Medicaid payments for medical and surgical supplies in Winchester surged to $749,176 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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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.

Medicaid Payments Tied to Medical And Surgical Supplies in Winchester, Virginia Over Five Years

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%
Top Categories by Medicaid Payments in Winchester, Virginia, 2024

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%
Top 20 HCPCS Codes Within the Medical And Surgical Supplies Category in Winchester, Virginia, 2024

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.



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