Durable medical equipment services billed to Medicaid in Concord amounted to $2,381,961 in 2024, based on the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 7.1% increase from 2023, when claims for this category reached $2,224,953.
Medicaid is a public health insurance program managed by states and funded by both federal and state governments. The program covers low-income people, seniors, children, and those with disabilities, making it a major component of U.S. health care.
Since Medicaid spending is funded by taxpayers, fluctuations in billing levels locally show how health care dollars are used in each community.
The “Durable Medical Equipment” category includes a set of Medicaid services identified by specific HCPCS and CPT code ranges. For this analysis, service categories are assigned using standardized code prefixes and ranges to avoid double counting and maintain accurate historical comparisons.
Medicaid spending rose across several categories, but Durable Medical Equipment ranked eighth in Concord by total payments in 2024.
Statewide in California, Durable Medical Equipment was ranked 15th for total Medicaid payments in 2024.
From 2019 through 2024, Medicaid payments for Durable Medical Equipment in Concord grew by $1,657,022, or 228.6%. The trend included significant year-over-year increases in both 2023 and 2022.
While services in this category were available throughout Concord, spending was primarily concentrated within a few ZIP codes. ZIP code 94520 accounted for $2,381,961 in Medicaid payments in 2024, with the top 1 Concord ZIP code representing 100% of the local payments in the category.
Spending within the Durable Medical Equipment category was also concentrated among a relatively small number of billing codes.
Between 2024 and 2023, Medicaid payments for Durable Medical Equipment in Concord rose by 7.1%, compared to a 7.7% change across all Medicaid claim categories during the same interval.
Data from the Centers for Medicare & Medicaid Services shows that combined state and federal Medicaid expenditures totaled about $871.7 billion in fiscal year 2023. This figure was roughly 18% of all national health spending and up significantly from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.
The change represents almost 40% growth over a few years, shaped by expanded enrollment and higher demand during and after pandemic surges.
Recent federal budget legislation under the Trump administration has featured major proposals to decrease federal Medicaid contributions and modify the program. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over 10 years and implement work requirements and more cost-sharing for some enrollees. Such measures are expected to increase the responsibility of states for Medicaid costs and limit growth in federal support, though the program continues to serve tens of millions of people in the U.S.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $724,938 | 43% |
| 2021 | $1,009,709 | 39.3% |
| 2022 | $1,451,456 | 43.7% |
| 2023 | $2,224,952 | 53.3% |
| 2024 | $2,381,961 | 7.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $13,290,409 | 2<0.1% |
| 2 | Evaluation and Management | $10,825,135 | 16.3% |
| 3 | Ambulance and Other Transport Services and Supplies | $9,802,255 | 14.8% |
| 4 | Medicine Services and Procedures | $7,309,372 | 11% |
| 5 | Procedures / Professional Services | $6,532,253 | 9.8% |
| 6 | Alcohol and Drug Abuse Treatment | $3,883,613 | 5.8% |
| 7 | Anesthesia | $3,146,390 | 4.7% |
| 8 | Durable Medical Equipment | $2,381,961 | 3.6% |
| 9 | Chemotherapy Drugs | $2,351,184 | 3.5% |
| 10 | Dental Services | $1,375,348 | 2.1% |
| 11 | Radiology Procedures | $1,331,822 | 2% |
| 12 | Surgery | $1,328,154 | 2% |
| 13 | Pathology and Laboratory Procedures | $1,088,735 | 1.6% |
| 14 | Drugs Administered Other than Oral Method | $741,381 | 1.1% |
| 15 | Medical And Surgical Supplies | $578,100 | 0.9% |
| 16 | Temporary National Codes (Non-Medicare) | $187,344 | 0.3% |
| 17 | Temporary Codes | $164,297 | 0.2% |
| 18 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $101,181 | 0.2% |
| 19 | Vision Services | $18,816 | <0.1% |
| 20 | Administrative, Miscellaneous and Investigational | $4,318 | <0.1% |
| 21 | Enteral and Parenteral Therapy | $3,046 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| E0466 | Home vent non-invasive inter | $616,846 | 33 |
| E0601 | Cont airway pressure device | $588,011 | 18 |
| E1390 | Oxygen concentrator | $576,148 | 39 |
| E0562 | Humidifier heated used w pap | $234,026 | 20 |
| E1392 | Portable oxygen concentrator | $85,260 | 31 |
| E0431 | Portable gaseous 02 | $59,034 | 34 |
| E0295 | Hosp bed semi-elect w/o matt | $56,870 | 22 |
| E0470 | Rad w/o backup non-inv intfc | $33,480 | 11 |
| E0570 | Nebulizer with compression | $27,225 | 30 |
| E0143 | Walker folding wheeled w/o s | $21,172 | 14 |
| E0630 | Patient lift hydraulic | $18,353 | 11 |
| E0163 | Commode chair with fixed arm | $15,438 | 10 |
| E0260 | Hosp bed semi-electr w/ matt | $13,292 | 10 |
| E0277 | Powered pres-redu air mattrs | $11,199 | 2 |
| E0600 | Suction pump portab hom modl | $8,216 | 11 |
| E0305 | Rails bed side half length | $6,613 | 21 |
| E0272 | Mattress foam rubber | $2,713 | 10 |
| E0443 | Portable 02 contents, gas | $1,874 | 3 |
| E0271 | Mattress innerspring | $1,309 | 5 |
| E2611 | Gen use back cush wdth <22in | $1,064 | 1 |
Note: HCPCS codes are presented for reference within the category. The totals and rankings in this article are based on standardized service groups and not on individual billing codes.
This article uses data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Original source data is available here.
