Medicaid payments for Surgery totaled $1,707 in Estacada in 2024

In 2024, Medicaid providers in Estacada billed $1,707 for Surgery services, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That amount was up 6% from $1,611 billed in 2023 for those same services.

Medicaid is a public health insurance program operated by states and jointly funded by federal and state governments. It provides coverage to low-income families and individuals, the elderly, children, and people with disabilities, and is among the largest components of the U.S. health care system.

Because taxpayers support Medicaid spending, fluctuations in local billing reflect how health care dollars are allocated within a community.

The “Surgery” category consists of groupings of Medicaid-billed services identified by service type, based on standardized HCPCS and CPT code designations. This analysis sorted each billing code into a single service group, using code prefixes and number ranges to accurately assess related services while preventing duplication and allowing for consistent comparisons over time.

While spending on various service types rose, Surgery was the fourth-highest Medicaid payment category in Estacada in 2024.

Within Oregon, Surgery ranked 13th by total Medicaid payments at the state level in 2024.

During the five years preceding 2024, Medicaid payments for Surgery in Estacada increased by $1,350, or 378.3%. Significant annual increases were observed in years such as 2020 and 2023, driving the overall trend higher.

Most Medicaid spending related to Surgery in Estacada was concentrated among a small number of ZIP codes, with 97023 accounting for $1,706 in 2024. Altogether, this ZIP code made up 100% of Medicaid Surgery payments in Estacada for the year.

Surgery-related Medicaid payments were also focused on a relatively small set of billing codes within the category.

Comparatively, the 6% increase in Medicaid’s Surgery category payments in Estacada between 2024 and 2023 was lower than the overall 27.3% rise for all Medicaid claims in the city during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending reached roughly $871.7 billion in fiscal 2023, representing around 18% of the nation’s overall health expenditures. This is a notable jump from about $613.5 billion in 2019, before the COVID-19 pandemic.

This increase amounts to roughly 40% growth over those few years, driven in large part by expanded enrollment and increased usage during and following the pandemic.

Under the Trump administration, recent federal budget measures have proposed substantial reductions to federal Medicaid allocations and structural changes to the program. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to cut federal Medicaid spending by more than $1 trillion over ten years. It introduces new policies such as work requirements and heightened cost-sharing, which could curtail funding and coverage for some. These adjustments are expected to increase financial responsibilities for states and may limit federal support even while the program continues serving millions nationwide.

Note: HCPCS codes are displayed here for context within the broader service category. Totals and rankings are based on standardized grouping rather than bill-level code data.

The information in this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data is available here.