14,619 | <0.1% |
| 20 | Dental Services | $13,403 | <0.1% |
| 21 | Administrative, Miscellaneous and Investigational | $12,594 | <0.1% |
| 22 | Coronavirus Diagnostic Panel | $4,276 | <0.1% |
| 23 | Enteral and Parenteral Therapy | $2,789 | <0.1% |
| 24 | Chemotherapy Drugs | $708 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A4216 | Sterile water/saline, 10 ml | $535,381 | 11 |
| A7030 | Cpap full face mask | $64,121 | 13 |
| A4604 | Tubing with heating element | $50,188 | 16 |
| A7031 | Replacement facemask interfa | $31,427 | 13 |
| A7034 | Nasal application device | $20,349 | 12 |
| A7035 | Pos airway press headgear | $16,096 | 14 |
| A7032 | Replacement nasal cushion | $10,636 | 11 |
| A7046 | Repl water chamber, pap dev | $8,035 | 12 |
| A7038 | Pos airway pressure filter | $7,512 | 23 |
| A7033 | Replacement nasal pillows | $4,870 | 11 |
| A7037 | Pos airway pressure tubing | $555 | 3 |
| A4657 | Syringe w/wo needle | $0 | 7 |
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.


