Durable medical equipment Medicaid payments in Montpelier rise to $104,562 in 2024

In 2024, Medicaid providers in Montpelier billed $104,562 for services categorized under Durable Medical Equipment, according to U.S. Department of Health and Human Services Medicaid Provider Spending data. This represented an increase of 11.6% over 2023, when providers submitted $93,683 in claims for the same service category.

Medicaid, a public insurance program operated by states and financed collaboratively by federal and state governments, provides coverage for low-income people and families, seniors, children, and people with disabilities, making it a major component of the U.S. health care system.

Since Medicaid payments use taxpayer funds, shifts in local billing levels reveal how health care spending is distributed within the area.

The “Durable Medical Equipment” category represents services grouped by specific care types, assigned through standardized HCPCS and CPT code groupings. For this analysis, billing codes were placed into a single service category based on consistent code prefixes and numerical ranges to avoid double counting and to support comparative rankings over time.

Throughout 2024, Medicaid spending increased across several categories; Durable Medical Equipment held the fifth spot by total Medicaid payments in Montpelier that year.

Statewide in Vermont, Durable Medical Equipment was the 10th largest Medicaid payment category in 2024.

Looking at the five years before 2024, Medicaid payments associated with Durable Medical Equipment in Montpelier rose by $91,882, an increase of 724.6%. Growth in spending sped up during select intervals, with significant year-over-year gains in 2023 and 2022.

While spending on Durable Medical Equipment was distributed citywide, most payments came from a small number of ZIP codes. In 2024, ZIP code 05602 accounted for $104,561 of these Medicaid payments, representing 100% of the total within this category for Montpelier.

Payments in the Durable Medical Equipment category were also highly concentrated within a few specific billing codes.

Comparatively, Medicaid payments for Durable Medical Equipment in Montpelier increased by 11.6% between 2024 and 2023, while overall payments in all Medicaid claim categories changed by 17.8% across the city for the same period.

According to the Centers for Medicare & Medicaid Services, combined spending at the federal and state level for Medicaid reached approximately $871.7 billion in fiscal year 2023, making up about 18% of total U.S. health expenditures. This is a significant jump from the roughly $613.5 billion recorded in 2019 before the COVID-19 pandemic.

The growth amounts to an increase of around 40% in a few years, largely attributed to expanded Medicaid enrollment and higher use of services during and after the pandemic.

Recent federal budget bills during the Trump administration have proposed substantial reductions to federal Medicaid funding and changes in program structure. As an example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid expenditure by more than $1 trillion over the coming decade while introducing policies like work requirements and greater cost-sharing—changes that could lead to less coverage and funding for certain populations. These policies are likely to shift more financial responsibility to states and slow federal Medicaid growth, even though the program will continue to cover tens of millions of people nationwide.

Note: HCPCS codes are displayed to provide additional context for this category. Totals and rankings reflect standardized groupings of services rather than individual billing codes.

The information in this report was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.