Malvern Medicaid payments for DME MACs services rise to $577 in 2024

In 2024, Medicaid providers in Malvern billed $577 for services in the Durable medical equipment (DME) Medicare administrative contractors (MACs) category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an increase of 7.9% from 2023, when providers submitted $535 in claims for these services.

Medicaid is a public health insurance program managed by each state and funded jointly by federal and state governments. The program provides coverage to low-income people and families, seniors, children, and those with disabilities, making it a major piece of the U.S. health care system.

Since Medicaid payments are taxpayer-funded, shifts in local billing amounts highlight the way public dollars are directed to health care within communities.

The “Durable medical equipment (DME) Medicare administrative contractors (MACs)” grouping includes Medicaid services defined by the type of care given, based on established HCPCS and CPT code ranges. For this analysis, each billing code fits a specific service category per consistent code prefixes and numeric ranges, ensuring related care can be tracked together while preserving reliable rankings and avoiding double-counting.

Medicaid spending climbed in several service groups, and Durable medical equipment (DME) Medicare administrative contractors (MACs) ranked second by total Medicaid payments in Malvern during 2024.

Statewide in Alabama, the Durable medical equipment (DME) Medicare administrative contractors (MACs) category was ranked 20th for total payments in 2024.

During the five years prior to 2024, Medicaid payments for the Durable medical equipment (DME) Medicare administrative contractors (MACs) category in Malvern rose by $3,578, representing an 86.1% increase. Growth rates accelerated at certain points, with significant year-over-year gains in both 2020 and 2022.

Within Malvern, spending for this category was spread across the city but concentrated in a small number of ZIP codes. In 2024, ZIP code 36349 had the highest Medicaid payments for this category, with $576. Overall, the leading 1 ZIP codes made up 100% of Medicaid payments for this service group in the city during the year.

A limited set of billing codes made up the bulk of Medicaid spending within the Durable medical equipment (DME) Medicare administrative contractors (MACs) category.

Comparatively, Medicaid spending for this category in Malvern increased 7.9% from 2023 to 2024, while all Medicaid claim categories combined in the city saw a 32% change in the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid outlays totaled approximately $871.7 billion in fiscal 2023, making up nearly 18% of total U.S. health expenses, up notably from around $613.5 billion in 2019, before the COVID-19 pandemic impacted the system.

This jump represents nearly 40% growth over just a few years, largely because of expanded enrollment and higher use of services during and following the pandemic.

Federal budget legislation under the Trump administration has brought forward major proposals to limit federal Medicaid support and change the program’s structure. As an example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade, with policy updates such as work requirements and increased cost sharing that could lower coverage and federal funding for some recipients. These measures are projected to shift greater financial responsibility toward states and slow federal Medicaid funding growth, even as the program serves a broad base of Americans.

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.