In 2024, The Dalles Medicaid providers billed a total of $1,105,784 for services in the Medicine Services and Procedures category, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 12.8% increase from 2023, when billing for the same category was $980,201.
Medicaid, a government-run health insurance program co-funded by federal and state governments, covers low-income people, older adults, children, and individuals with disabilities. This makes it a central component of the nation’s health care system.
Since taxpayer dollars finance Medicaid, fluctuations in local billing activities reveal how public health funding is distributed within communities.
The “Medicine Services and Procedures” category includes a range of services billed through Medicaid, grouped based on standardized HCPCS and CPT code prefixes and numeric ranges. For this review, each billing code is associated with a single service category to allow comprehensive tracking and prevent duplications, maintaining accurate comparisons over time.
While Medicaid spending rose across several service groups, Medicine Services and Procedures was the second largest category by total Medicaid payments in The Dalles for 2024.
Statewide in Oregon, Medicine Services and Procedures placed third by total Medicaid spending for the year.
From five years prior to 2024, Medicaid payments for Medicine Services and Procedures in The Dalles grew by $273,220, an increase of 32.8%. The rate of growth accelerated in certain years, with notably strong gains recorded for 2023 and 2020.
Payment distributions for Medicine Services and Procedures in The Dalles were mostly limited to select ZIP codes. In 2024, ZIP code 97058 accounted for $1,105,783 in Medicaid payments for this category. This ZIP code represented 100% of all Medicaid spending on Medicine Services and Procedures in The Dalles for the year.
Within the category, a small number of individual billing codes made up the majority of Medicaid payments.
When compared to all Medicaid claim categories in The Dalles, the Medicine Services and Procedures group had a 12.8% increase between 2024 and 2023, while the overall growth rate for all claim categories was 6.3% for the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal 2023, making up roughly 18% of all national health spending. That figure rose sharply from about $613.5 billion in 2019, before the COVID-19 pandemic.
This change amounts to nearly 40% growth over several years, attributed mainly to increased enrollment and heightened use of services during and following the pandemic.
Federal budget laws enacted during the Trump administration have included major plans to cut federal Medicaid funding and change program structure. For instance, the “One Big Beautiful Bill Act,” became law in 2025 and is anticipated to reduce federal Medicaid spending by more than $1 trillion across the next 10 years. It also brings new elements like work requirements and greater cost-sharing, potentially lowering access and funding for some participants. These policy shifts may increase fiscal pressure on states and reduce federal Medicaid contributions, even as program enrollment remains high.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $832,563 | 12.5% |
| 2021 | $802,009 | -3.7% |
| 2022 | $792,790 | -1.1% |
| 2023 | $980,200 | 23.6% |
| 2024 | $1,105,783 | 12.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $1,810,226 | 41.1% |
| 2 | Medicine Services and Procedures | $1,105,783 | 25.1% |
| 3 | National Codes Established for State Medicaid Agencies | $384,821 | 8.7% |
| 4 | Pathology and Laboratory Procedures | $335,407 | 7.6% |
| 5 | Alcohol and Drug Abuse Treatment | $255,823 | 5.8% |
| 6 | Ambulance and Other Transport Services and Supplies | $183,513 | 4.2% |
| 7 | Durable Medical Equipment | $149,602 | 3.4% |
| 8 | Medical And Surgical Supplies | $87,699 | 2% |
| 9 | Surgery | $57,868 | 1.3% |
| 10 | Dental Services | $14,148 | 0.3% |
| 11 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $10,901 | 0.2% |
| 12 | Procedures / Professional Services | $4,251 | 0.1% |
| 13 | Radiology Procedures | $3,554 | 0.1% |
| 14 | Drugs Administered Other than Oral Method | $1,680 | <0.1% |
| 15 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90834 | Psytx w pt 45 minutes | $464,616 | 126 |
| 90837 | Psytx w pt 60 minutes | $127,588 | 33 |
| 96910 | Photchmtx tar&uvb/ptrltm&uvb | $94,457 | 30 |
| 92004 | Compre oph exam new pt 1/> | $86,822 | 40 |
| 92014 | Compre oph exam est pt 1/> | $65,265 | 36 |
| 92340 | Fit spectacles monofocal | $59,504 | 36 |
| 92015 | Determine refractive state | $25,554 | 63 |
| 97530 | Therapeutic activities | $23,974 | 21 |
| 90847 | Family psytx w/pt 50 min | $17,996 | 3 |
| 96361 | Hydrate iv infusion add-on | $17,746 | 9 |
| 97110 | Therapeutic exercises | $16,257 | 14 |
| 90832 | Psytx w pt 30 minutes | $15,677 | 10 |
| 96374 | Ther/proph/diag inj iv push | $15,348 | 20 |
| 96375 | Tx/pro/dx inj new drug addon | $13,249 | 12 |
| 97140 | Manual therapy 1/> regions | $12,224 | 18 |
| 97124 | Massage therapy | $10,976 | 5 |
| 93005 | Electrocardiogram tracing | $8,433 | 17 |
| 90882 | Envrn ivntj med mgmt psyc pt | $6,232 | 3 |
| 92507 | Tx sp lang voice comm indiv | $4,590 | 5 |
| 90791 | Psych diagnostic evaluation | $3,927 | 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.
