In 2024, Medicaid providers in Iowa Falls billed $10,588 for services within the Durable Medical Equipment category, U.S. Department of Health and Human Services Medicaid Provider Spending data shows. This was a 268.4% rise from 2023, when providers had $2,874 in claims for this category.
Medicaid, funded jointly by federal and state governments and administered by states, provides public health insurance coverage for low-income individuals and families, seniors, children, and people with disabilities. As one of the largest health care programs in the country, it serves millions of Americans.
Since Medicaid relies on taxpayer funding, shifts in local billing patterns reflect how community health care resources are being spent.
The Durable Medical Equipment group encompasses Medicaid-billed services categorized by the specific type of care, defined through recognized HCPCS and CPT coding systems. For this report, each billing code was assigned to a single service group using standardized code prefixes and ranges, enabling comparable analysis of related services over time without double counting, and allowing for accurate rankings.
Durable Medical Equipment placed seventh by total Medicaid payments among service categories in Iowa Falls for 2024, even as overall Medicaid spending increased in several areas.
Statewide in Iowa, the Durable Medical Equipment category ranked eighth in total Medicaid payments for 2024.
During the five years ending in 2024, Medicaid payments for Durable Medical Equipment in Iowa Falls rose by $2,626, or 19.9%. Accelerated spending occurred during select periods, with considerable year-over-year increases in 2023 and 2022.
While Medicaid spending for Durable Medical Equipment covered several areas in Iowa Falls, payment activity concentrated in a small number of ZIP codes. In 2024, ZIP code 50126 alone accounted for $10,587 in claims, making up 100% of all Medicaid payments in this service category within city limits that year.
Payment distribution within the Durable Medical Equipment category was concentrated among just a few individual billing codes.
Between 2024 and 2023, Iowa Falls saw a 268.4% increase in Medicaid payments tied to Durable Medical Equipment, while all Medicaid claim categories in the city registered a combined change of 6.5% in the same period.
Centers for Medicare & Medicaid Services data show total federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, accounting for around 18% of all national health expenditures, a significant jump from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This rise equates to about 40% in several years, driven primarily by increased enrollment and greater service use during and after the pandemic.
Recent federal budget changes under the Trump administration brought major proposals reducing federal Medicaid funding and restructuring the program. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to decrease federal Medicaid spending by more than $1 trillion in the next decade, while measures such as work requirements and increased cost-sharing may trim coverage and available funding for some enrollees. As a result, states are likely to bear a higher share of Medicaid costs, limiting future federal program growth even as millions remain covered by Medicaid.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $13,213 | -65% |
| 2021 | $8,963 | -32.2% |
| 2022 | $2,046 | -77.2% |
| 2023 | $2,873 | 40.4% |
| 2024 | $10,587 | 268.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $594,446 | 68.4% |
| 2 | Pathology and Laboratory Procedures | $77,439 | 8.9% |
| 3 | Ambulance and Other Transport Services and Supplies | $75,792 | 8.7% |
| 4 | Medicine Services and Procedures | $67,780 | 7.8% |
| 5 | Medical And Surgical Supplies | $21,485 | 2.5% |
| 6 | Surgery | $15,661 | 1.8% |
| 7 | Durable Medical Equipment | $10,587 | 1.2% |
| 8 | Dental Services | $5,575 | 0.6% |
| 9 | Drugs Administered Other than Oral Method | $773 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| E0601 | Cont airway pressure device | $10,587 | 10 |
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.