Hood River Medicaid payments for state agency codes reach $482,905 in 2024

In 2024, Medicaid providers in Hood River billed $482,905 for services classified under the National Codes Established for State Medicaid Agencies, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 35.3% increase from 2023, when billings for this category totaled $356,925.

Medicaid is a state-administered public health insurance program funded through both federal and state dollars. The program delivers coverage to low-income families and individuals, children, seniors, and people with disabilities, making it one of the most significant components of the U.S. health care system.

As Medicaid payments are sourced from taxpayer revenue, shifts in local billing amounts reflect how public funds are distributed within a community’s health care sector.

The “National Codes Established for State Medicaid Agencies” grouping refers to a series of Medicaid services defined by specific HCPCS and CPT code ranges. Service categories for this analysis were established by assigning each code to one group using code prefixes and numeric identifiers, which enabled grouping similar services, avoiding double counting and supporting consistent year-to-year comparisons.

While several Medicaid service categories saw increases in spending, National Codes Established for State Medicaid Agencies came in fourth in Hood River by total Medicaid expenditures for 2024.

Statewide, the National Codes Established for State Medicaid Agencies group was also the fourth-highest by payment amount in Oregon for 2024.

From 2019 through 2024, Hood River Medicaid payments tied to National Codes Established for State Medicaid Agencies climbed by $265,775, or 122.4%. Growth in spending accelerated at times, with notable increases year over year in 2021 and 2023.

Although expenditures spanned across Hood River, Medicaid payments for this category were largely concentrated in specific ZIP codes. In 2024, ZIP code 97031 reported $482,905 in payments, accounting for 100% of Medicaid outlays for this service category in the city.

A limited set of individual billing codes accounted for most County Medicaid payments within the National Codes Established for State Medicaid Agencies category.

When compared to a 3.4% overall citywide increase for Medicaid claim categories, payments specifically tied to the National Codes Established for State Medicaid Agencies in Hood River rose 35.3% between 2024 and 2023.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending was approximately $871.7 billion in fiscal 2023, which made up around 18% of all U.S. health spending. This figure is a significant increase over the roughly $613.5 billion logged in 2019 before the COVID-19 pandemic.

This growth represents about a 40% increase over several years, largely attributed to expanded Medicaid enrollment and greater use of services both during and after the pandemic.

Recent federal budget legislation during the Trump administration has featured major proposals to reduce federal Medicaid funding and restructure the system. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to decrease federal Medicaid spending by more than $1 trillion over the next 10 years. It also includes measures such as work requirements and increased cost-sharing that may limit access and funding for certain beneficiaries. These changes are projected to shift more financial responsibility to states and constrain federal Medicaid growth, though the program remains a vital source of coverage for millions across the country.

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.