In 2024, Medicaid payments for services falling under the Medical And Surgical Supplies category in Carlsbad totaled $16,168,214, as shown in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 37.5% rise compared with 2023, when $11,760,682 was billed for the same service group.
Medicaid is a government health insurance initiative managed by the states and funded jointly by federal and state governments. The program provides health coverage for low-income residents, families, seniors, children, and those with disabilities, maintaining its place as a main element of the U.S. health care landscape.
Given that Medicaid funding originates from taxpayers, shifts in billing volumes locally demonstrate how public funds for health care are distributed within communities.
The “Medical And Surgical Supplies” service grouping contains Medicaid-billed procedures determined by services rendered and arranged using standardized HCPCS and CPT code clusters. For analysis, billing codes were sorted into one category based on shared prefixes and numerical design, helping ensure accurate group evaluations, trend tracking, and avoiding repeated entries.
While multiple Medicaid service categories experienced spending increases, Medical And Surgical Supplies stood as the second-largest recipient of Medicaid dollars in Carlsbad in 2024.
Statewide in California, Medical And Surgical Supplies ranked 13th for Medicaid spending by category during 2024.
Between 2020 and 2024, Carlsbad’s Medicaid payments for Medical And Surgical Supplies grew by $15,526,084, representing a 2,417.9% increase. Spending acceleration was evident in specific years, including significant upticks in both 2023 and 2020.
Although payments in this category occurred citywide, the majority were attributed to a small group of ZIP codes. In 2024, ZIP code 92009 captured $15,438,160 in Medicaid Medical And Surgical Supplies payments; 92011 followed with $653,697, and 92010 accounted for $40,744. The highest 3 ZIP codes comprised 99.8% of the city’s Medicaid payments for this category.
Payments for Medical And Surgical Supplies were also heavily concentrated among a few specific billing codes.
To compare, Carlsbad Medicaid Medical And Surgical Supplies spending increased 37.5% from 2023 to 2024, while aggregate spending across all Medicaid claim categories citywide grew by just 3.4% in the same timeframe.
According to the Centers for Medicare & Medicaid Services, overall state and federal Medicaid expenditures reached nearly $871.7 billion in fiscal year 2023—approximately 18% of total national health costs—markedly rising from $613.5 billion in 2019, ahead of the COVID-19 pandemic.
This shift equates to about a 40% total increase over just a few years, mainly fueled by lower barriers for program entry and greater service demand during and post-pandemic.
Recent federal budget legislation approved during the Trump administration featured notable proposals to scale back Medicaid expenditures and alter program structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is anticipated to decrease federal Medicaid funds by over $1 trillion across the next decade, with new measures such as work requirements and heightened cost-sharing. These modifications could limit coverage and reduce federal financial support, possibly moving more financial responsibility to states as the program remains vital for millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $642,129 | 132% |
| 2021 | $1,063,066 | 65.6% |
| 2022 | $1,211,872 | 14% |
| 2023 | $11,760,682 | 870.5% |
| 2024 | $16,168,213 | 37.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Orthotic Procedures and services | $23,474,668 | 31% |
| 2 | Medical And Surgical Supplies | $16,168,213 | 21.4% |
| 3 | Durable Medical Equipment | $13,160,801 | 17.4% |
| 4 | National Codes Established for State Medicaid Agencies | $8,204,161 | 10.8% |
| 5 | Procedures / Professional Services | $3,343,735 | 4.4% |
| 6 | Medicine Services and Procedures | $2,291,341 | 3% |
| 7 | Alcohol and Drug Abuse Treatment | $2,141,123 | 2.8% |
| 8 | Administrative, Miscellaneous and Investigational | $2,077,747 | 2.7% |
| 9 | Evaluation and Management | $1,280,381 | 1.7% |
| 10 | Drugs Administered Other than Oral Method | $1,109,041 | 1.5% |
| 11 | Temporary National Codes (Non-Medicare) | $969,391 | 1.3% |
| 12 | Ambulance and Other Transport Services and Supplies | $572,718 | 0.8% |
| 13 | Surgery | $396,918 | 0.5% |
| 14 | Pathology and Laboratory Procedures | $197,088 | 0.3% |
| 15 | Radiology Procedures | $129,442 | 0.2% |
| 16 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $48,677 | 0.1% |
| 17 | Temporary Codes | $47,379 | 0.1% |
| 18 | Dental Services | $32,010 | <0.1% |
| 19 | Vision Services | $12,279 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A4239 | Non-adju cgm supply allow | $14,476,339 | 24 |
| A4230 | Infus insulin pump non needl | $663,271 | 12 |
| A4284 | Replcmnt breast pump shield | $149,387 | 12 |
| A4281 | Replacement breastpump tube | $148,667 | 12 |
| A4232 | Syringe w/needle insulin 3cc | $142,344 | 12 |
| A4282 | Replacement breastpump adpt | $94,876 | 12 |
| A4285 | Replcmnt breast pump bottle | $90,694 | 12 |
| A4283 | Replacement breastpump cap | $89,590 | 12 |
| A4286 | Replcmnt breastpump lok ring | $80,480 | 12 |
| A4224 | Supply insulin inf cath/wk | $57,522 | 12 |
| A4467 | Belt strap sleev grmnt cover | $47,596 | 22 |
| A4238 | Adju cgm supply allowance | $46,668 | 11 |
| A4225 | Sup/ext insulin inf pump syr | $30,419 | 12 |
| A4565 | Slings | $23,207 | 19 |
| A4253 | Blood glucose/reagent strips | $17,343 | 20 |
| A4556 | Electrodes, pair | $5,551 | 9 |
| A4256 | Calibrator solution/chips | $1,925 | 19 |
| A4259 | Lancets per box | $1,861 | 20 |
| A4258 | Lancet device each | $462 | 12 |
Note: HCPCS codes are provided for reference within the category. Category aggregates and rankings referred to in this article rely on standardized service grouping methodology and are not based on individual codes alone.
Details were obtained from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Full source data can be accessed here.
