In 2024, Medicaid providers in Waco billed $5,061,569 for services within the Durable Medical Equipment category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This reflects a 4.1% rise from 2023, when providers submitted $4,860,413 in claims for that category.
Medicaid is a public insurance program managed at the state level and funded by both federal and state governments. It serves low-income residents, families, seniors, children and individuals with disabilities, making it a significant segment of the U.S. health care landscape.
Since Medicaid dollars come from taxpayers, shifts in local billing are indicators of how public health funds are distributed within the community.
The “Durable Medical Equipment” category includes Medicaid-billed services defined by care type, based on standard HCPCS and CPT code groupings. For this analysis, each billing code was matched to a single category using set code prefixes and number ranges, keeping counts unique and rankings consistent over time.
Medicaid spending grew in several categories, with Durable Medical Equipment ranking fifth in total payments for Waco in 2024.
At the state level, Durable Medical Equipment was 12th statewide by Medicaid payment volume in Texas in 2024.
From 2019 through 2024, Medicaid payments linked to Durable Medical Equipment in Waco climbed $4,479,884, an increase of 770.2%. There were notable surges in spending, particularly in 2020 and 2021, when year-over-year growth accelerated.
Spending across the Durable Medical Equipment category was distributed citywide, but most payments came from just a few ZIP codes. In 2024, ZIP code 76710 generated $5,027,106 in Medicaid payments, 76712 saw $21,587, and 76711 posted $12,874. These top 3 ZIP codes together made up 100% of the Medicaid payments attributed to Durable Medical Equipment in Waco that year.
Payments for Durable Medical Equipment services were also concentrated among certain individual billing codes within the category.
Comparison shows Medicaid payments tied to Durable Medical Equipment in Waco rose 4.1% between 2023 and 2024, while total Medicaid claims in the city increased 13.4% in the same interval.
The Centers for Medicare & Medicaid Services reports that combined state and federal Medicaid spending reached roughly $871.7 billion in the 2023 fiscal year, representing around 18% of total U.S. health expenditures. That’s up sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This rise accounts for approximately 40% growth over a few years, driven mainly by increased enrollment and higher utilization during and after the pandemic.
Recent federal budget packages under the Trump administration featured major proposals to decrease federal Medicaid funding and change how the program operates. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is estimated to cut over $1 trillion from federal Medicaid funds over the next 10 years and brings new policies including work requirements and added cost-sharing, potentially reducing support for certain recipients. These measures could mean more costs push to state governments, curbing growth of federal Medicaid support even as the program continues to serve tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $581,684 | 771.1% |
| 2021 | $2,996,975 | 415.2% |
| 2022 | $4,154,213 | 38.6% |
| 2023 | $4,860,413 | 17% |
| 2024 | $5,061,568 | 4.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $26,995,919 | 39% |
| 2 | Enteral and Parenteral Therapy | $11,970,411 | 17.3% |
| 3 | Evaluation and Management | $7,467,303 | 10.8% |
| 4 | Alcohol and Drug Abuse Treatment | $5,233,339 | 7.6% |
| 5 | Durable Medical Equipment | $5,061,568 | 7.3% |
| 6 | Medicine Services and Procedures | $3,500,759 | 5.1% |
| 7 | Dental Services | $2,874,041 | 4.2% |
| 8 | Medical And Surgical Supplies | $2,387,991 | 3.5% |
| 9 | Temporary National Codes (Non-Medicare) | $1,009,640 | 1.5% |
| 10 | Surgery | $723,414 | 1% |
| 11 | Pathology and Laboratory Procedures | $716,694 | 1% |
| 12 | Radiology Procedures | $364,913 | 0.5% |
| 13 | Ambulance and Other Transport Services and Supplies | $313,063 | 0.5% |
| 14 | Coronavirus Diagnostic Panel | $132,882 | 0.2% |
| 15 | Vision Services | $118,063 | 0.2% |
| 16 | Administrative, Miscellaneous and Investigational | $96,017 | 0.1% |
| 17 | Procedures / Professional Services | $69,009 | 0.1% |
| 18 | Anesthesia | $61,018 | 0.1% |
| 19 | Temporary Codes | $39,966 | 0.1% |
| 20 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $2,083 | <0.1% |
| 21 | Drugs Administered Other than Oral Method | $1,671 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| E0603 | Electric breast pump | $4,072,008 | 24 |
| E0465 | Home vent invasive interface | $233,816 | 11 |
| E1390 | Oxygen concentrator | $230,679 | 35 |
| E0466 | Home vent non-invasive inter | $149,639 | 11 |
| E0445 | Oximeter non-invasive | $139,741 | 10 |
| E0482 | Cough stimulating device | $79,737 | 12 |
| E0431 | Portable gaseous 02 | $35,646 | 32 |
| E1399 | Durable medical equipment mi | $35,096 | 5 |
| E0570 | Nebulizer with compression | $32,277 | 25 |
| E0776 | Iv pole | $14,961 | 11 |
| E0470 | Rad w/o backup non-inv intfc | $14,022 | 7 |
| E0601 | Cont airway pressure device | $12,609 | 12 |
| E0562 | Humidifier heated used w pap | $6,165 | 15 |
| E0600 | Suction pump portab hom modl | $5,166 | 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.
