Providers in Bothell billed Medicaid for $16,015 in services under the Drugs Administered Other than Oral Method category during 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount is a 855% jump over 2023, when $1,677 was submitted for the same services.
Medicaid operates as a public health insurance initiative jointly overseen and financed by federal and state governments, covering low-income individuals, families, seniors, children and those with disabilities. It represents a central component of the U.S. health care system.
As Medicaid involves taxpayer dollars, trends in local billing help illustrate the distribution of community-level public health care funding.
The Drugs Administered Other than Oral Method category consists of specific Medicaid-billed healthcare services organized by the care method, with groupings based on standardized HCPCS and CPT codes. For this report, billing codes were uniquely assigned per service group through uniform code prefixes and number ranges, supporting clear trend analysis while eliminating duplicate counts and maintaining accuracy in rankings over time.
Spending through Medicaid increased in several categories, but Drugs Administered Other than Oral Method was the 11th largest in Bothell by total payments for 2024.
Across Washington, Drugs Administered Other than Oral Method ranked 10th among service categories by Medicaid spending in 2024.
Between 2019 and 2024, Associated payments for Drugs Administered Other than Oral Method services in Bothell increased by $14,611, for a cumulative rise of 1041%. Certain years, including 2020 and 2023, saw considerable year-over-year growth.
While services in this category were utilized throughout Bothell, a small set of ZIP codes saw most Medicaid payments. For 2024, ZIP code 98012 received the bulk at $15,639 and 98021 received $375, together making up all Medicaid expenditures in this category for the city during the period.
Spending in this group of services also focused on a limited set of individual billing codes.
From 2023 to 2024, Bothell saw an 855% rise in Medicaid outlays related to Drugs Administered Other than Oral Method, versus reportedly an 18.8% change for all Medicaid-paid categories citywide over that interval.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion for fiscal 2023—comprising 18% of national health spending—which rose sharply from $613.5 billion in 2019 before the pandemic.
This increase of around 40% over a couple of years was primarily the result of greater program enrollment and utilization tied to, and following, the COVID-19 pandemic period.
Recent federal budgeting under the Trump administration included measures to scale back federal Medicaid funding and realign the structure of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to reduce federal Medicaid expenditures by more than $1 trillion over 10 years, introducing new work requirements and cost-sharing measures that may affect beneficiary coverage and state funding. These changes are expected to transfer additional financial responsibility to states and place new limits on the increase of federal Medicaid aid, even as the program continues to cover millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,403 | 1306.1% |
| 2021 | $705 | -49.7% |
| 2022 | $148 | -79% |
| 2023 | $1,676 | 1031.8% |
| 2024 | $16,014 | 855.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medical And Surgical Supplies | $7,439,639 | 35.2% |
| 2 | National Codes Established for State Medicaid Agencies | $5,423,332 | 25.6% |
| 3 | Enteral and Parenteral Therapy | $3,694,466 | 17.5% |
| 4 | Durable Medical Equipment | $3,032,335 | 14.3% |
| 5 | Medicine Services and Procedures | $700,398 | 3.3% |
| 6 | Evaluation and Management | $356,593 | 1.7% |
| 7 | Dental Services | $234,671 | 1.1% |
| 8 | Procedures / Professional Services | $124,492 | 0.6% |
| 9 | Ambulance and Other Transport Services and Supplies | $113,463 | 0.5% |
| 10 | Administrative, Miscellaneous and Investigational | $21,732 | 0.1% |
| 11 | Drugs Administered Other than Oral Method | $16,014 | 0.1% |
| 12 | Temporary National Codes (Non-Medicare) | $3,774 | <0.1% |
| 13 | Pathology and Laboratory Procedures | $1,713 | <0.1% |
| 14 | Surgery | $345 | <0.1% |
| 15 | Radiology Procedures | $162 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| J0887 | Epoetin beta esrd use | $12,234 | 7 |
| J1756 | Iron sucrose injection | $3,404 | 2 |
| J3490 | Drugs unclassified injection | $375 | 2 |
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 sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original dataset is available here.
