Providers in Chula Vista submitted $4,344,603 in Medicaid claims for services under the Medical And Surgical Supplies category in 2024, statistics from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. That was an 8.7% rise compared to 2023, when claims for the same service type totaled $3,995,856.
Medicaid is a state-administered public health insurance program funded by both federal and state governments. The program serves people and families with low incomes, as well as seniors, children, and those with disabilities, representing one of the most significant portions of America’s health care system.
Since Medicaid payments are made with taxpayer funds, shifts in local billing patterns illustrate how public health dollars are spent within a community.
The “Medical And Surgical Supplies” category encompasses a selection of services billed to Medicaid, classified by care type, based on standardized HCPCS and CPT code groups. For this review, each billing code was put into a single service group by matching code prefixes and number ranges, allowing related services to be studied together without duplication and preserving consistent rankings over time.
While Medicaid costs increased across multiple categories, Medical And Surgical Supplies ranked eighth in Chula Vista for total Medicaid outlays in 2024.
Statewide in California, Medical And Surgical Supplies held the 13th spot in total Medicaid payments in 2024.
Between 2019 and 2024, Medicaid payments linked to Medical And Surgical Supplies in Chula Vista grew by $3,972,707, a rise of 1,068.2%. Spending growth was particularly rapid in some years, with major jumps occurring in 2023 and 2020.
Although these payments for Medical And Surgical Supplies were distributed throughout the city, most spending was recorded in a few ZIP codes. In 2024, the highest Medicaid claims for this category were in ZIP code 91913, at $4,308,948, followed by 91915 at $19,129 and 91911 at $9,206. Collectively, these 3 ZIP codes represented 99.8% of Medicaid payments connected to this service group in Chula Vista for the year.
Within the Medical And Surgical Supplies category, a small selection of billing codes accounted for the majority of Medicaid payments.
In comparison, spending tied specifically to Medical And Surgical Supplies in Chula Vista was up 8.7% from 2023 to 2024. Across all Medicaid claim groups within the city, there was an 18.4% year-over-year increase during the same span.
According to the Centers for Medicare & Medicaid Services, joint federal and state spending for Medicaid reached about $871.7 billion in fiscal year 2023, comprising approximately 18% of total U.S. health expenditures—up significantly from $613.5 billion in 2019, before the onset of COVID-19.
The overall gain amounts to a roughly 40% increase over just a few years, driven mainly by higher enrollment and greater usage during and beyond the pandemic period.
Recent federal budget measures enacted in the Trump administration introduced significant proposals to reduce federal Medicaid funding and reshape the program. An example is the “One Big Beautiful Bill Act,” signed in 2025, which is expected to cut more than $1 trillion in federal Medicaid spending during the upcoming decade and includes provisions for work requirements and increased cost-sharing that may reduce coverage and funding for certain recipients. These changes will likely shift financing responsibilities to states and cap federal Medicaid growth, even as the program 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 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.
