Woodinville Medicaid bills for Medicine Services and Procedures reach $140,279 in 2024

Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
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Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)

In 2024, Medicaid providers in Woodinville billed $140,279 for services under the Medicine Services and Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented a 30.2% rise compared with 2023, when claims for the same type of service totaled $107,732.

Medicaid, run by the states with both federal and state funding, is a public health insurance program that covers seniors, children, people with disabilities, low-income individuals and families. It is one of the largest components of the U.S. health care system, according to the Commonwealth Fund.

Since Medicaid funds are sourced from taxpayers, fluctuations in local billing reflect how public health care resources are distributed within a community.

The “Medicine Services and Procedures” category includes a set of Medicaid-billed services defined by care type, using standardized HCPCS and CPT code groupings. Each billing code for this report was categorized by service groupings based on consistent numerical ranges and code prefixes to enable straightforward analysis of related services, prevent double counting, and maintain accurate standings over time.

Medicine Services and Procedures represented the third highest Medicaid payment category in Woodinville for 2024, amid increases in other service areas.

Statewide, the Medicine Services and Procedures category was also ranked third by Medicaid payments in 2024 in Washington.

Over the five years leading up to 2024, Medicaid payments for the Medicine Services and Procedures category in Woodinville grew by $135,331, or 2,735.2%. Growth accelerated during certain periods, with notable annual increases occurring in 2022 and 2021.

Although payments for Medicine Services and Procedures were made citywide, billing was concentrated in a small set of ZIP codes. In 2024, ZIP code 98072 received $140,278 for these services, which accounted for 100% of all Medicaid payments tied to this category in Woodinville during the year.

Within the Medicine Services and Procedures category, Medicaid payments were focused on a select group of individual billing codes.

In Woodinville, Medicaid payments for the Medicine Services and Procedures category rose by 30.2% between 2024 and 2023. For comparison, all Medicaid claim categories in the city saw a 29.8% change in the same period.

Data from the Centers for Medicare & Medicaid Services shows combined federal and state Medicaid spending hit approximately $871.7 billion in fiscal year 2023, about 18% of all national health expenditures, up from $613.5 billion in 2019 before the COVID-19 pandemic.

This represents about 40% growth over a few years, largely driven by increased enrollment and higher health care use during and after the pandemic.

Recent federal budget measures during the Trump administration brought major proposals that would reduce federal Medicaid funding and change the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut more than $1 trillion in federal Medicaid spending over a decade, introducing policies like work requirements and higher cost-sharing. These changes are likely to shift expenses to states and slow the growth of federal Medicaid support, while the program continues to provide coverage for tens of millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $4,947 49%
2021 $9,990 101.9%
2022 $62,735 528%
2023 $107,731 71.7%
2024 $140,278 30.2%
Top Categories by Medicaid Payments in Woodinville, Washington, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $3,793,999 81.6%
2 Drugs Administered Other than Oral Method $420,469 9%
3 Medicine Services and Procedures $140,278 3%
4 Evaluation and Management $126,947 2.7%
5 Dental Services $84,304 1.8%
6 Medical And Surgical Supplies $47,727 1%
7 Procedures / Professional Services $36,135 0.8%
8 Surgery $994 <0.1%
9 Pathology and Laboratory Procedures $601 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Woodinville, Washington, 2024

HCPCS Code Description Medicaid Payments Claims
99601 Home nfs visit <2 hrs $58,370 11
99602 Home nfs visit each addl hr $56,529 11
90837 Psytx w pt 60 minutes $14,684 4
90471 Immunization admin $7,448 18
90656 Iiv3 vacc no prsv 0.5 ml im $1,657 5
90480 Admn sarscov2 vac 1/only cmp $983 2
90472 Immunization admin each add $516 2
96127 Brief emotional/behav assmt $75 1
94760 N-invas ear/pls oximetry 1 $12 5

Note: HCPCS codes are presented to provide context within the category. The article’s category totals and rankings rely on standardized groupings rather than on individual billing codes.

Information used in this article is from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data can be found here.



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