Tyler Medicaid payouts for medical and surgical supplies rise to $6,594,651 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Tyler Medicaid providers billed $6,594,651 for services included in the Medical And Surgical Supplies category, according to data accessed from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 22.2% increase over 2023, when $5,398,055 in claims were submitted for this service type.

Medicaid is administered individually by states and is funded jointly by federal and state governments. The program insures low-income people, seniors, children, and those with disabilities, making it a major component of the nation’s health care infrastructure.

Because taxpayer funds support Medicaid, shifts in local billing levels reflect how public health care resources are distributed within a community.

The “Medical And Surgical Supplies” classification groups services based on the care provided, with standardized HCPCS and CPT code groupings. Consistent code prefixes and numeric ranges were used to assign each billing code to a single service category for this analysis, enabling related services to be tracked together while preventing double counting and ensuring accurate comparisons across years.

Spending in the Medical And Surgical Supplies category rose among several service types, and this category ranked fourth by Medicaid payment total in Tyler for 2024.

At the state level in Texas, Medical And Surgical Supplies ranked 11th in total Medicaid payments for 2024.

Between 2019 and 2024, Medicaid payments tied to Medical And Surgical Supplies in Tyler grew by $6,549,271, or 14432.2%. Growth accelerated in certain periods, particularly in 2020 and 2023, with large annual gains.

Payments for Medical And Surgical Supplies were distributed throughout the city, but a small number of ZIP codes concentrated most of the dollars. In 2024, ZIP code 75701 accounted for $6,594,650 in claims, and 75702 for $0; together, these 2 ZIP codes made up 100% of related Medicaid payments across Tyler this year.

A limited group of individual billing codes attracted the bulk of spending within the broader Medical And Surgical Supplies category.

Comparing the years 2024 and 2023, Medicaid payments in this category rose 22.2% in Tyler, while citywide Medicaid payments across all claim categories increased by 18.2% during the period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together totaled about $871.7 billion in fiscal year 2023, or about 18% of total national health spending, up significantly from nearly $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This rise equates to about 40% growth in a few years, mainly resulting from expanded enrollment and increased service use during and following the pandemic.

Recent federal budget actions under the Trump administration have brought wide-ranging proposals to reduce federal Medicaid funding and modify the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to shrink federal Medicaid spending by more than $1 trillion over the next 10 years. It also enacts measures such as work requirements and higher cost sharing, which could decrease coverage and funding for some participants. As a result, states are projected to bear higher costs with limits on federal funding increases, despite the program serving tens of millions of people nationwide.

Medicaid Payments Tied to Medical And Surgical Supplies in Tyler, Texas Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $45,379 1748.1%
2021 $353,761 679.6%
2022 $485,884 37.3%
2023 $5,398,054 1011%
2024 $6,594,650 22.2%
Top Categories by Medicaid Payments in Tyler, Texas, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $36,161,095 41.2%
2 Temporary National Codes (Non-Medicare) $15,671,095 17.8%
3 Evaluation and Management $11,472,594 13.1%
4 Medical And Surgical Supplies $6,594,650 7.5%
5 Ambulance and Other Transport Services and Supplies $4,555,846 5.2%
6 Medicine Services and Procedures $2,827,267 3.2%
7 Pathology and Laboratory Procedures $2,183,459 2.5%
8 Dental Services $1,925,759 2.2%
9 Radiology Procedures $1,455,966 1.7%
10 Administrative, Miscellaneous and Investigational $1,132,699 1.3%
11 Procedures / Professional Services $968,457 1.1%
12 Surgery $952,089 1.1%
13 Durable Medical Equipment $899,675 1%
14 Alcohol and Drug Abuse Treatment $636,671 0.7%
15 Drugs Administered Other than Oral Method $140,260 0.2%
16 Anesthesia $104,832 0.1%
17 Diagnostic Radiology Services $59,016 0.1%
18 Vision Services $55,744 0.1%
19 Temporary Codes $12,704 <0.1%
20 Outpatient PPS $0 <0.1%
20 Pathology and Laboratory Services $0 <0.1%
Top 20 HCPCS Codes Within the Medical And Surgical Supplies Category in Tyler, Texas, 2024

HCPCS Code Description Medicaid Payments Claims
A4239 Non-adju cgm supply allow $6,025,689 24
A4230 Infus insulin pump non needl $394,780 24
A4232 Syringe w/needle insulin 3cc $92,364 24
A4231 Infusion insulin pump needle $28,513 18
A4225 Sup/ext insulin inf pump syr $12,813 10
A7031 Replacement facemask interfa $11,750 16
A7030 Cpap full face mask $7,560 7
A7032 Replacement nasal cushion $5,940 10
A6257 Transparent film <= 16 sq in $3,918 10
A7038 Pos airway pressure filter $3,310 26
A7037 Pos airway pressure tubing $2,549 10
A5120 Skin barrier, wipe or swab $1,096 10
A7034 Nasal application device $1,017 1
A7035 Pos airway press headgear $720 3
A4456 Adhesive remover, wipes $593 11
A7033 Replacement nasal pillows $590 2
A7046 Repl water chamber, pap dev $571 5
A4554 Disposable underpads $382 1
A4335 Incontinence supply $313 5
A7003 Nebulizer administration set $82 3

Note: HCPCS codes are provided for reference within the category. Category totals and rankings throughout this article are based on standardized service groupings, not individual billing codes.

Information in this report references the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data is available here.



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