Providers serving Medicaid patients in Airmont billed $1,282,783 for orthotic procedures and services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount marked a 15% increase from 2023, when Medicaid claims for similar services in Airmont totaled $1,115,720.
Medicaid operates as a public health insurance initiative that is administered by states with joint state and federal funding, drawing on both state and federal dollars. It provides coverage for low-income groups, families, seniors, children, and individuals with disabilities, making it a major element of overall health care in the United States.
Since taxpayer funds support Medicaid, trends in local billing amounts reflect how public health expenditures are distributed within each community.
The “Orthotic Procedures and services” group encompasses services classified by standardized HCPCS and CPT billing codes. To assemble this report, billing codes were organized into singular service groups using matching code prefixes and ranges, ensuring consistent grouping, eliminating duplicates, and allowing for valid longitudinal comparisons.
Orthotic procedures and services ranked as the fourth largest Medicaid payment category in Airmont for 2024, among various service categories experiencing payment growth.
Statewide, in New York, the orthotic procedures and services category was 16th in total Medicaid payments for 2024.
Between 2019 and 2024, Airmont’s Medicaid payments for orthotic procedures and services advanced by $1,281,748, or a 123840.4% increase. Certain time periods saw accelerated growth in spending, with notable jumps in 2023 and 2021.
Most Medicaid expenditures for orthotic care remained clustered within select ZIP codes in Airmont. In 2024, ZIP code 10952 accounted for $1,282,783, representing 100% of Medicaid payments for this category citywide.
Within the orthotic service category, payments also concentrated among a small group of billing codes.
Between 2024 and 2023, Medicaid spending on orthotic procedures and services in Airmont increased by 15%. In contrast, Medicaid payments across all service categories in the city rose by 41.9% in the same timeframe.
According to the Centers for Medicare & Medicaid Services, national federal and state Medicaid outlays reached approximately $871.7 billion for fiscal year 2023, making up about 18% of the nation’s health spending—an increase from $613.5 billion seen in 2019, prior to COVID-19.
This trajectory reflects an overall growth of about 40% within several years, with rising enrollment and higher utilization fueling the jump during and after the pandemic.
Recent federal budget initiatives undertaken during the Trump administration introduce notable shifts to Medicaid, including measures aimed at reducing federal contributions and revising program structures. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to decrease federal Medicaid spending by over $1 trillion in the upcoming decade through policies such as work requirements and heightened cost-sharing. This legislation may reduce coverage or financial support for certain groups, shifting a greater portion of expenses to states.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,035 | -87.8% |
| 2021 | $3,193 | 208.5% |
| 2022 | $3,421 | 7.1% |
| 2023 | $1,115,719 | 32509.1% |
| 2024 | $1,282,783 | 15% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $10,281,321 | 61.9% |
| 2 | Alcohol and Drug Abuse Treatment | $2,982,174 | 18% |
| 3 | Medicine Services and Procedures | $1,478,087 | 8.9% |
| 4 | Orthotic Procedures and services | $1,282,783 | 7.7% |
| 5 | Dental Services | $511,299 | 3.1% |
| 6 | Evaluation and Management | $59,168 | 0.4% |
| 7 | Temporary National Codes (Non-Medicare) | $8,500 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| L3000 | Ft insert ucb berkeley shell | $496,804 | 10 |
| L3410 | Shoe metatarsal bar between | $149,176 | 10 |
| L1907 | Afo supramalleolar custom | $122,098 | 7 |
| L2330 | Lacer molded to patient mode | $115,475 | 7 |
| L3370 | Shoe sole wedge between sole | $96,512 | 10 |
| L3030 | Foot arch support remov prem | $61,037 | 10 |
| L3215 | Orthopedic ftwear ladies oxf | $52,293 | 10 |
| L3219 | Orthopedic mens shoes oxford | $52,057 | 10 |
| L3202 | Oxford w/ supinat/pronator c | $36,287 | 10 |
| L3485 | Shoe heel pad removable for | $31,574 | 10 |
| L2275 | Plastic mod low ext pad/line | $27,802 | 7 |
| L3217 | Ladies shoes hightop depth i | $18,962 | 9 |
| L3222 | Mens shoes hightop depth inl | $12,322 | 6 |
| L3206 | Hightop w/ supp/pronator chi | $9,266 | 7 |
| L3216 | Orthoped ladies shoes dpth i | $1,113 | 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.
