In 2024, Medicaid providers in Pleasant Valley submitted $39,124 in claims for services under the Medical And Surgical Supplies category, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That reflects a 7.4% increase from 2023, when claims in this category reached $36,438.
Medicaid, a public health insurance program managed by states and funded jointly by the federal and state governments, provides coverage for low-income individuals and families, seniors, children, and people with disabilities. The program makes up a substantial portion of the U.S. health care system.
Because Medicaid is taxpayer-funded, shifts in billing totals reveal how local public health resources are being directed.
The “Medical And Surgical Supplies” designation includes a group of Medicaid-billed services organized by type of care, identified by standardized HCPCS and CPT code groupings. For this report, each billing code was assigned to a single service category based on code prefixes and ranges—ensuring accuracy in category tracking, minimizing double counting, and allowing for comparisons over time.
While Medicaid expenses climbed in multiple categories, Medical And Surgical Supplies ranked as the third-highest category in terms of Medicaid payments in Pleasant Valley for 2024.
Statewide, Medical And Surgical Supplies registered as the 13th largest Medicaid spending category in Missouri during 2024.
Between 2019 and 2024, Medicaid spending on Medical And Surgical Supplies in Pleasant Valley grew by $24,529, a 168.1% increase. Notable accelerations occurred during certain periods, especially in 2021 and 2023.
Spending for services in the Medical And Surgical Supplies category was unevenly distributed throughout the city, with most payments traced to a small number of ZIP codes. For 2024, ZIP code 64068 was responsible for $39,124, reflecting 100% of the city’s Medicaid payments in that service category.
Within this category, Medicaid payments were concentrated around a limited range of individual billing codes.
Comparatively, the city’s Medicaid payments for Medical And Surgical Supplies increased by 7.4% between 2023 and 2024, versus a 13.4% change across all Medicaid billing categories in Pleasant Valley for the same time frame.
Centers for Medicare & Medicaid Services data shows total federal and state Medicaid spending hit approximately $871.7 billion in fiscal 2023, making up about 18% of total national health expenditures—up from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This represents roughly 40% growth over a few years, attributed primarily to higher enrollment and utilization during and after the pandemic.
Recent federal budget legislation during the Trump administration included major proposals to cut federal Medicaid funding and revamp the program. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to reduce federal Medicaid spending by over $1 trillion in the next decade, introducing initiatives like work requirements and heightened cost-sharing. These changes could decrease coverage and funding for select beneficiaries and are expected to pass additional costs to states and restrain federal Medicaid growth, even as the program continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $14,595 | 17.1% |
| 2021 | $23,714 | 62.5% |
| 2022 | $24,077 | 1.5% |
| 2023 | $36,438 | 51.3% |
| 2024 | $39,124 | 7.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $5,837,455 | 94% |
| 2 | Durable Medical Equipment | $314,193 | 5.1% |
| 3 | Medical And Surgical Supplies | $39,124 | 0.6% |
| 4 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $18,120 | 0.3% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A7030 | Cpap full face mask | $11,700 | 10 |
| A7034 | Nasal application device | $8,597 | 13 |
| A7035 | Pos airway press headgear | $5,598 | 17 |
| A7037 | Pos airway pressure tubing | $5,382 | 18 |
| A7038 | Pos airway pressure filter | $2,650 | 19 |
| A7031 | Replacement facemask interfa | $1,690 | 7 |
| A7046 | Repl water chamber, pap dev | $1,145 | 10 |
| A7032 | Replacement nasal cushion | $925 | 3 |
| A4604 | Tubing with heating element | $869 | 3 |
| A7033 | Replacement nasal pillows | $509 | 1 |
| A7005 | Nondisposable nebulizer set | $43 | 1 |
| A7003 | Nebulizer administration set | $8 | 1 |
| A7013 | Disposable compressor filter | $2 | 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.
