Alpine Medicaid providers billed $9,330 for Medical And Surgical Supplies services in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That figure is a 98.8% jump compared to 2023, when $4,694 in claims for these services were submitted.
Medicaid is a state-administered public health insurance initiative funded through both federal and state governments. As one of the largest elements of the U.S. health care system, it covers eligible low-income people, including individuals, families, seniors, children and those with disabilities.
Since Medicaid spending is taxpayer-funded, shifts in local billing indicate how public health dollars are distributed in different communities.
The “Medical And Surgical Supplies” category encompasses Medicaid-billed services grouped by care type, which are categorized through standard HCPCS and CPT codes. Each code was placed into a single service category for this analysis, using standardized code groupings to prevent overlapping counts and ensure accurate year-over-year comparisons.
While Medicaid outlays rose across several service categories, Medical And Surgical Supplies ranked third in Alpine for total Medicaid payments in 2024.
Statewide in Texas, Medical And Surgical Supplies was the 11th largest Medicaid payment category in 2024.
From 2019 through 2024, Alpine’s Medicaid payments for Medical And Surgical Supplies climbed by $8,438—or 945.4%. Growth was particularly rapid in certain years, especially in 2021 and 2023.
Most spending in the Medical And Surgical Supplies category was concentrated in a select few ZIP codes across Alpine. In 2024, ZIP code 79830 saw $9,329 in Medicaid payments for this category. The top ZIP code comprised 100% of Alpine’s total for the year.
Within the Medical And Surgical Supplies group, Medicaid payments were heavily focused on a small cluster of individual billing codes.
When compared with other Medicaid claim categories citywide, Medical And Surgical Supplies payments in Alpine grew by 98.8% from 2023 to 2024, versus a 39.2% shift across all claim types during that period.
Centers for Medicare & Medicaid Services data show combined federal and state Medicaid spending totaled about $871.7 billion in fiscal 2023—roughly 18% of total U.S. health spending and a steep rise from $613.5 billion in 2019, before COVID-19.
That approximately 40% increase over just a few years has been attributed mainly to expanded enrollment and increased service use during and following the pandemic.
Recent federal budget measures during the Trump administration have introduced major proposals to cut federal Medicaid funding and change the program’s design. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion in federal Medicaid spending over 10 years and includes policies intended to reduce coverage or funding—such as work requirements and higher cost-sharing for some enrollees. These adjustments are projected to shift more financial responsibility to states and limit future federal Medicaid growth, even as the program remains a lifeline for millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $892 | -17.6% |
| 2021 | $2,738 | 206.9% |
| 2023 | $4,694 | 71.4% |
| 2024 | $9,329 | 98.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $255,866 | 90.5% |
| 2 | Evaluation and Management | $15,765 | 5.6% |
| 3 | Medical And Surgical Supplies | $9,329 | 3.3% |
| 4 | Durable Medical Equipment | $1,423 | 0.5% |
| 5 | Medicine Services and Procedures | $163 | 0.1% |
| 6 | Pathology and Laboratory Procedures | $139 | <0.1% |
| 7 | Surgery | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A4554 | Disposable underpads | $8,005 | 8 |
| A4335 | Incontinence supply | $1,324 | 8 |
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.




