Vermont Medicaid outlays for orthotic procedures and services climb to $501,499 in 2024

Vermont Medicaid payments for Orthotic Procedures and services totaled $501,499 in 2024, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 41.7% rise compared with 2023, when claims reached $353,825.

Year-over-year figures in this report are compared with the nearest prior period of available data.

Medicaid is a state-administered public health insurance program jointly financed by state and federal governments. It serves low-income individuals, families, seniors, children, and people with disabilities as one of the largest segments of the U.S. health system.

Since Medicaid spending comes from taxpayers, shifts in local billing patterns provide insight into how public dollars are spent within a community.

The “Orthotic Procedures and services” group covers a range of Medicaid-billed procedures based on standardized HCPCS and CPT code clusters. Each code was consistently placed in a single service category through the use of established code prefixes and numerical segments, enabling similar services to be evaluated together while preventing repeated counting and upholding data accuracy over time.

Several service categories, as applicable, may capture different underlying services. These categories combine related types of care that are often billed together under Medicaid, such as patient visits, diagnostic evaluations, and therapy procedures.

From 2019 through 2024, Vermont’s Medicaid payments for Orthotic Procedures and services rose by $281,208, or 127.7%. The state saw accelerated growth in certain intervals, notably with marked increases in 2021 and 2022.

Spending for Orthotic Procedures and services occurred statewide, but a few ZIP codes concentrated most payments. In 2024, ZIP Code 05403 received $482,603 in Medicaid payments for these services, accounting for 96.2% of the state’s total in the category.

This leading ZIP code made up 96.2% of Vermont’s Medicaid expenditure on Orthotic Procedures and services for the year.

For context, Medicaid spending in Vermont across all categories grew by 2.3% from 2023 to 2024.

Though many Medicaid service categories also registered spending growth, Orthotic Procedures and services ranked among the top 13 by total dollars paid statewide in 2024.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures were about $871.7 billion in the 2023 fiscal year, which represented close to 18% of national health spending. That figure was up considerably from roughly $613.5 billion in 2019, the year preceding the COVID-19 pandemic.

This surge equates to nearly 40% growth in a short period, shaped in large part by rising enrollment and higher use during and following the pandemic years.

Federal budget measures implemented during the Trump administration included substantial reductions to federal Medicaid support and proposed a redesign of the program. Notably, the “One Big Beautiful Bill Act,” which became law in 2025, is set to reduce federal Medicaid payments by over $1 trillion over the next 10 years. New initiatives such as work requirements and increased cost-sharing could decrease both benefits and financial resources for affected recipients. These policy shifts are projected to place heavier cost burdens on states and curtail the rate of federal Medicaid expansion, as the program continues to aid millions across the nation.