In 2024, Medicaid providers in Chula Vista submitted $4,344,603 in claims for services in the Medical And Surgical Supplies category, according to data reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects an 8.7% rise from 2023, when claims for this category totaled $3,995,856.
Medicaid operates as a state-run public health insurance initiative jointly financed by the federal and state governments, covering low-income individuals and families, seniors, children, and people with disabilities. It stands among the largest elements of the U.S. health care system.
Because tax dollars fund Medicaid, shifts in local spending indicate how public health resources are distributed within a community.
The “Medical And Surgical Supplies” category encompasses a set of Medicaid services determined by care type and organized under standardized HCPCS and CPT code groupings. Each billing code is assigned to a single service category using shared code prefixes and number ranges, allowing grouped analysis of related services, avoiding duplicate counts, and maintaining precise category rankings across periods.
The Medical And Surgical Supplies category was the eighth-highest ranked by Medicaid payment total in Chula Vista in 2024, despite spending increases occurring in multiple categories.
For California overall, Medical And Surgical Supplies ranked as the 13th largest category by Medicaid payments in 2024.
From five years prior to 2024, Medicaid payments in Chula Vista tied to Medical And Surgical Supplies rose $3,972,707, accounting for a 1068.2% increase. Growth in this category accelerated in select years, with significant annual jumps observed in 2023 and 2020.
Though spending was distributed citywide, the majority of Medical And Surgical Supplies Medicaid payments in 2024 were concentrated in a few ZIP codes. That year, ZIP codes 91913 reached $4,308,948 in payments, 91915 reported $19,129, and 91911 had $9,206. These top 3 ZIP codes represented 99.8% of total Medicaid payments for the Medical And Surgical Supplies category in Chula Vista. a
Within the Medical And Surgical Supplies group, Medicaid reimbursements were focused into a small number of billing codes.
Between 2024 and 2023, Chula Vista’s Medical And Surgical Supplies Medicaid payments grew by 8.7%. In comparison, all Medicaid claim categories in the city saw an overall 18.4% change during the same timeframe.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending was around $871.7 billion for fiscal year 2023, which was about 18% of national health expenditures—significantly higher than the $613.5 billion level in 2019, before the COVID-19 pandemic.
This marks an approximate 40% increase within a few years, attributed largely to increased enrollment and higher health service use during and after the pandemic.
Recent federal fiscal legislation passed during the Trump administration enacted proposals that curtail federal Medicaid funding and restructure the program. One example, the “One Big Beautiful Bill Act,” signed in 2025, is forecast to reduce federal Medicaid funding by more than $1 trillion over a decade. It also imposes stricter work requirements and higher cost-sharing, potentially affecting coverage levels and the allocation of funding to certain groups. The changes are set to place additional costs on states while limiting growth of federal support, even as Medicaid serves millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $371,895 | 88.1% |
| 2021 | $527,175 | 41.8% |
| 2022 | $868,533 | 64.8% |
| 2023 | $3,995,855 | 360.1% |
| 2024 | $4,344,602 | 8.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $30,017,486 | 21.3% |
| 2 | Medicine Services and Procedures | $26,961,510 | 19.2% |
| 3 | Surgery | $20,916,999 | 14.9% |
| 4 | Evaluation and Management | $20,211,486 | 14.4% |
| 5 | Dental Services | $8,357,342 | 5.9% |
| 6 | Temporary National Codes (Non-Medicare) | $5,272,792 | 3.7% |
| 7 | Anesthesia | $4,608,500 | 3.3% |
| 8 | Medical And Surgical Supplies | $4,344,602 | 3.1% |
| 9 | Radiology Procedures | $3,907,573 | 2.8% |
| 10 | Administrative, Miscellaneous and Investigational | $3,553,212 | 2.5% |
| 11 | Alcohol and Drug Abuse Treatment | $3,477,494 | 2.5% |
| 12 | Ambulance and Other Transport Services and Supplies | $2,687,024 | 1.9% |
| 13 | Pathology and Laboratory Procedures | $1,992,594 | 1.4% |
| 14 | Drugs Administered Other than Oral Method | $1,112,997 | 0.8% |
| 15 | Chemotherapy Drugs | $1,092,187 | 0.8% |
| 16 | Procedures / Professional Services | $926,122 | 0.7% |
| 17 | Temporary Codes | $698,024 | 0.5% |
| 18 | Durable Medical Equipment | $505,138 | 0.4% |
| 19 | Vision Services | $91,379 | 0.1% |
| 20 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $8,747 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A4239 | Non-adju cgm supply allow | $3,689,054 | 24 |
| A4230 | Infus insulin pump non needl | $292,329 | 13 |
| A4224 | Supply insulin inf cath/wk | $116,395 | 12 |
| A4232 | Syringe w/needle insulin 3cc | $102,491 | 14 |
| A4225 | Sup/ext insulin inf pump syr | $65,216 | 12 |
| A4231 | Infusion insulin pump needle | $36,751 | 11 |
| A4657 | Syringe w/wo needle | $30,309 | 48 |
| A4267 | Male condom | $5,344 | 22 |
| A6257 | Transparent film <= 16 sq in | $4,325 | 5 |
| A5120 | Skin barrier, wipe or swab | $1,275 | 7 |
| A4238 | Adju cgm supply allowance | $1,109 | 1 |
Note: HCPCS codes are provided for context within the category. Category totals and rankings in this article are calculated using groupings by service, rather than by individual billing code.
Information for this article was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the full source data here.
