Orthotic Procedures and services billings by Medicaid rise to $21,655 in Erwin for 2024

Providers billing Medicaid in Erwin reported $21,655 in charges for Orthotic Procedures and services in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 211.2% rise from the $6,958 total billed for these services in 2023.

Medicaid is a national health insurance initiative jointly financed by federal and state governments and run at the state level. It covers eligible low-income individuals and families, seniors, children, and people with disabilities, standing as one of the nation’s largest health care programs. Learn more at Commonwealth Fund.

Taxpayer funding for Medicaid payments means changes in local billing patterns offer insight into the allocation of public health spending within communities.

The “Orthotic Procedures and services” group encompasses select services billed to Medicaid and categorized with standardized HCPCS and CPT code ranges. Every billing code analyzed for this report was mapped into a single service category based on its code prefix and designated range, which grouped related services without overlap and preserved consistent year-over-year rankings.

While spending increased in multiple Medicaid service areas, Orthotic Procedures and services ranked as the fifth-highest category by paid claims in Erwin for 2024.

At the state level, Orthotic Procedures and services was the 18th largest Medicaid payment category in Tennessee this year.

Analysis shows that over the five years leading up to 2024, Erwin providers had an increase of $21,655 in Medicaid payments associated with Orthotic Procedures and services—reflecting flat cumulative growth at 0%. Payment increases became more pronounced in recent periods, particularly in 2023 and 2022.

Although this category of care saw citywide billing activity, the majority of payments were mainly associated with only a few ZIP codes. In 2024, the 37650 ZIP code accounted for $21,654, representing 100% of local Medicaid expenditures in this service area.

Payments in this service group were largely driven by a small set of individual billing codes within Erwin.

Relative to other Medicaid spending in Erwin, payments connected to Orthotic Procedures and services surged by 211.2% from 2023 to 2024. For all Medicaid categories combined, the change over the period was 33%.

The Centers for Medicare & Medicaid Services reports combined federal and state Medicaid expenditures reached about $871.7 billion in the 2023 fiscal year, totaling about 18% of U.S. healthcare spending. This was a substantial rise from $613.5 billion in 2019, prior to the pandemic.

This jump represents nearly 40% growth over several years, attributed mainly to wider enrollment and higher utilization rates during and after COVID-19.

Major budget legislation approved during the Trump administration has brought forward notable proposals to reduce federal Medicaid contributions and change the program’s structure. The “One Big Beautiful Bill Act,” which became law in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion in the coming decade, including initiatives like work requirements and cost-sharing changes that may impact beneficiaries. These moves are anticipated to shift greater financial responsibility to states and potentially curb federal program growth, even as Medicaid continues to provide essential coverage to millions of Americans.

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.