In 2024, Medicaid providers in Osage Beach billed a total of $3,186 for services under the Orthotic Procedures and services category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This amount reflects a 205.8% rise from 2023, when providers reported $1,042 in claims for the same services.
Medicaid, a state-administered, federally and state-funded health insurance program, provides coverage for low-income individuals, families, seniors, children, and people with disabilities. With this broad coverage, it constitutes a major segment of the U.S. health care system.
Shifts in Medicaid billing levels, funded by taxpayers, illustrate how local public health care expenditures are distributed within a community.
The “Orthotic Procedures and services” category encompasses a set of Medicaid-billed services grouped by standardized HCPCS and CPT codes, defined by the care provided. Codes were assigned to specific categories using consistent code prefixes and ranges, ensuring related services are analyzed as one while preventing double counting and supporting accurate rankings over time.
While overall Medicaid spending rose in several categories, Orthotic Procedures and services held the 11th spot in Osage Beach by total Medicaid claims value in 2024.
Statewide in Missouri, this category ranked 20th by total Medicaid payments in 2024.
From 2019 through 2024, Medicaid payments related to the Orthotic Procedures and services category in Osage Beach grew by $3,186, representing 0% overall growth. Notable year-over-year increases occurred during certain years, particularly in 2022 and 2022.
In 2024, Medicaid payments for orthotic services were focused in select ZIP codes across the city. The highest payment total in this category was recorded in ZIP code 65065, with $3,185 billed. Altogether, 1 top ZIP code accounted for 100% of Medicaid payments in the Orthotic Procedures and services category that year in Osage Beach.
Payments in this service area were also clustered among a small group of individual billing codes.
For context, the 205.8% rise in Medicaid spending on Orthotic Procedures and services from 2023 to 2024 in Osage Beach exceeded the 34.4% increase across all Medicaid categories locally during the same time frame.
According to the Centers for Medicare & Medicaid Services, Medicaid spending funded jointly by federal and state governments reached approximately $871.7 billion in fiscal 2023, making up about 18% of all U.S. health care spending—an increase from roughly $613.5 billion in 2019, before the COVID-19 pandemic.
This increase is about 40% over several years, primarily attributed to expanded enrollment and greater use of services during and following the pandemic.
Congressional budget measures enacted under the Trump administration brought forward major proposals to scale back federal Medicaid funding. The “One Big Beautiful Bill Act,” signed into law in 2025, is anticipated to trim federal Medicaid spending by more than $1 trillion over 10 years and includes measures like work requirements and higher cost-sharing that likely will reduce benefits and funding for some enrollees. These alterations are set to shift more financial responsibility onto states and limit the expansion of federal Medicaid resources, even as the program continues to cover tens of millions in the U.S.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2021 | $2,019 | – |
| 2022 | $3,739 | 85.1% |
| 2023 | $1,041 | -72.1% |
| 2024 | $3,185 | 205.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $2,223,629 | 64.8% |
| 2 | Medicine Services and Procedures | $408,721 | 11.9% |
| 3 | Durable Medical Equipment | $229,217 | 6.7% |
| 4 | Radiology Procedures | $223,004 | 6.5% |
| 5 | Pathology and Laboratory Procedures | $148,678 | 4.3% |
| 6 | Surgery | $124,786 | 3.6% |
| 7 | Medical And Surgical Supplies | $31,417 | 0.9% |
| 8 | Procedures / Professional Services | $21,183 | 0.6% |
| 9 | Dental Services | $9,984 | 0.3% |
| 10 | Anesthesia | $4,566 | 0.1% |
| 11 | Orthotic Procedures and services | $3,185 | 0.1% |
| 12 | Temporary Codes | $1,875 | 0.1% |
| 13 | Vision Services | $431 | <0.1% |
| 14 | Drugs Administered Other than Oral Method | $150 | <0.1% |
| 15 | Ambulance and Other Transport Services and Supplies | $141 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| L4361 | Pneuma/vac walk boot pre ots | $1,958 | 1 |
| L1902 | Afo ankle gauntlet pre ots | $1,227 | 2 |
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.
