Branford Medicaid spending on Orthotic Procedures and services climbs to $17,714 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Branford billed $17,714 for Orthotic Procedures and services, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represented an 82% rise from 2023, when $9,731 was billed for these services.

Medicaid operates as a public health insurance program managed by states and funded through a partnership between federal and state governments. Providing coverage for low-income individuals and families, seniors, children, and those with disabilities, Medicaid is a significant component of the U.S. health care infrastructure.

Since taxpayer contributions fund Medicaid, shifts in local billing can indicate changes in how public health funds are allocated within a community.

The “Orthotic Procedures and services” designation groups Medicaid-billed services based on the type of care, using consistent HCPCS and CPT prefixes and numeric ranges to ensure related services are examined together, avoiding double counting and maintaining accurate rankings over time.

Medicaid spending grew across several service categories in Branford, with Orthotic Procedures and services ranking seventh by amount spent in 2024.

Statewide, Orthotic Procedures and services held the 19th position among Medicaid service categories by total payments in 2024.

Between 2020 and 2024, Medicaid billing for Orthotic Procedures and services in Branford increased by $13,977, or 374%. Periods of faster spending growth included notable year-over-year gains, particularly in 2022 and 2022.

Payments for Orthotic Procedures and services were distributed citywide but were primarily concentrated in specific ZIP codes. In 2024, ZIP code 06405 accounted for $17,713 of these Medicaid payments. Altogether, the leading ZIP code represented 100% of local spending in this category for the year.

Within Orthotic Procedures and services, billing was focused on a select group of HCPCS codes.

Comparatively, the 82% increase in Branford’s Medicaid payments for Orthotic Procedures and services between 2024 and 2023 significantly outpaced the 27% change seen across all Medicaid service categories in the city during that period.

Centers for Medicare & Medicaid Services data shows that combined state and federal Medicaid spending reached approximately $871.7 billion for fiscal year 2023, making up about 18% of the nation’s total health expenditures, up from $613.5 billion in 2019, before the COVID-19 public health emergency.

This marks an approximate 40% increase over several years, driven largely by greater enrollment and heightened utilization during and after the pandemic.

Recent federal budget legislation from the Trump administration includes major proposals to cut federal Medicaid funding and alter its structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to decrease federal Medicaid spending by over $1 trillion over 10 years while instituting work requirements and higher cost-sharing, potentially limiting funding and coverage for some recipients. These policy changes are set to transfer more financial responsibility to states and restrict growth in federal support, even as Medicaid continues to serve millions of Americans.

Medicaid Payments Tied to Orthotic Procedures and services in Branford, Connecticut Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $3,737 -80.1%
2021 $2,699 -27.8%
2022 $12,449 361.2%
2023 $9,731 -21.8%
2024 $17,713 82%
Top Categories by Medicaid Payments in Branford, Connecticut, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $1,940,162 45.6%
2 Medicine Services and Procedures $993,600 23.3%
3 Procedures / Professional Services $538,787 12.7%
4 Pathology and Laboratory Procedures $329,354 7.7%
5 Drugs Administered Other than Oral Method $235,052 5.5%
6 Ambulance and Other Transport Services and Supplies $174,274 4.1%
7 Orthotic Procedures and services $17,713 0.4%
8 Surgery $13,295 0.3%
9 Vision Services $10,652 0.3%
10 Temporary National Codes (Non-Medicare) $2,535 0.1%
11 Pathology and Laboratory Services $1,160 <0.1%
12 Medical And Surgical Supplies $0 <0.1%
12 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the Orthotic Procedures and services Category in Branford, Connecticut, 2024

HCPCS Code Description Medicaid Payments Claims
L2275 Plastic mod low ext pad/line $9,475 4
L2280 Molded inner boot $6,299 1
L2210 Dorsiflexion assist each joi $1,938 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.



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