Clearwater Medicaid payments for medical and surgical supplies reach $18,737,357 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

In 2024, Medicaid providers in Clearwater submitted $18,737,357 in claims under the Medical And Surgical Supplies service category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects an 11.7% increase over 2023, when the total reached $16,778,394 for these services.

Medicaid is a public health insurance program that is administered by individual states and funded through cooperation between federal and state governments. The program provides insurance for low-income individuals and families, seniors, children and people with disabilities, making it a key component of the U.S. health system.

Because taxpayer funds support Medicaid payments, changes in local billing patterns demonstrate how public health dollars are distributed in each community.

The “Medical And Surgical Supplies” classification represents a group of Medicaid-billed services based on type of care, determined by standardized HCPCS and CPT code groupings. This analysis assigned each applicable billing code exclusively to a single category using uniform code prefixes and numeric ranges, ensuring grouped service evaluation and accurate comparisons over time.

Although multiple categories saw higher Medicaid spending, Medical And Surgical Supplies led all categories in Clearwater for total payments in 2024.

Statewide in Florida, the Medical And Surgical Supplies grouping ranked eighth in total Medicaid payments for 2024.

In Clearwater, the amount of Medicaid payments connected to the Medical And Surgical Supplies category increased by $10,507,924, or 127.7%, over the five years leading up to 2024. Certain years, including 2023 and 2020, saw especially marked year-over-year growth.

Medicaid payments for Medical And Surgical Supplies services were not equally distributed throughout the city, with most payments concentrated in a select number of ZIP codes. In 2024, ZIP code 33762 accounted for $18,290,603 in Medicaid payments under this category, followed by 33760 with $444,169, and 33765 with $2,005. Combined, these top 3 ZIP codes represented 100% of Medicaid payments for Medical And Surgical Supplies in Clearwater during the year.

Within Medical And Surgical Supplies, a small number of billing codes accounted for a large share of Medicaid payments.

Compared to overall Medicaid claim categories in Clearwater, which saw a 22.5% year-over-year increase from 2023 to 2024, spending within the Medical And Surgical Supplies category rose by 11.7% in the same time frame.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled approximately $871.7 billion in fiscal 2023, representing about 18% of all national health expenditures—an increase from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

This amounts to growth of around 40% over several years, primarily the result of expanded enrollment and higher utilization following the pandemic.

Recent federal budget changes signed during the Trump administration included major reforms that impact federal Medicaid funding. The “One Big Beautiful Bill Act,” which became law in 2025, is anticipated to slash over $1 trillion from federal Medicaid spending over the next decade and implements new policies such as work requirements and higher cost-sharing, potentially reducing both coverage and benefits for certain participants. These revisions mean greater costs may shift to state governments and limit the expansion of federal support for Medicaid, even as the program continues to cover millions of Americans.

Medicaid Payments Tied to Medical And Surgical Supplies in Clearwater, Florida Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $8,229,432 20.8%
2021 $9,079,740 10.3%
2022 $9,846,500 8.4%
2023 $16,778,394 70.4%
2024 $18,737,356 11.7%
Top Categories by Medicaid Payments in Clearwater, Florida, 2024

Rank Category Medicaid Payments Share of City Total
1 Medical And Surgical Supplies $18,737,356 25.1%
2 Temporary National Codes (Non-Medicare) $14,949,846 20.1%
3 Administrative, Miscellaneous and Investigational $13,575,620 18.2%
4 Durable Medical Equipment $9,713,945 13%
5 Alcohol and Drug Abuse Treatment $5,418,849 7.3%
6 National Codes Established for State Medicaid Agencies $5,197,730 7%
7 Evaluation and Management $3,829,367 5.1%
8 Medicine Services and Procedures $1,956,489 2.6%
9 Diagnostic Radiology Services $344,747 0.5%
10 Radiology Procedures $209,189 0.3%
11 Surgery $174,918 0.2%
12 Pathology and Laboratory Procedures $164,222 0.2%
13 Anesthesia $82,245 0.1%
14 Temporary Codes $74,546 0.1%
15 Dental Services $55,188 0.1%
16 Procedures / Professional Services $26,113 <0.1%
17 Enteral and Parenteral Therapy $24,005 <0.1%
18 Durable medical equipment (DME) Medicare administrative contractors (MACs) $2,359 <0.1%
19 Coronavirus Diagnostic Panel $556 <0.1%
20 Drugs Administered Other than Oral Method $75 <0.1%
21 Other Services $0 <0.1%
Top 20 HCPCS Codes Within the Medical And Surgical Supplies Category in Clearwater, Florida, 2024

HCPCS Code Description Medicaid Payments Claims
A4239 Non-adju cgm supply allow $10,037,492 41
A4230 Infus insulin pump non needl $3,653,572 36
A4232 Syringe w/needle insulin 3cc $1,030,346 36
A4238 Adju cgm supply allowance $926,363 24
A4224 Supply insulin inf cath/wk $866,395 25
A4353 Intermittent urinary cath $511,929 26
A4231 Infusion insulin pump needle $435,088 23
A4225 Sup/ext insulin inf pump syr $345,043 26
A4351 Straight tip urine catheter $197,589 22
A4409 Ost skn barr convex <=4 sq i $113,070 25
A4385 Ost skn barrier sld ext wear $93,192 24
A4407 Ext wear ost skn barr <=4sq" $79,815 21
A4425 Ost pch drain for barrier fl $51,936 23
A4362 Solid skin barrier $50,539 23
A4352 Coude tip urinary catheter $43,428 5
A4414 Ost sknbar w/o conv<=4 sq in $34,787 21
A5063 Drain ostomy pouch w/flange $32,766 23
A4253 Blood glucose/reagent strips $26,007 17
A5057 1 pc ost pou w built-in conv $22,407 11
A4456 Adhesive remover, wipes $17,384 24

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.



Related

Sridhar Mantha, Acting Chief Information Officer of FDA

Cities located in Pinellas County saw FDA inspections of 42 companies in 2025

There were 42 companies in cities associated with Pinellas County that received 42 FDA inspections in 2025, according to the U.S. Food and Drug Administration.

Sridhar Mantha, Acting Chief Information Officer of FDA

FDA conducted inspections of 2 companies in cities located in Pinellas County in April

There were two companies in cities associated with Pinellas County that received two FDA inspections in April, according to the U.S. Food and Drug Administration.

Melanie Keller, Deputy Commissioner for Operations and Chief Operating Officer of FDA

Companies across Pinellas County cities saw 17 FDA citations in Q1

There were four companies in cities associated with Pinellas County that received FDA citations as a result of four inspections conducted in the county over the first quarter of 2026, according to reports from the U.S. Food and Drug Administration (FDA).

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from Pinellas Times.