Pinehurst Medicaid providers billed $1,178 for services listed under the Durable Medical Equipment category in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 150.6% jump from 2023, when similar claims amounted to $470.
Medicaid operates as a public health insurance program administered by states and financed cooperatively by federal and state governments. It provides assistance to low-income families and individuals, seniors, children, and those with disabilities, making it one of the largest components of the national health care system.
Since Medicaid funding is taxpayer-driven, shifts in billing levels in local areas illustrate changes in community allocation of public health care resources.
The “Durable Medical Equipment” grouping includes a range of Medicaid services determined by care type, based on uniform HCPCS and CPT code sets. In this evaluation, each code was placed into a specific service group using the same code prefixes and numeric sequences, enabling comparison of related services over time by avoiding double-counting and maintaining accurate rankings.
Among all categories, Durable Medical Equipment led Pinehurst in total Medicaid payments for 2024.
Across Idaho, Durable Medical Equipment placed ninth in total statewide Medicaid payments over the same time period.
From five years before 2024, Medicaid payments in Pinehurst for Durable Medical Equipment rose by $1,178, or 0%. Certain periods saw faster growth, with the largest annual increases observed in 2023 and 2022.
While these payments were made across various city sections, most Durable Medical Equipment Medicaid spending was concentrated in a small number of ZIP codes. In 2024, ZIP code 83850 saw the highest total at $1,178, representing 100% of citywide spending for the category that year.
Within Durable Medical Equipment, Medicaid payments clustered around only a handful of individual billing codes.
For comparison, Durable Medical Equipment Medicaid payments in Pinehurst grew 150.6% between 2024 and 2023, far outpacing the city’s 18.3% increase across all Medicaid claim categories during the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, making up around 18% of overall national health care spending. This figure marked a substantial rise from approximately $613.5 billion in 2019, before the arrival of COVID-19.
This increase reflects a roughly 40% uptick in several years, largely fueled by greater enrollment and service use during and after the pandemic.
The Trump administration’s recent federal budget bills proposed deep reductions to federal Medicaid outlays and changes to the program. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to lower federal Medicaid funding by more than $1 trillion in the coming decade and introduce work requirements, extra cost-sharing, and other measures expected to cut funding and restrict coverage for certain groups. These changes are projected to transfer more financial responsibility to states and moderate the future growth of federal Medicaid funding even as the program continues serving millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2023 | $469 | – |
| 2024 | $1,178 | 150.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Durable Medical Equipment | $1,178 | 10<0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| E0570 | Nebulizer with compression | $1,178 | 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.
