In 2024, Medicaid providers in Oregon City billed $1,081,145 for services under the National Codes Established for State Medicaid Agencies, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 57.8% uptick from 2023, when the billing for these services totaled $685,137.
Medicaid is a public health insurance initiative managed by the states and funded through contributions from both federal and state governments. It serves low-income residents, older adults, children, and people with disabilities, making it one of the country’s main health care programs.
Changes in Medicaid billing levels locally illustrate how public health care resources, funded by taxpayers, are allocated within communities.
The “National Codes Established for State Medicaid Agencies” category comprises a set of services billed to Medicaid, as defined by provider care types according to specific HCPCS and CPT code groupings. For this report, every billing code is allocated to just one service category using uniform code prefixes and numerical spans, so related care types are grouped and double counting is avoided, maintaining ranking accuracy across reporting periods.
Spending grew in many Medicaid service categories, but National Codes Established for State Medicaid Agencies was the third-largest based on overall Medicaid payments in Oregon City in 2024.
Across Oregon, National Codes Established for State Medicaid Agencies took the fourth spot statewide in total Medicaid payment rankings in 2024.
In the five years preceding 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies in Oregon City increased by $723,647, or 202.4%. Periods of especially robust growth occurred in 2021 and 2023, with significant year-on-year increases recorded.
Medicaid spending for National Codes Established for State Medicaid Agencies was distributed throughout Oregon City, yet it was most heavily concentrated in select ZIP codes. In 2024, the ZIP code 97045 accounted for $1,081,145 in Medicaid payments within this category. This single ZIP code made up 100% of total Medicaid payments linked to National Codes Established for State Medicaid Agencies for the city that year.
Medicaid payments within the National Codes Established for State Medicaid Agencies category were also dominated by a small number of individual billing codes.
Billed Medicaid payments in Oregon City associated with National Codes Established for State Medicaid Agencies grew 57.8% from 2023 to 2024, which contrasts with the 7.1% change observed across all Medicaid claims categories in the city for the same period.
Data from the Centers for Medicare & Medicaid Services shows combined state and federal Medicaid spending hit about $871.7 billion in fiscal 2023, representing nearly 18% of overall U.S. health expenditures — up significantly from the $613.5 billion spent in 2019 before the COVID-19 pandemic.
This growth reflects roughly a 40% increase over a few years, mainly attributable to expanded enrollment and higher health care use during and after the pandemic.
Recent budget measures enacted during the Trump administration have proposed major reductions to federal Medicaid funding and changes to how the program is structured. The “One Big Beautiful Bill Act,” passed in 2025, is forecasted to decrease federal Medicaid outlays by over $1 trillion over the next decade and brings requirements such as work verifications and increased participant cost-sharing, which could result in diminished coverage and funding for some recipients. These policies may transfer additional spending responsibilities to states and restrict the rise of federal support, even as Medicaid continues to cover millions in the U.S.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $357,498 | -40.3% |
| 2021 | $634,156 | 77.4% |
| 2022 | $650,879 | 2.6% |
| 2023 | $685,137 | 5.3% |
| 2024 | $1,081,145 | 57.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $4,453,589 | 45.4% |
| 2 | Medicine Services and Procedures | $2,653,720 | 27% |
| 3 | National Codes Established for State Medicaid Agencies | $1,081,145 | 11% |
| 4 | Alcohol and Drug Abuse Treatment | $988,880 | 10.1% |
| 5 | Dental Services | $213,802 | 2.2% |
| 6 | Pathology and Laboratory Procedures | $178,214 | 1.8% |
| 7 | Surgery | $119,757 | 1.2% |
| 8 | Procedures / Professional Services | $80,469 | 0.8% |
| 9 | Radiology Procedures | $39,488 | 0.4% |
| 10 | Temporary National Codes (Non-Medicare) | $1,767 | <0.1% |
| 11 | Drugs Administered Other than Oral Method | $36 | <0.1% |
| 12 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1020 | Personal care ser per diem | $738,364 | 7 |
| T1017 | Targeted case management | $308,335 | 11 |
| T1016 | Case management | $34,445 | 28 |
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.
