Tracy’s Medicaid providers charged $9,144,342 for Orthotic Procedures and services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 13.4% growth compared with 2023, during which providers filed $8,065,498 in claims for the same category.
Medicaid, operated by states and funded through a partnership between state and federal governments, covers low-income groups, elderly adults, children, and people with disabilities. It is one of the largest segments of the nation’s health care system.
Changes in local billing patterns illustrate how taxpayer-funded Medicaid dollars are spent within a community.
The Orthotic Procedures and services category comprises Medicaid-billed services identified by specific types of care, using standardized HCPCS and CPT code groupings. This assessment assigned each billing code to a single category based on consistent code prefixes and number ranges, enabling grouped service analysis and preventing double counting while maintaining meaningful rankings over time.
While Tracy saw greater Medicaid spending in several service categories, Orthotic Procedures and services held the top position by total Medicaid payments in 2024.
Statewide in California, Orthotic Procedures and services ranked 18th by Medicaid payment totals for 2024.
During the five years leading up to 2024, Medicaid payments in Tracy for the Orthotic Procedures and services grouping rose by $3,491,322, or 61.8%. Growth accelerated in certain years, including notable jumps in 2021 and 2023.
Although care spending in this category occurred citywide, payments were concentrated in a small number of ZIP codes. In 2024, the 95304 ZIP code accounted for $9,144,341—making up 100% of Medicaid payments for Orthotic Procedures and services in Tracy.
Most Medicaid spending within this category focused on a narrow range of billing codes.
For context, Medicaid payments for Orthotic Procedures and services in Tracy grew by 13.4% from 2023 to 2024, while overall Medicaid claim categories saw only a 0.2% change citywide in the same period.
According to the Centers for Medicare & Medicaid Services, the combined federal and state Medicaid expenditure reached approximately $871.7 billion in fiscal year 2023, which represented about 18% of all U.S. health spending—up significantly from $613.5 billion in 2019, before the COVID-19 pandemic.
This roughly 40% increase over just a few years was mainly driven by expanded enrollment and greater health service utilization during and after the pandemic.
Recent federal budget measures during the Trump administration have aimed to reduce federal Medicaid funding and alter the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to slash over $1 trillion in federal Medicaid support over the coming decade and introduces rules such as work requirements and higher cost-sharing. These changes may lead to reduced coverage and benefits for some recipients, shifting additional costs to the states and limiting the expansion of federal Medicaid spending, even as the program continues to serve tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $5,653,020 | -11.9% |
| 2021 | $7,275,103 | 28.7% |
| 2022 | $7,083,431 | -2.6% |
| 2023 | $8,065,497 | 13.9% |
| 2024 | $9,144,341 | 13.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Orthotic Procedures and services | $9,144,341 | 33% |
| 2 | National Codes Established for State Medicaid Agencies | $4,392,944 | 15.8% |
| 3 | Medicine Services and Procedures | $2,893,115 | 10.4% |
| 4 | Ambulance and Other Transport Services and Supplies | $2,775,054 | 1<0.1% |
| 5 | Evaluation and Management | $2,519,615 | 9.1% |
| 6 | Dental Services | $1,142,042 | 4.1% |
| 7 | Temporary National Codes (Non-Medicare) | $1,067,955 | 3.9% |
| 8 | Durable Medical Equipment | $911,975 | 3.3% |
| 9 | Alcohol and Drug Abuse Treatment | $732,850 | 2.6% |
| 10 | Pathology and Laboratory Procedures | $600,651 | 2.2% |
| 11 | Anesthesia | $564,356 | 2% |
| 12 | Radiology Procedures | $470,110 | 1.7% |
| 13 | Surgery | $138,070 | 0.5% |
| 14 | Procedures / Professional Services | $115,888 | 0.4% |
| 15 | Drugs Administered Other than Oral Method | $112,579 | 0.4% |
| 16 | Prosthetic Procedures | $100,118 | 0.4% |
| 17 | Temporary Codes | $20,724 | 0.1% |
| 18 | Medical And Surgical Supplies | $17,872 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| L4361 | Pneuma/vac walk boot pre ots | $2,420,092 | 19 |
| L1833 | Ko adj jnt pos r sup pre ots | $2,035,397 | 20 |
| L3809 | Whfo w/o joints pre ots | $1,162,408 | 23 |
| L3660 | So 8 ab rstr can/web pre ots | $964,872 | 23 |
| L3908 | Who cock-up nonmolde pre ots | $517,851 | 23 |
| L1830 | Ko immob canvas long pre ots | $325,455 | 23 |
| L3670 | So acro/clav can web pre ots | $286,869 | 20 |
| L4350 | Ankle control ortho pre ots | $271,977 | 19 |
| L1906 | Afo multilig ank sup pre ots | $139,180 | 11 |
| L3260 | Ambulatory surgical boot eac | $134,359 | 12 |
| L0464 | Tlso 4mod sacro-scap pre | $108,969 | 9 |
| L4387 | Non-pneum walk boot pre ots | $98,346 | 22 |
| L1902 | Afo ankle gauntlet pre ots | $67,922 | 11 |
| L1820 | Ko elas w/ condyle pads & jo | $65,142 | 11 |
| L1852 | Ko double upright prefab ots | $45,970 | 6 |
| L3984 | Upper ext fx orthosis wrist | $43,358 | 10 |
| L3761 | Eo, adj lock joint prefab ot | $41,981 | 10 |
| L0174 | Cerv sr 2pc thor ext pre ots | $38,526 | 10 |
| L0651 | Lso sag-co shell pnl pre ots | $38,516 | 6 |
| L3982 | Upper ext fx orthosis rad/ul | $33,224 | 7 |
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.
