In 2024, Medicaid providers in Redmond submitted $101,613 in claims for services within the Drugs Administered Other than Oral Method category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 0.6% increase over 2023, when billings for the same service type reached $100,959.
Medicaid serves as a state-administered, publicly funded health insurance program, with financial support from federal and state governments jointly. It insures low-income individuals, seniors, children, families, and people with disabilities, and is one of the largest components of the nation’s health care sector.
Since Medicaid is funded by taxpayers, shifts in local billing patterns show how communities allocate publicly funded health resources.
The “Drugs Administered Other than Oral Method” classification covers a group of services identified by the care provided and is defined using HCPCS and CPT code groupings. For this review, each billing code was assigned once to a specific category using a standardized combination of prefixes and numeric ranges. This approach grouped similar services, removed duplication, and enabled year-to-year ranking.
Expenditures for Medicaid rose in several categories, but Drugs Administered Other than Oral Method was the eighth highest by total Medicaid payments in Redmond in 2024.
Across Oregon, the Drugs Administered Other than Oral Method category placed 12th statewide based on total payments during 2024.
From 2019 through 2024, Redmond Medicaid payments for the Drugs Administered Other than Oral Method category increased by $49,688, which is a rise of 95.7%. Periods of rapid growth appeared especially in 2020 and 2021 with notable year-over-year spending increases.
Most of the payments for this category in Redmond concentrated in specific ZIP codes, even though care was provided throughout the city. In 2024, ZIP code 97756 represented $101,612 of total Medicaid funding for this service category. That ZIP code alone made up 100% of Redmond’s Medicaid payments for Drugs Administered Other than Oral Method care during the year.
Payments were also focused among a small number of individual billing codes within the category.
For additional context, the 0.6% rise in Medicaid payments in this category from 2023 to 2024 was lower than the overall 8.6% change across all Medicaid claim types in Redmond for the same period.
The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid outlays totaled approximately $871.7 billion in fiscal 2023, comprising about 18% of national health expenditures, up from $613.5 billion in 2019 before the COVID-19 pandemic onset.
This amounts to roughly 40% growth in fewer than five years, largely attributed to expanded enrollment and increased service use related to the pandemic era.
Federal budget legislation under the Trump administration has called for major changes reducing federal Medicaid contributions and reorganizing the program. The “One Big Beautiful Bill Act,” approved in 2025, is designed to reduce future federal Medicaid spending by more than $1 trillion and introduces work requirements and higher cost-sharing for beneficiaries, steps that could limit coverage and state funding while Medicaid continues to insure tens of millions of individuals.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $51,924 | 7296.7% |
| 2021 | $92,533 | 78.2% |
| 2022 | $80,019 | -13.5% |
| 2023 | $100,959 | 26.2% |
| 2024 | $101,612 | 0.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $9,541,389 | 52.7% |
| 2 | Alcohol and Drug Abuse Treatment | $5,317,896 | 29.3% |
| 3 | Evaluation and Management | $1,852,455 | 10.2% |
| 4 | Durable Medical Equipment | $329,146 | 1.8% |
| 5 | Temporary Codes | $310,207 | 1.7% |
| 6 | Ambulance and Other Transport Services and Supplies | $259,222 | 1.4% |
| 7 | Medical And Surgical Supplies | $200,146 | 1.1% |
| 8 | Drugs Administered Other than Oral Method | $101,612 | 0.6% |
| 9 | National Codes Established for State Medicaid Agencies | $95,808 | 0.5% |
| 10 | Surgery | $55,251 | 0.3% |
| 11 | Procedures / Professional Services | $35,026 | 0.2% |
| 12 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $13,109 | 0.1% |
| 13 | Dental Services | $5,091 | <0.1% |
| 14 | Pathology and Laboratory Procedures | $3,232 | <0.1% |
| 15 | Radiology Procedures | $1,232 | <0.1% |
| 16 | Chemotherapy Drugs | $379 | <0.1% |
| 17 | Vision Services | $201 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| J2315 | Naltrexone, depot form | $86,494 | 3 |
| J0178 | Aflibercept injection | $7,889 | 1 |
| J7999 | Compounded drug, noc | $7,228 | 6 |
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.
