In 2024, Woodinville healthcare providers billed $140,279 to Medicaid for services grouped under the Medicine Services and Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an increase of 30.2% over the 2023 total, when $107,732 in claims were submitted for the same services.
Medicaid, operated by states and jointly funded with the federal government, offers health coverage to low-income people and families, seniors, children, and those with disabilities. It is one of the largest components of the U.S. health care system. More details are available at the Commonwealth Fund.
Shifts in local Medicaid billing reflect how taxpayer-funded health resources are distributed within a community.
The Medicine Services and Procedures category includes Medicaid-billed care classified through standardized HCPCS and CPT code groupings. For this review, each billing code was assigned a single service category, applying consistent code prefixes and number ranges to group similar services and prevent double counting while providing accurate data for ranking over time.
Medicine Services and Procedures was the third-highest category by Medicaid payment amount in Woodinville for 2024, amid growth in several categories.
Statewide in Washington, Medicine Services and Procedures also ranked third based on total Medicaid payments in 2024.
From 2019 to 2024, Woodinville’s Medicaid payments for Medicine Services and Procedures increased by $135,331, or 2735.2%. Certain years, such as 2021 and 2022, saw especially strong annual spending growth.
While spending on these services spanned multiple areas of Woodinville, payments mainly came from a small number of ZIP codes. In 2024, ZIP code 98072 accounted for $140,278 in Medicaid payments tied to Medicine Services and Procedures, making up 100% of the city’s total in this category for the year.
Within this service category, Medicaid reimbursements were focused on a select group of individual billing codes.
Between 2023 and 2024, Woodinville saw a 30.2% increase in Medicaid payments for Medicine Services and Procedures, while overall Medicaid claims in the city rose by 29.8% in that period.
According to the Centers for Medicare & Medicaid Services, Medicaid spending from federal and state sources totaled about $871.7 billion in fiscal year 2023, roughly 18% of total U.S. health expenditures. That marks a significant rise from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This 40% growth over just a few years has been fueled largely by greater enrollment and higher service use during and after the pandemic.
Recent federal budget measures set during the Trump administration include major plans to decrease federal Medicaid funds and reorganize aspects of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion in federal Medicaid spending over the decade. It introduces policies like work requirements and higher cost-sharing, potentially curbing coverage and funding for some recipients. These policy shifts may shift additional costs to the states and restrict growth in federal Medicaid support, even as millions of Americans continue to rely on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $4,947 | 49% |
| 2021 | $9,990 | 101.9% |
| 2022 | $62,735 | 528% |
| 2023 | $107,731 | 71.7% |
| 2024 | $140,278 | 30.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $3,793,999 | 81.6% |
| 2 | Drugs Administered Other than Oral Method | $420,469 | 9% |
| 3 | Medicine Services and Procedures | $140,278 | 3% |
| 4 | Evaluation and Management | $126,947 | 2.7% |
| 5 | Dental Services | $84,304 | 1.8% |
| 6 | Medical And Surgical Supplies | $47,727 | 1% |
| 7 | Procedures / Professional Services | $36,135 | 0.8% |
| 8 | Surgery | $994 | <0.1% |
| 9 | Pathology and Laboratory Procedures | $601 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99601 | Home nfs visit <2 hrs | $58,370 | 11 |
| 99602 | Home nfs visit each addl hr | $56,529 | 11 |
| 90837 | Psytx w pt 60 minutes | $14,684 | 4 |
| 90471 | Immunization admin | $7,448 | 18 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | $1,657 | 5 |
| 90480 | Admn sarscov2 vac 1/only cmp | $983 | 2 |
| 90472 | Immunization admin each add | $516 | 2 |
| 96127 | Brief emotional/behav assmt | $75 | 1 |
| 94760 | N-invas ear/pls oximetry 1 | $12 | 5 |
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.
