Medicaid spending for Durable Medical Equipment in Walnut jumps 19.7% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Walnut billed $582,680 for services within the Durable Medical Equipment category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 19.7% rise over the 2023 total, when claims for similar services totaled $486,922.

Medicaid, a program administered by states and funded jointly by federal and state governments, provides coverage for low-income residents, seniors, children, and people with disabilities. It remains one of the core components of the U.S. health care system.

Since Medicaid is funded by taxpayers, variations in local billing reflect how community health care resources are used.

The Durable Medical Equipment category includes a set of services grouped according to standardized HCPCS and CPT code clusters. For this review, each billing code was assigned to a single service category using systematic code prefixes and number ranges, so that related services were analyzed together without duplication of claims or rankings.

Durable Medical Equipment was the second-highest category for total Medicaid payments in Walnut during 2024, although overall Medicaid spending rose in several categories.

Statewide in California, Durable Medical Equipment placed 15th for total Medicaid payments in 2024.

Between 2020 and 2024, Walnut saw Medicaid payments for Durable Medical Equipment grow by $176,217, an increase of 43.4%. Certain periods recorded sharper annual increases, particularly in 2023 and 2022.

Citywide payments for Durable Medical Equipment were distributed across Walnut, but the majority were concentrated in a select number of ZIP codes. In 2024, Medicaid payments tied to this category were the highest in 91789, accounting for $582,680. This ZIP code made up 100% of Walnut’s Medicaid payments in the Durable Medical Equipment category for the year.

A small segment of billing codes accounted for most Medicaid payments within the Durable Medical Equipment grouping in Walnut.

For comparison, the 19.7% increase for Durable Medical Equipment between 2023 and 2024 outpaced the overall 13.5% growth across all Medicaid claim categories in Walnut within that same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, which is nearly 18% of nationwide health expenditures and a significant increase from $613.5 billion in 2019, before the COVID-19 pandemic began.

This growth reflects an approximate 40% rise over several years, primarily driven by greater enrollment and service use during and following the pandemic.

Recent federal budget actions under the Trump administration included substantial proposals to cut federal Medicaid spending and restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is estimated to reduce federal Medicaid funding by over $1 trillion over a decade, introducing policies like work requirements and increased cost-sharing. These changes could decrease coverage and limit federal aid growth, shifting more Medicaid costs to states while the program continues serving tens of millions of Americans.

Medicaid Payments Tied to Durable Medical Equipment in Walnut, California Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $406,463 -27.4%
2021 $390,535 -3.9%
2022 $418,166 7.1%
2023 $486,922 16.4%
2024 $582,680 19.7%
Top Categories by Medicaid Payments in Walnut, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary National Codes (Non-Medicare) $1,953,239 59.8%
2 Durable Medical Equipment $582,680 17.8%
3 Orthotic Procedures and services $306,890 9.4%
4 National Codes Established for State Medicaid Agencies $181,187 5.5%
5 Medicine Services and Procedures $93,140 2.9%
6 Medical And Surgical Supplies $60,268 1.8%
7 Alcohol and Drug Abuse Treatment $53,207 1.6%
8 Dental Services $32,013 1%
9 Vision Services $3,066 0.1%
10 Evaluation and Management $762 <0.1%
11 Durable medical equipment (DME) Medicare administrative contractors (MACs) $254 <0.1%
Top 20 HCPCS Codes Within the Durable Medical Equipment Category in Walnut, California, 2024

HCPCS Code Description Medicaid Payments Claims
E0603 Electric breast pump $535,295 14
E0570 Nebulizer with compression $31,712 10
E0144 Enclosed walker w rear seat $15,672 9

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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