Medicaid Medical And Surgical Supplies payments in Monona rise to $160,357 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Providers in Monona billed Medicaid a total of $160,357 for services under the Medical And Surgical Supplies category in 2024, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amounted to a 132.6% jump from 2023, when $68,945 in claims were submitted for the same service group.

Medicaid serves as a state-run public health insurance program funded by both federal and state governments. The program covers low-income people, seniors, children, and those with disabilities, positioning it as a major pillar of the United States health care system.

As Medicaid is financed through taxpayer resources, differences in local billing highlight the distribution of public health care spending in each community.

The “Medical And Surgical Supplies” grouping includes a range of billable Medicaid services defined by care type using standardized HCPCS and CPT code groupings. For this report, billing codes were organized into defined service categories based on shared code prefixes and numerical ranges, ensuring related services could be reviewed collectively without duplication and supporting accurate trend analysis.

Among all service categories, Medical And Surgical Supplies placed second by overall Medicaid payments in Monona during 2024.

Statewide, this group ranked 12th by total Medicaid payments across Wisconsin in 2024.

Between 2019 and 2024, Medicaid payments for Medical And Surgical Supplies in Monona rose by $131,161, representing a 449.3% climb. Specific years, such as 2020 and 2021, showed sharp year-over-year spending increases.

Payments within the Medical And Surgical Supplies category were distributed throughout Monona but largely centered in a small set of ZIP codes. In 2024, ZIP code 53716 saw the highest total, with $160,356—comprising 100% of the Medicaid payments for this category in Monona that year.

A limited range of billing codes accounted for most Medical And Surgical Supplies Medicaid payments in the area.

Comparatively, Medical And Surgical Supplies Medicaid payments climbed 132.6% in Monona from 2023 to 2024. This was higher than the 107.3% overall increase reported for all Medicaid claim types in the city during that time frame.

Data from the Centers for Medicare & Medicaid Services shows combined state and federal Medicaid expenditures reached roughly $871.7 billion in fiscal year 2023, which is about 18% of total national health spending—a notable increase from approximately $613.5 billion in 2019, before the COVID-19 pandemic.

This increase indicates roughly 40% growth over just a few years and is chiefly attributed to more enrollments and higher utilization during and following the pandemic.

Trump administration-era federal budget measures introduced major plans to shrink federal Medicaid funding and adjust the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid outlays by over $1 trillion over 10 years and brings in new requirements, such as work rules and higher cost payments by beneficiaries. These changes are set to pass additional costs to states and slow the growth of federal support for Medicaid, even as it continues to cover millions of Americans.

Medicaid Payments Tied to Medical And Surgical Supplies in Monona, Wisconsin Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $29,195 64.1%
2021 $42,153 44.4%
2022 $52,933 25.6%
2023 $68,945 30.2%
2024 $160,356 132.6%
Top Categories by Medicaid Payments in Monona, Wisconsin, 2024

Rank Category Medicaid Payments Share of City Total
1 Administrative, Miscellaneous and Investigational $169,752 33.1%
2 Medical And Surgical Supplies $160,356 31.2%
3 Durable Medical Equipment $100,982 19.7%
4 Medicine Services and Procedures $47,819 9.3%
5 Ambulance and Other Transport Services and Supplies $18,091 3.5%
6 Enteral and Parenteral Therapy $8,781 1.7%
7 Vision Services $7,770 1.5%
8 Durable medical equipment (DME) Medicare administrative contractors (MACs) $62 <0.1%
Top 20 HCPCS Codes Within the Medical And Surgical Supplies Category in Monona, Wisconsin, 2024

HCPCS Code Description Medicaid Payments Claims
A4253 Blood glucose/reagent strips $33,681 9
A7030 Cpap full face mask $20,788 12
A4239 Non-adju cgm supply allow $20,201 5
A7034 Nasal application device $14,178 11
A7031 Replacement facemask interfa $8,657 11
A4215 Sterile needle $7,066 8
A7037 Pos airway pressure tubing $6,932 12
A4322 Irrigation syringe $6,471 6
A4357 Bedside drainage bag $6,296 8
A7035 Pos airway press headgear $6,081 11
A7032 Replacement nasal cushion $4,758 9
A4358 Urinary leg or abdomen bag $4,398 7
A6402 Sterile gauze <= 16 sq in $4,395 6
A4351 Straight tip urine catheter $4,211 2
A4259 Lancets per box $3,792 9
A7038 Pos airway pressure filter $3,540 12
A7046 Repl water chamber, pap dev $1,980 10
A4216 Sterile water/saline, 10 ml $899 1
A4310 Insert tray w/o bag/cath $846 3
A5120 Skin barrier, wipe or swab $486 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.



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