Scappoose Medicaid providers billed $915,894 for Medicine Services and Procedures in 2024, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 10.1% rise over 2023, when $831,706 in claims were submitted for the same category of services.
Medicaid is a state-run public health insurance program, jointly funded by the federal and state governments, that provides coverage for low-income individuals and families, as well as seniors, children, and people with disabilities. It remains one of the largest components of the U.S. health care system. Additional resource information is available with the joint financing overview.
Since Medicaid payments derive from taxpayer funds, fluctuations in billing at the local level signal how health care funding is distributed within the community.
The “Medicine Services and Procedures” group comprises Medicaid-billed services identified by standardized HCPCS and CPT code clusters. For the purposes of this report, billing codes were assignedto specific service categories using uniform prefixes and ranges to cluster related care and avoid overlaps, thereby allowing for consistent ranking over time.
While there was a rise across various categories, Medicine Services and Procedures topped all Medicaid payment types by dollar value in Scappoose for 2024.
Statewide in Oregon, Medicine Services and Procedures was the third highest-paid category in 2024.
During the five years preceding 2024, payments for Medicine Services and Procedures in Scappoose grew by $412,934, or 82.1%. Growth accelerated notably in some years, with significant annual increases during 2022 and 2023.
Though Medicaid spending for this category occurred throughout the city, payment activity was primarily concentrated within a select number of ZIP codes. In 2024, ZIP code 97056 accounted for the full $915,894 in Medicine Services and Procedures Medicaid payments, making up all claims of this type in Scappoose for the year.
Payments within Medicine Services and Procedures also centered on a limited range of billing codes.
For further context, the 10.1% year-over-year increase for Medicine Services and Procedures payments in Scappoose compared to a 3.4% change spanning all Medicaid claim categories in the city during the same time frame.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending totaled around $871.7 billion for fiscal year 2023. That figure represents roughly 18% of U.S. national health expenses, a sharp increase from $613.5 billion tracked in 2019, before the COVID-19 pandemic.
This change equals a growth of nearly 40% within a few years, largely attributable to higher enrollment and service use during and after the pandemic.
Recent congressional budget actions under the Trump administration contained proposed reductions to Medicaid’s federal funding and restructuring measures. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over the next decade. The legislation introduces new work requirements and higher cost-sharing that could impact both coverage and funding available to Medicaid recipients. These reforms are anticipated to transfer more Medicaid costs to the states and temper federal funding growth going forward, even as the Medicaid program remains integral for millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $502,959 | 8.2% |
| 2021 | $557,544 | 10.9% |
| 2022 | $721,147 | 29.3% |
| 2023 | $831,705 | 15.3% |
| 2024 | $915,894 | 10.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $915,894 | 61% |
| 2 | Evaluation and Management | $520,686 | 34.7% |
| 3 | Ambulance and Other Transport Services and Supplies | $54,235 | 3.6% |
| 4 | Vision Services | $8,295 | 0.6% |
| 5 | Procedures / Professional Services | $1,030 | 0.1% |
| 6 | Surgery | $853 | 0.1% |
| 7 | Pathology and Laboratory Procedures | $510 | <0.1% |
| 8 | Dental Services | $493 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97530 | Therapeutic activities | $495,775 | 193 |
| 97110 | Therapeutic exercises | $261,633 | 193 |
| 97112 | Neuromuscular reeducation | $54,695 | 61 |
| 90832 | Psytx w pt 30 minutes | $45,984 | 24 |
| 97140 | Manual therapy 1/> regions | $23,463 | 25 |
| 92340 | Fit spectacles monofocal | $18,025 | 16 |
| 92004 | Compre oph exam new pt 1/> | $6,944 | 7 |
| 92014 | Compre oph exam est pt 1/> | $5,610 | 5 |
| 97163 | Pt eval high complex 45 min | $1,816 | 2 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | $556 | 2 |
| 90471 | Immunization admin | $548 | 2 |
| 92015 | Determine refractive state | $516 | 2 |
| 96127 | Brief emotional/behav assmt | $190 | 4 |
| 97010 | Hot or cold packs therapy | $133 | 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.
