In 2024, Medicaid providers in Croydon submitted $488,805 in claims categorized as Durable Medical Equipment, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an 8.2% rise from the $451,768 billed for the same category in 2023.
Medicaid is a publicly funded health insurance program overseen by individual states and supported by both federal and state governments. It provides coverage to low-income individuals and families, seniors, children, and people with disabilities, making it a major part of the U.S. health care system.
Since Medicaid is taxpayer-funded, shifts in local billing reflect how a community allocates public health dollars.
The Durable Medical Equipment category includes a defined set of Medicaid-billed services determined by type of care, grouped according to standardized HCPCS and CPT code ranges. Each code used in the analysis was placed in a single service category using consistent numeric prefixes, enabling an accurate comparison across services while eliminating double-counting and maintaining ranking accuracy.
While various Medicaid service categories saw spending increases, Durable Medical Equipment was Croydon’s fourth-highest category by total Medicaid spending in 2024.
Statewide in Pennsylvania, Durable Medical Equipment ranked as the eighth-largest Medicaid payment category in 2024.
Between 2019 and 2024, Medicaid payments for the Durable Medical Equipment category in Croydon grew by $442,989, or 966.9%. Certain years, particularly 2020 and 2021, recorded significant year-over-year increases, indicating accelerated growth in those periods.
Spending on Durable Medical Equipment services was citywide, but most payments were focused within a few ZIP codes. In 2024, ZIP code 19021 accounted for the full $488,805 in Medicaid payments for this category, meaning 100% of Croydon’s Durable Medical Equipment Medicaid spending came from this single ZIP code during the year.
Most Medicaid spending in the Durable Medical Equipment category was concentrated among a small subset of individual billing codes.
Medicaid payments associated with the Durable Medical Equipment category in Croydon increased by 8.2% between 2024 and 2023, compared with an overall 19.3% rise across all Medicaid claim categories in Croydon in the same timeframe.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached around $871.7 billion in the 2023 fiscal year, making up approximately 18% of all national health spending, up from about $613.5 billion in 2019, before the COVID-19 pandemic.
This marks an estimated 40% increase over several years, primarily due to rising enrollment and greater usage during and after the pandemic.
Recent federal budget measures during the Trump administration have proposed major reductions in federal Medicaid funding and program restructuring. The One Big Beautiful Bill Act, enacted in 2025, is expected to cut federal Medicaid spending by over $1 trillion over 10 years and brings in changes such as work requirements and higher cost-sharing, potentially reducing coverage and money available for certain beneficiaries. These policies may shift a larger share of costs to states and restrict federal growth even as tens of millions of Americans rely on Medicaid coverage.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $45,816 | 3595.9% |
| 2021 | $188,737 | 311.9% |
| 2022 | $285,469 | 51.3% |
| 2023 | $451,768 | 58.3% |
| 2024 | $488,805 | 8.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $2,598,537 | 59% |
| 2 | Medical And Surgical Supplies | $716,199 | 16.3% |
| 3 | Enteral and Parenteral Therapy | $579,127 | 13.2% |
| 4 | Durable Medical Equipment | $488,805 | 11.1% |
| 5 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $18,067 | 0.4% |
| 6 | Orthotic Procedures and services | $1,217 | <0.1% |
| 7 | Temporary Codes | $151 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| E1399 | Durable medical equipment mi | $380,236 | 11 |
| E0570 | Nebulizer with compression | $36,599 | 12 |
| E0260 | Hosp bed semi-electr w/ matt | $29,199 | 13 |
| E0143 | Walker folding wheeled w/o s | $8,748 | 11 |
| E0265 | Hosp bed total electr w/ mat | $5,792 | 7 |
| E0627 | Seat lift mech, electric any | $5,448 | 4 |
| E0240 | Bath/shower chair | $4,981 | 10 |
| E0630 | Patient lift hydraulic | $3,728 | 11 |
| E0601 | Cont airway pressure device | $2,496 | 6 |
| E0971 | Wheelchair anti-tipping devi | $2,251 | 6 |
| E0149 | Heavy duty wheeled walker | $2,127 | 11 |
| E0156 | Walker seat attachment | $1,767 | 11 |
| E2601 | Gen w/c cushion wdth < 22 in | $1,313 | 5 |
| E0250 | Hosp bed fixed ht w/ mattres | $1,255 | 3 |
| E0165 | Commode chair with detacharm | $1,051 | 11 |
| E1038 | Transport chair pt wt<=300lb | $921 | 11 |
| E0163 | Commode chair with fixed arm | $604 | 2 |
| E0105 | Cane adjust/fixed quad/3 pro | $169 | 1 |
| E0100 | Cane adjust/fixed with tip | $112 | 1 |
Note: HCPCS codes are provided to show context within the category. Totals and category rankings in this article reflect standardized groupings, not individual billing codes.
Information cited in this article is from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.
