Lake Oswego Medicaid billing for Medicine Services and Procedures climbs to $2,236,773 in 2024

In 2024, Medicaid providers in Lake Oswego billed $2,236,773 for Medicine Services and Procedures, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This was a 19.3% rise from 2023, when providers submitted $1,874,525 for the same services.

Medicaid is a government health insurance program managed by states and funded through a partnership between federal and state governments. It serves low-income families and individuals, children, seniors, and those with disabilities, making it one of the largest components of the U.S. health care system.

As Medicaid is financed by taxpayers, fluctuations in local billing reflect how community health care resources are directed.

The “Medicine Services and Procedures” category consists of a range of Medicaid-billed services, grouped according to the type of care delivered and defined by standardized HCPCS and CPT coding. For this report, billing codes were assigned to individual categories based on code prefixes and numerical assignments, ensuring related services are grouped and accurately ranked while avoiding double-counting.

Spending on Medicine Services and Procedures not only increased but led all Medicaid service categories in Lake Oswego by total payments in 2024.

Statewide, Medicine Services and Procedures was ranked third among all Medicaid payment categories in Oregon for 2024.

Over the five years ending in 2024, Medicaid payments for Medicine Services and Procedures in Lake Oswego rose by $1,544,174, or 223%. The pace of spending growth was especially strong in certain periods, with notable increases in 2023 and 2021.

Although spending was distributed citywide, most Medicaid payments in the Medicine Services and Procedures category were concentrated in a few ZIP codes. In 2024, ZIP code 97035 recorded $1,945,102, while 97034 saw $291,670. Together, these two ZIP codes represented 100% of Medicaid payments for Medicine Services and Procedures in Lake Oswego that year.

Within the category, Medicaid expenditures were also focused on a limited set of billing codes.

Comparatively, Medicaid payments for Medicine Services and Procedures in Lake Oswego climbed by 19.3% from 2023 to 2024. During the same period, overall Medicaid claim categories in the city grew by 2.1%.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures totaled about $871.7 billion in fiscal 2023, representing around 18% of all national health spending—up from about $613.5 billion in 2019, before the COVID-19 crisis.

This increase translates to roughly 40% growth over several years, mainly due to expanded enrollment and higher usage during and after the pandemic.

Recent federal budget legislation enacted during the Trump administration included major proposals to reduce Medicaid funding and restructure the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to lower federal Medicaid spending by more than $1 trillion over a decade and implements measures like work requirements and higher cost-sharing, which could decrease coverage and funding for some recipients. These adjustments are expected to shift greater financial responsibility to states and curb the expansion of federal Medicaid contributions, even as the program continues serving millions nationwide.

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.