According to the U.S. Department of Health and Human Services Medicaid Provider Spending database, providers in Auburn billed $1,218,851 for services under the Durable Medical Equipment category in 2024. This amount shows a 0.1% rise from 2023, when $1,217,471 in claims were filed for the same category.
Medicaid, a state-run public health insurance program jointly funded by the federal and state governments, serves low-income individuals and families, children, seniors, and people with disabilities, making it a major part of the U.S. health care system.
Because Medicaid relies on taxpayer funding, fluctuations in local billing rates track how community health care resources are used.
The Durable Medical Equipment category covers Medicaid-billed services defined by standardized HCPCS and CPT code groupings, with each code assigned to a specific service using consistent prefixes and numeric ranges to avoid double counting and accurately compare categories over time.
Among the various Medicaid-billed services in Auburn, Durable Medical Equipment generated the sixth-largest total payments in 2024.
Statewide in Maine, Durable Medical Equipment was the 14th largest Medicaid service category by total payments in 2024.
Medicaid payments for Durable Medical Equipment in Auburn grew by $409,166 or 25.1% over the five years prior to 2024. Growth was driven by higher annual increases, particularly in 2020 and 2022.
In 2024, spending in Auburn’s Durable Medical Equipment category largely came from a small number of ZIP codes, with ZIP code 04210 accounting for all $1,218,851 in payments. The top ZIP code thus represented 100% of Auburn’s Medicaid spending in this category during the year.
Spending within the Durable Medical Equipment category showed that most Medicaid payments targeted a narrow selection of individual billing codes.
For Auburn, Medicaid spending linked to Durable Medical Equipment increased by 0.1% from 2023 to 2024, while citywide spending across all Medicaid claim categories saw a 3.7% change during the same stretch.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid outlays totaled about $871.7 billion in fiscal 2023, representing roughly 18% of national health spending—up from around $613.5 billion in 2019, before the COVID-19 pandemic.
This reflects roughly 40% growth over several years, fueled largely by greater enrollment and increased use amid and after the pandemic.
Recent federal budget laws passed during the Trump administration have contained major proposals to reduce the federal Medicaid share and reform the program. One example is the “One Big Beautiful Bill Act,” signed in 2025, which is projected to decrease federal Medicaid funding by more than $1 trillion over a decade. New measures such as work requirements and higher cost-sharing could limit both coverage and funding for certain recipients. States are expected to assume more of the costs, while growth in federal payments slows even as tens of millions continue receiving coverage.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,628,017 | 38.1% |
| 2021 | $1,705,978 | 4.8% |
| 2022 | $2,024,674 | 18.7% |
| 2023 | $1,217,471 | -39.9% |
| 2024 | $1,218,851 | 0.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $40,893,123 | 46.2% |
| 2 | Alcohol and Drug Abuse Treatment | $36,545,054 | 41.3% |
| 3 | Temporary National Codes (Non-Medicare) | $3,883,898 | 4.4% |
| 4 | Medical And Surgical Supplies | $2,574,868 | 2.9% |
| 5 | Medicine Services and Procedures | $1,757,798 | 2% |
| 6 | Durable Medical Equipment | $1,218,851 | 1.4% |
| 7 | Evaluation and Management | $656,980 | 0.7% |
| 8 | Ambulance and Other Transport Services and Supplies | $493,143 | 0.6% |
| 9 | Dental Services | $207,478 | 0.2% |
| 10 | Procedures / Professional Services | $136,964 | 0.2% |
| 11 | Orthotic Procedures and services | $80,767 | 0.1% |
| 12 | Pathology and Laboratory Procedures | $17,030 | <0.1% |
| 13 | Surgery | $6,128 | <0.1% |
| 14 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $5,442 | <0.1% |
| 15 | Drugs Administered Other than Oral Method | $3,092 | <0.1% |
| 16 | Radiology Procedures | $1,658 | <0.1% |
| 17 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 17 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| E0784 | Ext amb infusn pump insulin | $919,142 | 12 |
| E2402 | Neg press wound therapy pump | $200,224 | 11 |
| E0601 | Cont airway pressure device | $30,526 | 12 |
| E0570 | Nebulizer with compression | $27,254 | 12 |
| E2103 | Non-adju cgm receiver/mon | $11,641 | 6 |
| E0261 | Hosp bed semi-electr w/o mat | $11,092 | 11 |
| E0562 | Humidifier heated used w pap | $9,404 | 8 |
| E0143 | Walker folding wheeled w/o s | $4,452 | 7 |
| E0149 | Heavy duty wheeled walker | $2,906 | 11 |
| E0260 | Hosp bed semi-electr w/ matt | $832 | 1 |
| E0156 | Walker seat attachment | $727 | 3 |
| E0470 | Rad w/o backup non-inv intfc | $646 | 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.
