Medicaid payments for durable medical equipment climbed 7.3% in Huntington in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Huntington Medicaid providers billed $605,580 for Durable Medical Equipment services in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 7.3% rise from 2023, when providers submitted $564,489 in claims for the same service type.

Medicaid is a statewide public health insurance program jointly funded by federal and state governments. It provides coverage for low-income families and individuals, seniors, children, and those with disabilities, making it one of the foundation pillars of the U.S. health care system. More details are available from the Commonwealth Fund.

Shifts in local Medicaid billing levels reflect how tax dollars for public health care are distributed within a community.

The Durable Medical Equipment category encompasses a defined set of Medicaid-billed services, classified by care type using standardized HCPCS and CPT code groupings. For this analysis, each billing code was designated to a single service category based on consistent code prefixes and numbers, which enables similar services to be grouped for comparison while avoiding double counting and maintaining ranking consistency across years.

Despite broader increases in Medicaid spending across multiple service categories, Durable Medical Equipment placed 11th by total Medicaid payments in Huntington for 2024.

Statewide in West Virginia, Durable Medical Equipment ranked 10th in total Medicaid payments for the same year.

Between 2020 and 2024, Medicaid payments tied to Durable Medical Equipment in Huntington grew by $204,314, a 50.9% increase. Periods of faster growth included notable spikes between individual years, such as in 2020 and 2021.

Though Durable Medical Equipment spending was recorded throughout the city, payments were highly concentrated within certain ZIP codes. In 2024, the highest Medicaid payments for this category came from ZIP code 25701 with $429,356, and 25702 with $176,222, making up the entire Medicaid spending in this category for Huntington during the year.

Within the Durable Medical Equipment group, Medicaid payments largely clustered around just a few billing codes.

Medicaid payments tied to Durable Medical Equipment in Huntington increased by 7.3% from 2023 to 2024, while all Medicaid claim categories in the city saw a broader change of 19.3% over the same span.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending rose to about $871.7 billion in the 2023 fiscal year, accounting for roughly 18% of total national health expenditures, a significant jump from $613.5 billion in 2019 before the COVID-19 pandemic.

This increase equals nearly 40% growth within a few years, with much of the surge attributed to expanded enrollment and greater health care utilization following the pandemic.

Recent federal budget actions under the Trump administration have proposed substantial reductions to Medicaid at the federal level and called for changes to how the program is structured. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim more than $1 trillion from federal Medicaid spending over 10 years and implement rules such as work requirements and increased cost-sharing, which could decrease both coverage and funding for certain enrollees. These changes are projected to shift further financial responsibility onto states while federal Medicaid support limitations may tighten, even with tens of millions remaining covered by the program.

Medicaid Payments Tied to Durable Medical Equipment in Huntington, West Virginia Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $401,266 103.4%
2021 $494,740 23.3%
2022 $595,606 20.4%
2023 $564,489 -5.2%
2024 $605,579 7.3%
Top Categories by Medicaid Payments in Huntington, West Virginia, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $23,280,090 24.2%
2 Alcohol and Drug Abuse Treatment $19,443,830 20.2%
3 National Codes Established for State Medicaid Agencies $13,703,894 14.2%
4 Temporary National Codes (Non-Medicare) $11,254,507 11.7%
5 Pathology and Laboratory Procedures $8,160,239 8.5%
6 Medicine Services and Procedures $4,995,542 5.2%
7 Procedures / Professional Services $4,032,208 4.2%
8 Radiology Procedures $3,912,509 4.1%
9 Ambulance and Other Transport Services and Supplies $3,721,160 3.9%
10 Surgery $1,541,343 1.6%
11 Durable Medical Equipment $605,579 0.6%
12 Drugs Administered Other than Oral Method $563,671 0.6%
13 Dental Services $325,657 0.3%
14 Chemotherapy Drugs $132,139 0.1%
15 Vision Services $128,830 0.1%
16 Hearing Services $98,824 0.1%
17 Medical And Surgical Supplies $71,606 0.1%
18 Temporary Codes $61,458 0.1%
19 Anesthesia $60,213 0.1%
20 Administrative, Miscellaneous and Investigational $59,404 0.1%
21 Outpatient PPS $54,852 0.1%
22 Orthotic Procedures and services $27,887 <0.1%
23 Durable medical equipment (DME) Medicare administrative contractors (MACs) $18,992 <0.1%
Top 20 HCPCS Codes Within the Durable Medical Equipment Category in Huntington, West Virginia, 2024

HCPCS Code Description Medicaid Payments Claims
E1390 Oxygen concentrator $353,365 24
E0466 Home vent non-invasive inter $128,102 17
E0431 Portable gaseous 02 $32,673 24
E0601 Cont airway pressure device $26,675 23
E0260 Hosp bed semi-electr w/ matt $18,022 22
E0562 Humidifier heated used w pap $13,479 10
E0570 Nebulizer with compression $12,736 22
E0143 Walker folding wheeled w/o s $7,802 11
E0114 Crutch underarm pair no wood $7,574 11
E0470 Rad w/o backup non-inv intfc $4,562 4
E1392 Portable oxygen concentrator $193 2
E0971 Wheelchair anti-tipping devi $178 1
E0156 Walker seat attachment $142 1
E0951 Loop heel $70 3

Note: HCPCS codes are presented for context. Category totals and rankings cited are based on grouped standardized service assignments, not on individual billing codes.

Data in this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Original data can be found here.



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