Medicaid providers in Happy Valley reported $879,384 in charges for services included under the National Codes Established for State Medicaid Agencies category in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount reflects an increase of 57.4% when compared to 2023, when providers filed $558,859 in claims for these services.
Medicaid is a government health insurance program administered by the states and funded by both federal and state governments. The program serves low-income people and families, as well as seniors, children, and individuals with disabilities, establishing it as a key part of the U.S. health care system.
Since taxpayer funds support Medicaid payments, changes in claims volume in each locality signal shifts in how public health care resources are distributed.
The “National Codes Established for State Medicaid Agencies” category groups a set of Medicaid services by the type of care, using established HCPCS and CPT code groupings. For the purposes of this assessment, each code was assigned to one service category by code prefix and number range, which made it possible to study related services together, avoid double-counting, and accurately compare changes over time.
Although overall Medicaid spending went up in several categories, National Codes Established for State Medicaid Agencies accounted for the largest share of Medicaid payments in Happy Valley in 2024.
Statewide, the National Codes Established for State Medicaid Agencies category was the fourth largest in terms of Medicaid spending in Oregon in 2024.
Over the five years prior to 2024, Medicaid payments tied to the National Codes Established for State Medicaid Agencies category in Happy Valley grew by $879,384, or 0%. Certain years, like 2023 and 2022, saw pronounced year-over-year gains.
Medicaid payments for the National Codes Established for State Medicaid Agencies category were reported from across the city, but most spending was centered in a few ZIP codes. For 2024, ZIP code 97086 saw the highest total, accounting for all $879,384 in Medicaid outlays for this category in Happy Valley. Together, the leading ZIP code represented 100% of Medicaid payments under the category for the city that year.
Within this group, a few specific billing codes accounted for most of the Medicaid payments.
To compare, Medicaid payments for the National Codes Established for State Medicaid Agencies group in Happy Valley rose by 57.4% between 2024 and 2023, while total Medicaid payments citywide across all service categories increased by 5.1% in the same timeframe.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid outlays were about $871.7 billion for fiscal year 2023, making up approximately 18% of all U.S. health spending. This was a sharp rise from $613.5 billion in 2019, the year before the COVID-19 pandemic began.
This jump represents an estimated 40% growth in a short period, largely fueled by increased enrollment and greater utilization during and following the pandemic.
Recent national budget measures enacted under the Trump administration have put forward substantial changes to federal Medicaid funding and program structure. The “One Big Beautiful Bill Act,” which went into effect in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and brings new policies such as work requirements and higher cost-sharing that could impact access and funding for some recipients. These adjustments are projected to transfer additional financial responsibility to states and hold back federal Medicaid support growth, despite the program continuing to serve tens of millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $230,442 | – |
| 2023 | $558,858 | 142.5% |
| 2024 | $879,384 | 57.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $879,384 | 38.3% |
| 2 | Temporary National Codes (Non-Medicare) | $538,480 | 23.5% |
| 3 | Evaluation and Management | $432,009 | 18.8% |
| 4 | Medicine Services and Procedures | $394,158 | 17.2% |
| 5 | Surgery | $30,809 | 1.3% |
| 6 | Procedures / Professional Services | $7,578 | 0.3% |
| 7 | Dental Services | $4,108 | 0.2% |
| 8 | Vision Services | $3,751 | 0.2% |
| 9 | Pathology and Laboratory Procedures | $2,022 | 0.1% |
| 10 | Ambulance and Other Transport Services and Supplies | $1,014 | <0.1% |
| 11 | Medical And Surgical Supplies | $470 | <0.1% |
| 12 | Prosthetic Procedures | $21 | <0.1% |
| 13 | Alcohol and Drug Abuse Treatment | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $873,504 | 12 |
| T1016 | Case management | $5,880 | 3 |
Note: HCPCS codes are presented for reference within the category. All totals and rankings in this article are based on service categories, not individual codes.
Information for this report comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Find the source data here.
