Crestview Medicaid spending for durable medical equipment hits $121,068 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Crestview Medicaid providers billed a total of $121,068 for Durable Medical Equipment services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 19% rise from 2023, when claims in this category totaled $101,751.

Medicaid is a public health insurance program run by the states with joint federal and state funding, as detailed by the Commonwealth Fund. The program provides coverage for low-income individuals and families, seniors, children, and people with disabilities and ranks among the largest components of the U.S. health care system.

Because Medicaid funding is taxpayer-supported, shifts in local billing reflect how community public health resources are distributed.

The “Durable Medical Equipment” group refers to a range of Medicaid services categorized by care type, as defined through standard HCPCS and CPT code groupings. In this report, each billing code is assigned exclusively to one service group using defined code prefixes and numeric ranges. This method ensures services are analyzed together while maintaining precise rankings and avoiding duplicate counting over time.

Although several Medicaid service categories saw payment increases, Durable Medical Equipment stood as the fourth-largest by total Medicaid payments in Crestview for 2024.

Statewide, the Durable Medical Equipment category was ninth in total Medicaid payments in Florida for 2024.

During the five years up to 2024, Medicaid payments for the Durable Medical Equipment category in Crestview rose by $12,058, or 9.1%. Periods of faster spending growth emerged, with notable annual gains in both 2020 and 2023.

While Durable Medical Equipment expenditures reached recipients throughout Crestview, the payments were predominantly reported within a small number of ZIP codes. In 2024, the highest payments were linked to ZIP code 32539, totaling $121,068. This accounted for 100% of local Medicaid payments in this category during that year.

Within the Durable Medical Equipment group, Medicaid payments also concentrated among a select group of individual billing codes.

To compare, Medicaid payments for Durable Medical Equipment in Crestview grew 19% from 2023 to 2024, whereas overall Medicaid claims in the city increased by 38.7% across all categories during the same period.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, representing around 18% of total national health care spending. That marks a significant increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This surge reflects nearly 40% growth over a few years, driven primarily by expanding enrollment and increases in care utilization during and after the pandemic period.

Recent federal budget measures enacted during the Trump administration included sizable proposals to cut federal Medicaid funding and restructure the program. For example, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over the next decade. It also introduces provisions like work requirements and higher cost-sharing, which may reduce funding and coverage for some beneficiaries. Such changes are projected to shift greater costs to states and slow federal Medicaid growth while the program continues to serve tens of millions of Americans.

Medicaid Payments Tied to Durable Medical Equipment in Crestview, Florida Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $133,126 32.2%
2021 $129,426 -2.8%
2022 $77,173 -40.4%
2023 $101,750 31.8%
2024 $121,068 19%
Top Categories by Medicaid Payments in Crestview, Florida, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $1,668,813 47.1%
2 National Codes Established for State Medicaid Agencies $1,137,204 32.1%
3 Medicine Services and Procedures $354,059 1<0.1%
4 Durable Medical Equipment $121,068 3.4%
5 Alcohol and Drug Abuse Treatment $92,828 2.6%
6 Radiology Procedures $64,413 1.8%
7 Pathology and Laboratory Procedures $56,781 1.6%
8 Surgery $26,439 0.7%
9 Medical And Surgical Supplies $8,427 0.2%
10 Dental Services $6,175 0.2%
11 Durable medical equipment (DME) Medicare administrative contractors (MACs) $3,020 0.1%
12 Procedures / Professional Services $1,124 <0.1%
13 Drugs Administered Other than Oral Method $219 <0.1%
14 Anesthesia $14 <0.1%
15 Other Services $0 <0.1%
15 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the Durable Medical Equipment Category in Crestview, Florida, 2024

HCPCS Code Description Medicaid Payments Claims
E1390 Oxygen concentrator $55,918 12
E0601 Cont airway pressure device $26,687 12
E0466 Home vent non-invasive inter $23,328 10
E0431 Portable gaseous 02 $4,796 11
E0260 Hosp bed semi-electr w/ matt $4,151 11
E0562 Humidifier heated used w pap $2,955 12
E1392 Portable oxygen concentrator $2,285 11
E0570 Nebulizer with compression $944 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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