Procedures / Professional Services Medicaid claims rise to $78,316 in West Linn for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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West Linn Medicaid providers reported $78,316 in claims for the Procedures / Professional Services category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount represented a 45.6% jump from 2023, when claims for the same service category totaled $53,788.

Medicaid is a state-administered public health insurance program funded by both federal and state governments. It serves low-income people, seniors, children and individuals with disabilities, making it one of the largest health care programs in the U.S.

Because Medicaid relies on taxpayer funding, changes in local billing reflect how health care dollars are spent within communities.

The “Procedures / Professional Services” category represents a defined group of Medicaid-covered services, standardized by HCPCS and CPT coding. In this analysis, billing codes were allocated to one service category based on consistent prefixes and numeric ranges, ensuring related services are grouped for review while eliminating double-counting to uphold accurate historical comparisons.

Though several Medicaid service categories saw larger spending, Procedures / Professional Services ranked third among all Medicaid payments in West Linn for 2024.

Statewide in Oregon, this category stood as the eighth-ranked group for total Medicaid payments in 2024.

Between 2019 and 2024, West Linn’s Medicaid payments for Procedures / Professional Services increased by $48,543, or 38.3%. There were significant annual increases in both 2023 and 2022, driving greater overall spending growth.

Medicaid spending for Procedures / Professional Services in West Linn was spread across the city but concentrated in a few ZIP codes. In 2024, ZIP code 97068 accounted for the full $78,316 billed in this category, representing 100% of citywide Medicaid claims for such services that year.

Examining this category further, Medicaid payments were most heavily distributed among a limited set of billing codes for Procedures / Professional Services.

From 2023 to 2024, Procedures / Professional Services Medicaid payments in West Linn increased by 45.6%; overall Medicaid claims in the city, for comparison, experienced an 18.5% shift over the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together reached about $871.7 billion in fiscal year 2023, accounting for approximately 18% of the nation’s overall health expenditure. That figure marks an increase from the roughly $613.5 billion spent in 2019 before the COVID-19 pandemic.

This growth represents a roughly 40% rise over several years, largely tied to expanded Medicaid rolls and increased utilization during and after the pandemic.

Recent federal budget laws passed under the Trump administration contained substantial proposals to cut federal Medicaid support and alter program funding structures. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to reduce federal Medicaid spending by over $1 trillion through 2035. It implements policy changes such as work requirements and heightened cost-sharing, potentially decreasing federal coverage and shifting new burdens to states and beneficiaries.

Medicaid Payments Tied to Procedures / Professional Services in West Linn, Oregon Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $126,858 -22.4%
2021 $111,425 -12.2%
2022 $90,134 -19.1%
2023 $53,788 -40.3%
2024 $78,316 45.6%
Top Categories by Medicaid Payments in West Linn, Oregon, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $371,967 53.7%
2 Medicine Services and Procedures $211,369 30.5%
3 Procedures / Professional Services $78,316 11.3%
4 Surgery $16,712 2.4%
5 Vision Services $11,181 1.6%
6 Pathology and Laboratory Procedures $2,061 0.3%
7 Miscellaneous Medical Services $603 0.1%
Top 20 HCPCS Codes Within the Procedures / Professional Services Category in West Linn, Oregon, 2024

HCPCS Code Description Medicaid Payments Claims
G0480 Drug test def 1-7 classes $56,186 11
G2211 Complex e/m visit add on $22,129 33

Note: HCPCS codes are provided for additional context within this category. The totals and rankings rely on standardized service groupings rather than individual code figures.

Information was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.



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