Providers in Gladstone billed Medicaid for $34,434 in services under the Medical And Surgical Supplies category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 12.9% rise from 2023, when claims in this category totaled $30,509.
Medicaid is a state-run health insurance program funded together by federal and state governments. The program serves low-income people and families, seniors, children, and those with disabilities, making it a major component of the U.S. health care landscape.
With Medicaid funded by taxpayers, fluctuations in local billing reflect how public health care dollars are distributed within a community.
The Medical And Surgical Supplies category includes a range of Medicaid-billed services, defined according to the specific care provided using standardized HCPCS and CPT code groupings. Billing codes for this analysis were mapped to single service categories using consistent prefixes and numeric sequences, ensuring similar services are grouped while preventing duplication and maintaining accuracy in year-over-year rankings.
Medicaid spending increased in several categories, with Medical And Surgical Supplies ranking as the third highest by total Medicaid payments in Gladstone during 2024.
Statewide, Medical And Surgical Supplies ranked 13th by total Medicaid payments in Missouri in 2024.
Over the five years prior to 2024, Medicaid payments for Medical And Surgical Supplies in Gladstone grew by $15,299, an 80% increase. Periods of especially strong growth were seen in 2021 and 2022.
Although spending on Medical And Surgical Supplies was distributed across Gladstone, most payments were concentrated in few ZIP codes. In 2024, the 64118 ZIP code accounted for $34,434 of the total, representing 100% of Medicaid payments for this category in Gladstone that year.
Within the category, most Medicaid payments were associated with a small subset of billing codes.
Comparing years, Medical And Surgical Supplies Medicaid payments in Gladstone rose 12.9% from 2023 to 2024, whereas across all Medicaid claim categories, the city saw a 44.1% change over the same period.
Centers for Medicare & Medicaid Services data indicates federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, making up about 18% of total U.S. health expenditures. That figure is up significantly from $613.5 billion in 2019, before the COVID-19 pandemic.
This overall growth amounts to about 40% in a few years, fueled by more enrollees and increased service use during and after the pandemic.
Recent federal budget legislation including the “One Big Beautiful Bill Act,” approved in 2025, contains measures aimed at reducing federal Medicaid funding and restructuring the program. The law is expected to cut more than $1 trillion in federal Medicaid spending over the next decade and implements policies like work requirements and greater cost-sharing, potentially reducing coverage and funding for some recipients. As a result, states could take on increased financial responsibility for Medicaid, and federal support growth may be limited even though the program continues to serve millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $19,134 | -31.3% |
| 2021 | $35,369 | 84.8% |
| 2022 | $33,268 | -5.9% |
| 2023 | $30,508 | -8.3% |
| 2024 | $34,434 | 12.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $139,795 | 4<0.1% |
| 2 | Ambulance and Other Transport Services and Supplies | $121,082 | 34.6% |
| 3 | Medical And Surgical Supplies | $34,434 | 9.8% |
| 4 | Evaluation and Management | $34,195 | 9.8% |
| 5 | Medicine Services and Procedures | $13,556 | 3.9% |
| 6 | Orthotic Procedures and services | $4,641 | 1.3% |
| 7 | Surgery | $1,187 | 0.3% |
| 8 | Durable Medical Equipment | $999 | 0.3% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A5514 | Mult den insert dir carv/cam | $24,370 | 10 |
| A5500 | Diab shoe for density insert | $10,063 | 10 |
Note: HCPCS codes are provided to show the types of services within the category. Total figures and rankings in this report are determined by standardized service groupings, not by individual codes.
All data in this report comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Find the data source here.


