Westchester Medicaid payments for Orthotic Procedures and services rise to $821,557 in 2024

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show Medicaid providers in Westchester billed $821,557 for services categorized as Orthotic Procedures and services in 2024. This represented a 13.1% rise from 2023, when $726,468 in claims were submitted for the same service category.

Medicaid is a publicly funded insurance initiative managed by states and supported by both federal and state sources. Serving low-income people and families, seniors, children, and people with disabilities, Medicaid remains among the largest components of the nation’s health care landscape.

Because Medicaid outlays rely on taxpayer funding, changes in local billing indicate how resources for public health care are used at the community level.

The “Orthotic Procedures and services” designation groups a range of Medicaid-billed services based on the specific care given under standardized HCPCS and CPT code clusters. Each billing code for this report was allocated to one service category, using set code prefixes and numerical classifications to analyze comparable services together, ensure accurate counts, and maintain ranking consistency over time.

Spending expanded across more than one Medicaid service area, but by total Medicaid payments, Orthotic Procedures and services held the top position in Westchester for 2024.

Across Illinois, Orthotic Procedures and services was the 16th highest Medicaid spending category in 2024.

Reviewing the five-year span ending in 2024, Medicaid spending on Orthotic Procedures and services in Westchester grew by $488,186, marking an increase of 146.4%. Certain years—including 2021 and 2022—saw particularly significant year-to-year jumps.

Services in this category were delivered citywide, yet ZIP code data show payments were heavily concentrated. In 2024, ZIP code 60154 comprised $821,556 of the total, with this ZIP accounting for all Medicaid payments within Orthotic Procedures and services in Westchester that year.

Payments within the Orthotic Procedures and services group were also focused on a small number of specific billing codes.

Comparatively, while Westchester’s Medicaid payments for Orthotic Procedures and services grew by 13.1% from 2023 to 2024, the rise across all claim categories in the city was much larger, at 66% during this timeframe.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, making up about 18% of national health costs and showing a significant jump from the $613.5 billion figure in 2019 before the COVID-19 pandemic.

This change signifies an almost 40% gain in a few years, driven mainly by increased enrollment levels and greater usage tied to the pandemic and after.

Recent national budget legislation enacted under the Trump administration included major efforts to decrease federal Medicaid costs and alter the program’s structure. The “One Big Beautiful Bill Act,” signed in 2025, is set to shrink federal Medicaid spending by more than $1 trillion over the next 10 years, introducing measures like work requirements and increased cost-sharing that could reduce access and funding for certain enrollees. These adjustments are likely to shift more costs onto the states, limiting future federal growth even while Medicaid covers tens of millions nationwide.

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.