Baker City Medicaid outlays for medical and surgical supplies rise to $27,943 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Baker City Medicaid providers billed $27,943 for services listed under the Medical And Surgical Supplies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 10.8% rise compared to 2023, when $25,220 in claims were submitted for these services.

Medicaid is a public health insurance initiative operated by states and funded cooperatively by federal and state governments. The program serves low-income individuals and families, seniors, children, and people with disabilities, and is one of the largest components of the nation’s health care system.

Because Medicaid is taxpayer funded, shifts in local billing shed light on how public health care resources are allocated within a community.

The “Medical And Surgical Supplies” category encompasses a set of services billed to Medicaid, defined by standardized HCPCS and CPT code groups. For this report, billing codes were assigned to one service category using uniform code prefixes and number ranges, allowing accurate analysis across related services and maintaining consistent rankings over time.

While Medicaid expenditures climbed in several service categories, Medical And Surgical Supplies was sixth by total Medicaid spending in Baker City for 2024.

Across Oregon overall, Medical And Surgical Supplies ranked ninth for total Medicaid payments in 2024.

From 2019 to 2024, Medicaid spending for Medical And Surgical Supplies in Baker City increased by $27,927, or 176642.6%. There were particularly marked year-over-year increases in 2021 and 2022 as the pace of spending growth accelerated.

Spending in the Medical And Surgical Supplies category was distributed throughout the city, with payments primarily concentrated in a few ZIP codes. In 2024, ZIP code 97814 accounted for $27,942 in Medicaid payments in this category, representing 100% of such expenditures in Baker City in that year.

Medicaid payments within the Medical And Surgical Supplies designation were focused around a small set of individual billing codes.

Comparatively, Medicaid payments in Baker City for Medical And Surgical Supplies rose 10.8% between 2024 and 2023, compared to a 10% increase seen across all Medicaid claim categories over the same period in the city.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays totaled around $871.7 billion during fiscal year 2023, about 18% of national health spending, sharply higher than $613.5 billion in 2019, prior to the COVID-19 pandemic.

This change reflects an increase of about 40% in a few years, mainly driven by expanded enrollment and greater utilization during and after the pandemic.

Recent federal budget measures under the Trump administration featured proposals that would significantly reduce federal Medicaid funding and alter the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion from federal Medicaid spending over a decade and introduces work requirements and increased cost-sharing. These measures could curtail coverage and funding for certain recipients, shift more expenses to states, and limit the growth of future federal Medicaid support, even as the program continues to serve millions nationwide.

Medicaid Payments Tied to Medical And Surgical Supplies in Baker City, Oregon Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $15 -79.8%
2021 $10,622 67087%
2022 $32,489 205.9%
2023 $25,219 -22.4%
2024 $27,942 10.8%
Top Categories by Medicaid Payments in Baker City, Oregon, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $3,625,054 72.8%
2 Evaluation and Management $1,001,037 20.1%
3 Medicine Services and Procedures $203,715 4.1%
4 Durable Medical Equipment $63,625 1.3%
5 Pathology and Laboratory Procedures $28,510 0.6%
6 Medical And Surgical Supplies $27,942 0.6%
7 Surgery $10,529 0.2%
8 Vision Services $8,441 0.2%
9 National Codes Established for State Medicaid Agencies $7,327 0.1%
10 Procedures / Professional Services $2,956 0.1%
11 Radiology Procedures $1,959 <0.1%
12 Drugs Administered Other than Oral Method $632 <0.1%
13 Temporary National Codes (Non-Medicare) $447 <0.1%
14 Temporary Codes $366 <0.1%
Top 20 HCPCS Codes Within the Medical And Surgical Supplies Category in Baker City, Oregon, 2024

HCPCS Code Description Medicaid Payments Claims
A7030 Cpap full face mask $11,351 6
A4604 Tubing with heating element $6,520 10
A7031 Replacement facemask interfa $4,147 7
A7035 Pos airway press headgear $2,811 8
A7038 Pos airway pressure filter $1,762 11
A7034 Nasal application device $1,348 2

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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