Medicaid billing for Medicine Services and Procedures in Sandy climbs 120% in 2024

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Medicaid providers in Sandy billed $20,907 for Medicine Services and Procedures in 2024, a 119.8% rise from $9,511 recorded in 2023 for the same category.

Medicaid, a joint state and federally funded public health insurance initiative, serves low-income individuals, families, seniors, children, and people with disabilities, positioning it as one of the primary components of U.S. health care.

Because Medicaid is funded by taxpayers, changes in local billing patterns illustrate how health care resources are utilized within the community.

The “Medicine Services and Procedures” category encompasses Medicaid-billed services grouped by type of care, using standardized HCPCS and CPT coding. Each billing code was consistently assigned to a single service category for this analysis, leveraging code prefixes and ranges so related services could be measured together, prevent overlap, and ensure accurate long-term comparisons.

Spending on Medicine Services and Procedures was the third-largest category for Medicaid payments in Sandy in 2024, even as overall Medicaid expenditures increased across several service categories.

Statewide in Oregon, the Medicine Services and Procedures category also ranked third in total Medicaid distributions during 2024.

In the five-year period prior to 2024, Medicaid payments for Medicine Services and Procedures in Sandy rose by $18,137, reflecting a 654.9% increase. This growth accelerated at certain points, with significant year-over-year jumps recorded in both 2022 and 2021.

Although distribution of spending in this category was spread throughout Sandy, Medicaid payments were focused within a small number of ZIP codes. In 2024, ZIP code 97055 was responsible for $20,907—the entirety of Medicaid payments for Medicine Services and Procedures in the city that year.

Payments within the Medicine Services and Procedures group were also concentrated among a limited set of billing codes.

From 2023 to 2024, spending in this specific category jumped by 119.8% in Sandy, in comparison to a 6.4% increase observed across all Medicaid claim categories in the city during the same period.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenditures were around $871.7 billion in fiscal 2023, making up nearly 18% of overall national health spending, which was a substantive increase from approximately $613.5 billion in 2019 prior to the COVID-19 pandemic.

That surge amounts to growth of about 40% over a few years, attributed mainly to expanded program enrollment and greater medical service usage during and following the pandemic.

Recent federal budget policy changes under the Trump administration have brought significant proposals to reduce federal Medicaid outlays and modify the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to lower federal Medicaid spending by more than $1 trillion over the next 10 years and introduces measures such as work requirements and increased cost-sharing. These adjustments may result in decreased coverage or funding for certain beneficiaries, shifting additional responsibility to state governments even as Medicaid continues to serve millions of Americans.

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.