Washington Medicaid payments for Medicine Services and Procedures reach $14,710 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Medicaid providers in Washington submitted $14,710 in claims for Medicine Services and Procedures during 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This tally reflects an increase of 171.4% from the amount billed in 2023, when the total reached $5,420 for the same service type.

Medicaid is a state-operated health insurance program, financed with joint federal and state funding. It serves people and families with low incomes, children, seniors, and individuals with disabilities, forming one of the most significant components of the national health care system.

As Medicaid funding is public, changes in claims within a given area demonstrate how taxpayer-supported health care resources are utilized for local residents.

The “Medicine Services and Procedures” designation covers a set of Medicaid-eligible medical services, using standardized HCPCS and CPT code groups. This analysis groups each billing code under a single service type, relying on consistent prefix and number ranges, which allows for organized comparison and eliminates duplicate tallies or rankings.

Spending on Medicaid increased among different service groups in 2024, and Medicine Services and Procedures ranked first by overall Medicaid payment volume in Washington that year.

In Virginia, Medicine Services and Procedures was the fourth-largest category for total Medicaid payments in 2024.

From 2020 to 2024, Medicaid payments for Medicine Services and Procedures in Washington rose by $14,710, or 0% overall. Growth accelerated in certain periods, especially with notable year-over-year increases in both 2023 and 2022.

Within the city, while billing for Medicine Services and Procedures was tracked across Washington, much of the spending was concentrated in just a few ZIP codes. In 2024, ZIP code 22747 accounted for $14,710 billed to Medicaid for these procedures, representing 100% of Medicaid payments for this service in Washington.

Most Medicaid spending for Medicine Services and Procedures in Washington was tied to a narrow set of individual billing codes within that category.

Comparing year-over-year growth, Medicaid payments for Medicine Services and Procedures in Washington surged by 171.4% in 2024 over 2023, exactly paralleling the 171.4% shift across all categories of Medicaid spending citywide for the same comparison period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023. That figure made up about 18% of all national health care expenditures, with a significant jump from around $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase represents about 40% growth over several years, fueled primarily by higher enrollment and service use during and after the pandemic.

Recent federal budgets enacted under the Trump administration have featured major efforts to reduce Medicaid funding and restructure aspects of the program. The “One Big Beautiful Bill Act,” effective 2025, is expected to trim over $1 trillion in federal spending on Medicaid during the next 10 years. The legislation also introduces work requirements and higher out-of-pocket expenses, which could lower coverage rates and funding for certain eligible individuals. Such measures would likely shift some financial responsibility to the states and slow the rate of growth for federal Medicaid contributions, though the program will continue to assist tens of millions across the U.S.

Medicaid Payments Tied to Medicine Services and Procedures in Washington, Virginia Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2023 $5,419 1810.4%
2024 $14,710 171.4%
Top Categories by Medicaid Payments in Washington, Virginia, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $14,710 10<0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Washington, Virginia, 2024

HCPCS Code Description Medicaid Payments Claims
90834 Psytx w pt 45 minutes $7,489 4
90837 Psytx w pt 60 minutes $7,220 3

Note: HCPCS codes are provided for context within the category. Category totals and hierarchical rankings discussed in this article are derived from uniform grouping of services instead of from individual codes.

Information referenced here comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Find the source data here.



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