According to the U.S. Department of Health and Human Services Medicaid Provider Spending database, Ohio Medicaid payments for services in the Components, Accessories and Supplies category totaled $26,605,821 in 2024. This figure represents a 463.6% jump from 2023, when providers submitted $4,720,759 in claims for the same category.
Medicaid, a public insurance program overseen by the states and funded by both federal and state governments, provides coverage for low-income families and individuals, older adults, children, and people with disabilities. It remains a major component of the U.S. health care system.
Because Medicaid is taxpayer funded, shifts in local billing directly reflect how public health resources are distributed within communities.
The Components, Accessories and Supplies category groups Medicaid-billed services classified by the type of care, following standardized HCPCS and CPT coding. For this analysis, each billing code was sorted into a single service group using standard prefixes and numeric ranges to combine related services, preventing duplication and ensuring ranking consistency over time.
Where applicable, categories may cover a range of underlying services. In such cases, the category captures related services that are frequently billed under Medicaid together, such as office appointments, diagnostic services and therapeutic treatments.
Over the three years through 2024, Medicaid expenditures on the Components, Accessories and Supplies category in Ohio increased $26,603,729, or 1,271,688.8%. Spending gains accelerated during specific time periods, including notable growth in 2023 compared with earlier totals.
Spending for the Components, Accessories and Supplies category was spread throughout the state, but most payments were concentrated within a small number of ZIP codes. In 2024, the leading ZIP codes included 43302, with $10,817,492 (40.7%), 44302, which received $7,375,800 (27.7%), and 44505, at $6,370,863 (23.9%) of the overall amount.
Combined, these top three ZIP codes represented 92.3% of all Medicaid payments tied to the Components, Accessories and Supplies category in Ohio in 2024.
Statewide Medicaid payments, across all claim categories, increased 0.8% from 2023 to 2024 for comparison.
Though increases were seen across several service types, the Components, Accessories and Supplies category ranked among the 17 highest statewide by payment total in 2024.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures were about $871.7 billion in fiscal year 2023, roughly 18% of overall national health spending. That represents a sharp rise from the roughly $613.5 billion reported in 2019, prior to the COVID-19 pandemic.
This increase marks approximately 40% growth in just a few years, largely fueled by higher enrollment and service utilization during and after the pandemic.
Recent federal budget legislation under the Trump administration has included major proposals aimed at reducing federal Medicaid contributions and reshaping the program. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim more than $1 trillion from Medicaid over 10 years and add policies like work requirements and higher cost-sharing, which could restrict coverage and cut funding for certain beneficiaries. These measures could shift more financial responsibility to states and suppress the growth of federal Medicaid support, even as the program continues to cover tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2024 | $26,605,821 | 463.6% |
| 2023 | $4,720,759 | 225,557.7% |
| 2022 | $2,092 | N/A |
| ZIP Code | Medicaid Payments | % of State Total |
|---|---|---|
| 43302 | $10,817,492 | 40.7% |
| 44302 | $7,375,800 | 27.7% |
| 44505 | $6,370,863 | 23.9% |
| 45601 | $944,574 | 3.6% |
| 45219 | $885,500 | 3.3% |
| 43123 | $147,163 | 0.6% |
| 45424 | $60,043 | 0.2% |
| 43026 | $3,234 | <0.1% |
| 44709 | $1,152 | <0.1% |
Data in this article were sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data is available here.
