In 2024, providers in Key West billed a total of $229 to Medicaid for services categorized under Medical And Surgical Supplies, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented a 179.3% rise over 2023, when $82 was billed for these services.
Medicaid, the state-administered health insurance initiative funded jointly by federal and state governments, covers eligible low-income individuals, seniors, children and people with disabilities—forming a large component of U.S. health care spending.
Because Medicaid is funded by taxpayers, shifts in local billing illustrate how community health care resources are spent.
The Medical And Surgical Supplies category includes services grouped by similar care provided, aligned with HCPCS and CPT code standards. Each billing code was assigned to a category using code prefixes and numeric ranges, helping identify related services, ensure accurate comparisons, and avoid double counting.
Despite overall growth in Medicaid expenditures across many service groups, Medical And Surgical Supplies placed 11th among all Medicaid payment categories in Key West for 2024.
Across Florida, Medical And Surgical Supplies ranked eighth statewide among Medicaid payment categories for 2024.
From five years prior to 2024, Medicaid payments for Medical And Surgical Supplies in Key West climbed by $8,392, a 97.3% increase. There were periods of accelerated growth in these payments, notably observed in 2020 and 2021.
Spending for Medical And Surgical Supplies in 2024 was distributed throughout Key West, but a small number of ZIP codes saw most of the claims. In 2024, ZIP code 33040 accounted for payments totaling $229, representing 100.2% of Medicaid spending in this category for the city that year.
Only a limited set of billing codes generated most of the Medicaid payments related to Medical And Surgical Supplies.
In comparison, while payments in Key West for the Medical And Surgical Supplies category rose by 179.3% from 2023 to 2024, the growth across all Medicaid categories in the city during that period was 50.9%.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together reached about $871.7 billion in fiscal 2023. This represented around 18% of total U.S. health expenditures, up from approximately $613.5 billion in 2019, before the COVID-19 crisis.
This increase marks a rise of about 40% within a few years, largely attributed to increased enrollment and service use around the pandemic.
Recent federal budget actions under the Trump administration brought major proposals to decrease federal Medicaid support and revise the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over 10 years, with changes such as work requirements and higher cost-sharing that may limit coverage and funding for some people. These adjustments will likely shift additional program costs to states while capping federal participation, even as Medicaid continues to serve tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $8,621 | 730.5% |
| 2021 | $17,587 | 104% |
| 2022 | $16,363 | -7% |
| 2023 | $81 | -99.5% |
| 2024 | $229 | 179.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $953,740 | 83% |
| 2 | Medicine Services and Procedures | $78,152 | 6.8% |
| 3 | Ambulance and Other Transport Services and Supplies | $55,400 | 4.8% |
| 4 | Pathology and Laboratory Procedures | $23,256 | 2% |
| 5 | Durable Medical Equipment | $15,994 | 1.4% |
| 6 | Dental Services | $8,536 | 0.7% |
| 7 | Radiology Procedures | $5,487 | 0.5% |
| 8 | Alcohol and Drug Abuse Treatment | $4,024 | 0.4% |
| 9 | National Codes Established for State Medicaid Agencies | $3,282 | 0.3% |
| 10 | Drugs Administered Other than Oral Method | $319 | <0.1% |
| 11 | Medical And Surgical Supplies | $229 | <0.1% |
| 12 | Surgery | $111 | <0.1% |
| 13 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A4604 | Tubing with heating element | $106 | 3 |
| A7034 | Nasal application device | $87 | 2 |
| A7035 | Pos airway press headgear | $26 | 1 |
| A7038 | Pos airway pressure filter | $8 | 6 |
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.
