In 2024, Medicaid providers in Orlando invoiced $714,349 for services within the Prosthetic Procedures category, U.S. Department of Health and Human Services Medicaid Provider Spending database data show. This amount marks a 2645637% surge from 2023, when billings reached $27 for the same service category.
Medicaid is a public health insurance program administered by states and jointly financed by federal and state governments. It provides coverage for low-income families and individuals, children, seniors, and people with disabilities, making it a significant part of the American health care system.
Since Medicaid funding comes from taxpayers, shifts in local billing levels reflect how public health care resources are distributed within a community.
The “Prosthetic Procedures” group encompasses a range of Medicaid-billed services defined by the type of care, based on standardized HCPCS and CPT codes. For this analysis, billing codes were grouped under single service categories using designated code prefixes and ranges, supporting comprehensive service comparisons and maintaining accurate rankings over time without double counting.
While many service categories saw increased Medicaid payments, Prosthetic Procedures ranked 18th in Orlando for total Medicaid reimbursements in 2024.
Across Florida, Prosthetic Procedures held the 24th position among all service categories by total Medicaid payments in 2024.
During the five years ending in 2024, Medicaid claim amounts associated with Prosthetic Procedures in Orlando rose by $705,458, or 7934.7%. Growth in spending was especially marked during certain years, including 2020 and 2021.
Although spending under the Prosthetic Procedures category spanned Orlando, payments were largely focused in just a few ZIP codes. In 2024, Medicaid payments reached $713,000 in ZIP code 32810 and $1,348 in 32804. Combined, these top 2 ZIP codes comprised 100% of all Prosthetic Procedures-related Medicaid spending in the city that year.
Within this category, a small number of individual billing codes accounted for the majority of Medicaid payments.
To compare, Medicaid payments associated with Prosthetic Procedures in Orlando rose by 2645637% from 2023 to 2024, while overall Medicaid claim categories in the city recorded a 28.9% change during the same timeframe.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, representing around 18% of all national health expenditures—a significant increase from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.
The rise equates to roughly 40% growth in just a few years, primarily driven by expanded program enrollment and higher usage rates during and after the pandemic.
Under recent Trump administration federal budget laws, several significant measures have been proposed to limit federal Medicaid funding and alter its structure. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over a decade, introducing changes like work requirements and higher cost-sharing that may reduce benefits and funding for some groups. These policies are likely to shift greater costs to states and slow federal Medicaid funding growth even as the program continues to provide coverage for millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $8,890 | 151104.6% |
| 2021 | $14,768 | 66.1% |
| 2022 | $13,918 | -5.8% |
| 2023 | $27 | -99.8% |
| 2024 | $714,348 | 2633929.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $67,783,464 | 24.3% |
| 2 | Evaluation and Management | $67,643,800 | 24.2% |
| 3 | National Codes Established for State Medicaid Agencies | $45,233,359 | 16.2% |
| 4 | Medicine Services and Procedures | $26,107,671 | 9.4% |
| 5 | Alcohol and Drug Abuse Treatment | $20,137,722 | 7.2% |
| 6 | Procedures / Professional Services | $9,463,436 | 3.4% |
| 7 | Temporary Codes | $9,143,911 | 3.3% |
| 8 | Enteral and Parenteral Therapy | $6,629,258 | 2.4% |
| 9 | Durable Medical Equipment | $5,504,627 | 2% |
| 10 | Surgery | $5,442,573 | 1.9% |
| 11 | Radiology Procedures | $4,116,573 | 1.5% |
| 12 | Pathology and Laboratory Procedures | $3,218,764 | 1.2% |
| 13 | Dental Services | $1,869,799 | 0.7% |
| 14 | Ambulance and Other Transport Services and Supplies | $1,585,981 | 0.6% |
| 15 | Medical And Surgical Supplies | $1,419,979 | 0.5% |
| 16 | Anesthesia | $1,244,165 | 0.4% |
| 17 | Orthotic Procedures and services | $755,764 | 0.3% |
| 18 | Prosthetic Procedures | $714,348 | 0.3% |
| 19 | Drugs Administered Other than Oral Method | $540,026 | 0.2% |
| 20 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $336,245 | 0.1% |
| 21 | Administrative, Miscellaneous and Investigational | $291,562 | 0.1% |
| 22 | Vision Services | $22,937 | <0.1% |
| 23 | Coronavirus Diagnostic Panel | $10,230 | <0.1% |
| 24 | Diagnostic Radiology Services | $5,251 | <0.1% |
| 25 | Pathology and Laboratory Services | $2,474 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| L9900 | O&p supply/accessory/service | $713,000 | 6 |
| L8501 | Tracheostomy speaking valve | $1,348 | 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.
