In 2024, Medicaid providers in Gresham billed $416,209 for services within the Medical And Surgical Supplies category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represents a 112.1% rise from 2023, when $196,275 was billed for similar services.
Medicaid, a joint federal-state public insurance program, covers low-income individuals and families, children, seniors, and people with disabilities, making it a core component of the U.S. health care system. Funding is provided jointly by federal and state governments.
Since Medicaid is taxpayer funded, shifts in billing levels reveal how health care resources are distributed locally.
The “Medical And Surgical Supplies” category includes services defined by care type and grouped using standard HCPCS and CPT codes. For this report, each billing code was placed in a single category using specific code ranges and prefixes, allowing similar services to be reviewed together, minimizing double counting and supporting accurate rankings through the years.
Medical And Surgical Supplies was the fourth-highest Medicaid payment category in Gresham in 2024, even as overall spending increased across several other categories.
Statewide in Oregon, Medical And Surgical Supplies was ninth by Medicaid payment total for 2024.
Across the five years preceding 2024, Medicaid payments tied to the Medical And Surgical Supplies category in Gresham rose by $416,209, with the growth rate standing at 0%. Spending increased significantly at certain points, most notably in 2023 and 2022, with strong year-over-year gains.
Payments for Medical And Surgical Supplies services were spread across Gresham but centered in a small set of ZIP codes. In 2024, ZIP code 97030 accounted for $416,208—comprising the entire reported Medicaid spending for this category within the city.
Medicaid reimbursement in this category was heavily focused on a limited number of billing codes during 2024.
Between 2024 and 2023, Medicaid payments linked to Medical And Surgical Supplies in Gresham increased by 112.1%, significantly exceeding the 6.8% change seen across all Medicaid service categories in the city for the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined to approximately $871.7 billion for fiscal year 2023, which made up about 18% of total national health expenditures. This was a substantial increase from $613.5 billion in 2019, before the COVID-19 pandemic.
This growth—about 40% in just a few years—was primarily driven by higher enrollment and increased use during and after the pandemic.
Legislation passed under the Trump administration included measures to lower federal Medicaid funding and reform the system. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to reduce federal Medicaid spending by over $1 trillion throughout the next decade. It also institutes policies such as work requirements and more cost-sharing, which could lessen both coverage and funding for some recipients, shifting more of the burden to states and placing constraints on future expansion of federal Medicaid payments.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $88,966 | – |
| 2023 | $196,275 | 120.6% |
| 2024 | $416,208 | 112.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $7,919,226 | 52.9% |
| 2 | Medicine Services and Procedures | $4,259,081 | 28.4% |
| 3 | National Codes Established for State Medicaid Agencies | $754,086 | 5% |
| 4 | Medical And Surgical Supplies | $416,208 | 2.8% |
| 5 | Surgery | $389,222 | 2.6% |
| 6 | Temporary National Codes (Non-Medicare) | $377,657 | 2.5% |
| 7 | Durable Medical Equipment | $329,493 | 2.2% |
| 8 | Alcohol and Drug Abuse Treatment | $224,058 | 1.5% |
| 9 | Radiology Procedures | $163,546 | 1.1% |
| 10 | Procedures / Professional Services | $64,258 | 0.4% |
| 11 | Vision Services | $40,418 | 0.3% |
| 12 | Dental Services | $35,480 | 0.2% |
| 13 | Pathology and Laboratory Procedures | $6,135 | <0.1% |
| 14 | Ambulance and Other Transport Services and Supplies | $179 | <0.1% |
| 15 | Administrative, Miscellaneous and Investigational | $51 | <0.1% |
| 16 | Drugs Administered Other than Oral Method | $34 | <0.1% |
| 17 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A4239 | Non-adju cgm supply allow | $161,569 | 12 |
| A7030 | Cpap full face mask | $52,095 | 11 |
| A7034 | Nasal application device | $46,386 | 12 |
| A4604 | Tubing with heating element | $44,074 | 12 |
| A4253 | Blood glucose/reagent strips | $30,104 | 9 |
| A7031 | Replacement facemask interfa | $21,079 | 12 |
| A7035 | Pos airway press headgear | $16,741 | 12 |
| A7032 | Replacement nasal cushion | $16,341 | 11 |
| A7033 | Replacement nasal pillows | $9,349 | 11 |
| A7038 | Pos airway pressure filter | $7,877 | 12 |
| A7046 | Repl water chamber, pap dev | $4,003 | 12 |
| A4259 | Lancets per box | $3,584 | 9 |
| A7036 | Pos airway press chinstrap | $2,932 | 11 |
| A4556 | Electrodes, pair | $65 | 2 |
| A4657 | Syringe w/wo needle | $0 | 4 |
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.
