Medicaid spending on orthotic procedures up 62.3% in Covington for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Covington Medicaid providers submitted $77,537 in claims for Orthotic Procedures and services in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This was a 62.3% jump compared to 2023, when the same providers claimed $47,766 for similar services.

Medicaid, a state-administered public health insurance program financed jointly by federal and state governments, supports low-income people and families, older adults, children and those with disabilities, making it a major component in the U.S. health care system.

Since Medicaid is taxpayer-funded, changes in local claim volume reflect how public health care resources are distributed in the community.

The “Orthotic Procedures and services” category includes a range of Medicaid services organized by care type, as defined by specific HCPCS and CPT code groups. For this report, billing codes were assigned to a single service group using set code prefixes and number ranges, so related services could be analyzed together, avoiding overlaps or inaccuracies in rankings over time.

While Medicaid expenditures increased across various service categories, Orthotic Procedures and services held the 11th position by total Medicaid payments in Covington in 2024.

Statewide in Louisiana, Orthotic Procedures and services ranked 18th among categories by overall payments in 2024.

During the five years ending in 2024, Covington Medicaid spending for Orthotic Procedures and services increased by $72,480, or 1433.4%. Growth in this category was particularly marked in some years, especially in 2021 and 2023.

Spending on Orthotic Procedures and services occurred citywide, but most payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 70433 accounted for $77,536 in Medicaid payments for this category, representing 100% of these claims in Covington for the year.

Within the Orthotic Procedures and services category, a small set of billing codes received the majority of Medicaid payments.

Comparatively, Medicaid spending for Orthotic Procedures and services in Covington increased 62.3% between 2024 and 2023, while overall Medicaid claim categories in the city grew by 14.5% during the same period.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal 2023, making up about 18% of total U.S. health costs, up notably from $613.5 billion in 2019 before COVID-19.

This is a rise of roughly 40% over a few years, driven mainly by higher enrollments and increased use of health services during and following the pandemic.

Recent budget legislation passed during the Trump administration included major proposals for cutting federal Medicaid funds and restructuring the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years, adding policies such as work mandates and higher cost-sharing, which could reduce coverage and support for some participants. These changes will likely shift more Medicaid costs to states and restrict the growth of federal funding, though the program continues to cover tens of millions of Americans.

Medicaid Payments Tied to Orthotic Procedures and services in Covington, Louisiana Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $5,056 -20%
2021 $12,418 145.6%
2022 $22,642 82.3%
2023 $47,766 111%
2024 $77,536 62.3%
Top Categories by Medicaid Payments in Covington, Louisiana, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $11,065,880 32.4%
2 Evaluation and Management $8,147,515 23.8%
3 National Codes Established for State Medicaid Agencies $6,657,029 19.5%
4 Radiology Procedures $2,555,158 7.5%
5 Temporary National Codes (Non-Medicare) $2,116,550 6.2%
6 Medicine Services and Procedures $1,924,283 5.6%
7 Pathology and Laboratory Procedures $675,703 2%
8 Surgery $465,568 1.4%
9 Dental Services $239,136 0.7%
10 Procedures / Professional Services $109,308 0.3%
11 Orthotic Procedures and services $77,536 0.2%
12 Anesthesia $62,457 0.2%
13 Vision Services $51,727 0.2%
14 Medical And Surgical Supplies $7,424 <0.1%
15 Temporary Codes $7,287 <0.1%
16 Drugs Administered Other than Oral Method $6,951 <0.1%
17 Ambulance and Other Transport Services and Supplies $2,204 <0.1%
18 Administrative, Miscellaneous and Investigational $1,083 <0.1%
19 Durable Medical Equipment $747 <0.1%
Top 20 HCPCS Codes Within the Orthotic Procedures and services Category in Covington, Louisiana, 2024

HCPCS Code Description Medicaid Payments Claims
L3430 Sho heel count plast reinfor $32,728 10
L2280 Molded inner boot $16,181 3
L1907 Afo supramalleolar custom $14,674 2
L2275 Plastic mod low ext pad/line $8,747 5
L2270 Varus/valgus strap padded/li $3,023 4
L2820 Soft interface below knee se $1,140 1
L3206 Hightop w/ supp/pronator chi $1,041 1

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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