Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Medicaid providers in Stayton billed $697,364 for Medicine Services and Procedures in 2024. This is a 43.1% jump from 2023, when $487,425 was claimed for the same category.
Medicaid, a state-administered health insurance program funded jointly by federal and state governments, provides coverage for low-income people, seniors, children and individuals with disabilities. It represents a major component of the U.S. health care landscape.
Since Medicaid uses taxpayer funds, shifts in billing volumes show how public health care expenditures are distributed in Stayton.
The “Medicine Services and Procedures” classification groups Medicaid-billed services by the nature of care, with assignments made using standard HCPCS and CPT code prefixes and numerical ranges. Using this system, related services were aggregated for analysis while ensuring each is counted once and allowing for accurate year-to-year comparisons.
While Medicaid expenditures rose in multiple categories, Medicine Services and Procedures stood as the second highest by total Medicaid payments in Stayton in 2024.
Throughout Oregon, Medicine Services and Procedures placed third statewide for Medicaid payments in 2024.
Looking over the five years prior to 2024, Medicaid payments for Medicine Services and Procedures in Stayton grew $416,280, or 148.1%. Spending growth saw significant annual increases especially in 2022 and 2023.
Although spending was citywide, payments in the Medicine Services and Procedures category were focused among a few ZIP codes. In 2024, ZIP code 97383 totaled $697,364 in Medicaid payments for this category, representing 100% of such spending in Stayton for the year.
Within the Medicine Services and Procedures group, most Medicaid payments were centered on a small set of billing codes.
Compared with a 9.7% rise in Medicaid payments across all categories in Stayton between 2024 and 2023, Medicine Services and Procedures saw a sharper 43.1% climb during the same span.
According to the Centers for Medicare & Medicaid Services, national combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal 2023, or around 18% of total national health spending. This is a sharp increase from approximately $613.5 billion in 2019, before the COVID-19 pandemic.
The overall rise amounts to nearly 40% in just a few years, primarily driven by higher enrollment and expanded use of services during and after the pandemic period.
Federal budget legislation under the Trump administration brought major proposals to reduce federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut more than $1 trillion in federal Medicaid funding over the next decade. It also establishes new work requirements and greater cost-sharing, potentially restricting coverage and funding for some beneficiaries. These policy changes are projected to increase the funding burden on states and curtail federal Medicaid growth, even as millions of Americans rely on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $281,084 | -45.7% |
| 2021 | $229,556 | -18.3% |
| 2022 | $436,029 | 89.9% |
| 2023 | $487,424 | 11.8% |
| 2024 | $697,364 | 43.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $2,204,455 | 66.7% |
| 2 | Medicine Services and Procedures | $697,364 | 21.1% |
| 3 | Radiology Procedures | $131,386 | 4% |
| 4 | Pathology and Laboratory Procedures | $119,623 | 3.6% |
| 5 | Ambulance and Other Transport Services and Supplies | $100,634 | 3% |
| 6 | Surgery | $32,738 | 1% |
| 7 | Drugs Administered Other than Oral Method | $12,214 | 0.4% |
| 8 | Medical And Surgical Supplies | $4,040 | 0.1% |
| 9 | Temporary Codes | $1,128 | <0.1% |
| 10 | Procedures / Professional Services | $735 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97530 | Therapeutic activities | $173,087 | 101 |
| 90837 | Psytx w pt 60 minutes | $97,316 | 18 |
| 97110 | Therapeutic exercises | $76,230 | 107 |
| 95810 | Polysom 6/> yrs 4/> param | $67,537 | 4 |
| 97112 | Neuromuscular reeducation | $57,045 | 69 |
| 96374 | Ther/proph/diag inj iv push | $53,631 | 21 |
| 90832 | Psytx w pt 30 minutes | $30,065 | 17 |
| 96372 | Ther/proph/diag inj sc/im | $21,785 | 16 |
| 97140 | Manual therapy 1/> regions | $21,553 | 39 |
| 92340 | Fit spectacles monofocal | $19,110 | 9 |
| 92014 | Compre oph exam est pt 1/> | $15,776 | 11 |
| 97150 | Group therapeutic procedures | $13,393 | 40 |
| 93005 | Electrocardiogram tracing | $12,689 | 13 |
| 93010 | Electrocardiogram report | $6,439 | 20 |
| 96375 | Tx/pro/dx inj new drug addon | $6,300 | 6 |
| 93306 | Tte w/doppler complete | $5,607 | 2 |
| 92004 | Compre oph exam new pt 1/> | $5,013 | 4 |
| 94060 | Evaluation of wheezing | $3,368 | 7 |
| 96160 | Pt-focused hlth risk assmt | $2,517 | 20 |
| 96127 | Brief emotional/behav assmt | $2,399 | 18 |
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.
