Medicaid medicine services and procedures payments up 10.8% in Tillamook for 2024

In 2024, Medicaid providers in Tillamook billed $361,462 for Medicine Services and Procedures, U.S. Department of Health and Human Services Medicaid Provider Spending data show. That amount was up 10.8% from the $326,339 submitted for the same services in 2023.

Medicaid, a state-administered public health insurance program jointly funded by federal and state governments, supports low-income individuals and families, seniors, children, and people with disabilities. It remains one of the largest elements of the U.S. health care system. More information is available from the Commonwealth Fund.

Since Medicaid is funded through taxpayer dollars, variations in local billing help demonstrate how health care spending is distributed in individual communities.

The Medicine Services and Procedures category includes Medicaid-billed services grouped by care type, classified by standard HCPCS and CPT codes. For this evaluation, billing codes were assigned to single service categories using clear code prefixes and numeric ranges, which allows similar services to be tracked together while avoiding duplicate counts and ensuring accurate rankings over time.

Multiple service categories saw Medicaid spending growth, with Medicine Services and Procedures ranking second by total Medicaid payments in Tillamook in 2024.

Statewide in Oregon, Medicine Services and Procedures placed third by Medicaid payments overall in 2024.

Across the five years ending in 2024, Tillamook Medicaid payments for Medicine Services and Procedures climbed by $196,018—an increase of 118.5%. Spending gains accelerated at times, with prominent year-over-year upticks observed during 2021 and 2022.

Medicaid spending for Medicine Services and Procedures was spread throughout the city but concentrated primarily in a select number of ZIP codes. In 2024, ZIP code 97141 saw the highest payments, totaling $361,462. This single ZIP code represented 100% of the Medicaid payments for this service group in Tillamook that year.

Within this category, a relatively few individual billing codes accounted for most Medicaid payments.

For additional context, Tillamook’s 10.8% rise in Medicaid payments specifically for Medicine Services and Procedures between 2024 and 2023 compared with an 11% overall increase for all Medicaid claim categories in the same time frame.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid outlays totaled nearly $871.7 billion in fiscal year 2023. This sum made up about 18% of total U.S. health expenditures and reflects a significant jump from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

This rise equals growth of about 40% in only a few years, driven largely by more enrollees and greater health care use during and following the pandemic.

Federal budget laws enacted in the Trump administration period included major proposals to scale back federal Medicaid funding and change the program’s structure. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid expenses by more than $1 trillion over the next decade. It also sets forth work requirements and increased cost-sharing, changes that could limit coverage and force states to shoulder a larger share of costs, potentially constraining federal Medicaid growth even as the program continues to serve tens of millions nationwide.

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.