In 2024, Medicaid providers in Boardman charged $23,437 for services in the Medicine Services and Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 293.9% increase from 2023, when $5,950 in claims were submitted for the same services.
Medicaid is a state-administered public health insurance program funded jointly by federal and state governments. It serves low-income families and individuals, children, seniors, and those with disabilities, making it a significant component of the U.S. health care system.
Local fluctuations in Medicaid billing reflect how taxpayer-funded health care resources are distributed within a community.
The Medicine Services and Procedures category groups Medicaid-billed services by the care type, organized by standard HCPCS and CPT code ranges. The analysis assigned each code to a single service category based on the code’s prefix and range, which allowed grouping of related services, prevented duplicate counts, and ensured reliable rankings over time.
Despite increases in spending across various categories, Medicine Services and Procedures was Boardman’s second-highest category in Medicaid payments for 2024.
Statewide in Oregon, Medicine Services and Procedures ranked third in 2024 by total Medicaid payments.
From the five years preceding 2024, Medicaid disbursements in Boardman for Medicine Services and Procedures rose by $17,408, or 288.7%. Year-over-year increases were particularly strong in 2021 and 2023.
Expenditures in Boardman’s Medicine Services and Procedures category were mainly concentrated in a small group of ZIP codes. In 2024, ZIP code 97818 accounted for $23,436. Altogether, this ZIP code represented 100% of Boardman’s Medicaid billing for the category that year.
Payments in this category were centered around only a few service-specific billing codes.
Boardman’s Medicaid payments for Medicine Services and Procedures jumped by 293.9% from 2023 to 2024, compared with a 30.6% overall increase across all Medicaid claim categories in the city during the same timeframe.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, making up roughly 18% of U.S. national health expenditures. This was a significant rise from approximately $613.5 billion in 2019, before the COVID-19 pandemic.
This increase amounts to approximately 40% growth over several years, primarily driven by expanded Medicaid enrollment and higher service usage during and after the pandemic.
Recent federal budget changes under the Trump administration proposed major reductions in federal Medicaid funding and adjustments to the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid expenditures by more than $1 trillion over 10 years. It also introduces new work requirements and greater cost-sharing for some recipients, leading to potential reductions in coverage and financial support as costs shift to state governments, even while Medicaid continues to serve tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $6,028 | -50.3% |
| 2021 | $17,264 | 186.4% |
| 2022 | $5,394 | -68.8% |
| 2023 | $5,949 | 10.3% |
| 2024 | $23,436 | 293.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $97,966 | 66.6% |
| 2 | Medicine Services and Procedures | $23,436 | 15.9% |
| 3 | Ambulance and Other Transport Services and Supplies | $15,086 | 10.3% |
| 4 | Procedures / Professional Services | $8,013 | 5.4% |
| 5 | Surgery | $2,425 | 1.6% |
| 6 | Pathology and Laboratory Procedures | $203 | 0.1% |
| 7 | Dental Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97530 | Therapeutic activities | $10,604 | 8 |
| 97112 | Neuromuscular reeducation | $7,743 | 7 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | $1,746 | 1 |
| 97110 | Therapeutic exercises | $1,289 | 2 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | $714 | 2 |
| 90471 | Immunization admin | $547 | 2 |
| 90480 | Admn sarscov2 vac 1/only cmp | $521 | 1 |
| 96127 | Brief emotional/behav assmt | $269 | 2 |
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.
