Indiana Medicaid payments for orthotic services total $5,002,740 in 2024

Indiana Medicaid disbursed $5,002,740 in payments for services under the Orthotic Procedures and services category in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflected a 16% increase from 2023, when providers billed $4,311,977 for these services.

Medicaid, a public health insurance program administered by states and funded jointly by federal and state governments, covers low-income families and individuals, seniors, children, and those with disabilities, making it one of the largest components of the U.S. health care system.

Since Medicaid expenditures are funded by taxpayers, shifts in local billing levels illustrate how public health care funds are distributed throughout a community.

The “Orthotic Procedures and services” category includes a collection of Medicaid-billed services defined by the type of care, organized using standard HCPCS and CPT code groupings. For the analysis, each billing code was placed into a single service category through consistent assignment of code prefixes and numeric ranges, which enables examination of related services while preventing overlap and maintaining accurate rankings over time.

In some cases, categories may comprise several types of underlying services. This means the category can include various forms of related care frequently billed together within Medicaid, such as office appointments, testing, and therapeutic procedures.

During the five years before 2024, Medicaid payments linked to the Orthotic Procedures and services category in Indiana grew by $1,139,614, or 29.5%. Growth in spending accelerated during certain years, with notable jumps from year to year in 2021.

Though spending within the Orthotic Procedures and services category was seen statewide, a significant share of payments was concentrated in a few ZIP codes. For 2024, ZIP Code 46268 led with $979,914 (19.6% of the statewide total), followed by ZIP Code 46202 at $806,691 (16.1%), and ZIP Code 46804 with $627,024 (12.5%).

Together, these top three ZIP codes represented 48.2% of all Medicaid payments for the Orthotic Procedures and services category across Indiana for the year.

Statewide, all Medicaid claims combined saw a 19.6% increase in payments between 2023 and 2024.

Although spending grew across numerous service categories, the Orthotic Procedures and services category ranked among the top 19 service categories in Indiana by total Medicaid payments in 2024.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, making up about 18% of national health expenditures. This was a sharp increase from roughly $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This growth amounts to nearly 40% in a few years, largely attributed to expanded enrollment and increased utilization during and following the pandemic.

Recent federal budget actions during the Trump administration have included major proposals to reduce federal Medicaid funding and revise the program structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to decrease federal Medicaid expenditures by more than $1 trillion over the next decade and establishes policies like work requirements and greater cost-sharing that could affect coverage and funding for some recipients. These policy shifts are projected to place more financial responsibility on states and slow the growth of federal Medicaid support, even as millions of Americans continue to rely on the program.