In 2024, Medicaid providers in Omak submitted $1,123,655 in claims for Medicine Services and Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure marks a 2.8% increase over the $1,093,014 billed in 2023 for identical services.
Medicaid is a state-administered health insurance program supported by funding from both the federal and state governments. Medicaid offers coverage to low-income families and individuals, seniors, children and people with disabilities, making it a significant element of the U.S. health care system.
Since Medicaid funding is derived from taxpayer dollars, fluctuations in billing locally reveal how health care resources are distributed across communities.
The “Medicine Services and Procedures” classification includes a range of Medicaid-covered services based on the care type, utilizing standard HCPCS and CPT code groupings. Analysis in this report assigned each billing code to a single service based on code prefixes and numeric ranges to ensure related services are properly grouped, avoiding duplicate totals and maintaining consistent rankings over time.
Although Medicaid fund outlays grew across a variety of categories, Medicine Services and Procedures was the third-largest payment category in Omak in 2024.
Statewide in Washington, the Medicine Services and Procedures category held the third place in total Medicaid payments for 2024.
Between 2019 and 2024, Omak’s Medicaid payments linked to Medicine Services and Procedures rose by $122,343, or 12.2%. Annual increases were particularly significant in 2021 and 2022, when growth rates intensified compared with earlier years.
Payments for Medicine Services and Procedures were allocated citywide, but were concentrated within a small number of ZIP codes. In 2024, ZIP code 98841 reported $1,123,654—accounting for 100% of Medicaid payments for this category in Omak that year.
Within this service category, a handful of billing codes represented most Medicaid payments.
Omak’s 2.8% growth in Medicaid Medicine Services and Procedures payments from 2023 to 2024 compares with a 7.4% rise for all Medicaid claim categories citywide during that timeframe.
Data from the Centers for Medicare & Medicaid Services shows that aggregate federal and state Medicaid expenditures reached about $871.7 billion during fiscal year 2023, representing roughly 18% of the nation’s total health expenditures, up from around $613.5 billion in 2019 before the onset of the COVID-19 pandemic.
This increase equates to nearly 40% growth in only a few years, mainly driven by broadened enrollment and greater use of services during and following the pandemic.
Federal budget measures under the Trump administration proposed major reductions in federal Medicaid spending and changes to the program. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion from federal Medicaid funding over 10 years and implements policies including work requirements and greater cost-sharing, potentially limiting coverage and funds for certain enrollees. These changes are likely to shift more Medicaid costs to states and curb the increase in federal support while the program continues to deliver care to millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,001,311 | -4.4% |
| 2021 | $1,114,345 | 11.3% |
| 2022 | $1,133,319 | 1.7% |
| 2023 | $1,093,014 | -3.6% |
| 2024 | $1,123,654 | 2.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $2,507,528 | 35.3% |
| 2 | National Codes Established for State Medicaid Agencies | $1,443,542 | 20.3% |
| 3 | Medicine Services and Procedures | $1,123,654 | 15.8% |
| 4 | Radiology Procedures | $846,422 | 11.9% |
| 5 | Pathology and Laboratory Procedures | $792,920 | 11.2% |
| 6 | Drugs Administered Other than Oral Method | $148,255 | 2.1% |
| 7 | Surgery | $82,279 | 1.2% |
| 8 | Durable Medical Equipment | $60,196 | 0.8% |
| 9 | Procedures / Professional Services | $45,020 | 0.6% |
| 10 | Medical And Surgical Supplies | $16,695 | 0.2% |
| 11 | Temporary Codes | $16,400 | 0.2% |
| 12 | Alcohol and Drug Abuse Treatment | $9,367 | 0.1% |
| 13 | Administrative, Miscellaneous and Investigational | $5,901 | 0.1% |
| 14 | Outpatient PPS | $953 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90999 | Unlisted dialysis procedure | $396,961 | 10 |
| 97530 | Therapeutic activities | $89,187 | 43 |
| 96374 | Ther/proph/diag inj iv push | $81,914 | 11 |
| 92507 | Tx sp lang voice comm indiv | $71,373 | 42 |
| 97110 | Therapeutic exercises | $62,835 | 24 |
| 96365 | Ther/proph/diag iv inf init | $59,937 | 11 |
| 96361 | Hydrate iv infusion add-on | $54,134 | 11 |
| 90837 | Psytx w pt 60 minutes | $45,958 | 71 |
| 96375 | Tx/pro/dx inj new drug addon | $41,757 | 11 |
| 93306 | Tte w/doppler complete | $31,716 | 5 |
| 96372 | Ther/proph/diag inj sc/im | $29,958 | 11 |
| 93005 | Electrocardiogram tracing | $26,305 | 11 |
| 96360 | Hydration iv infusion init | $21,834 | 9 |
| 96366 | Ther/proph/diag iv inf addon | $21,017 | 10 |
| 97140 | Manual therapy 1/> regions | $10,273 | 16 |
| 90715 | Tdap vaccine 7 yrs/> im | $9,635 | 6 |
| 93041 | Rhythm ecg tracing | $7,619 | 11 |
| 96376 | Tx/pro/dx inj same drug adon | $7,605 | 10 |
| 90832 | Psytx w pt 30 minutes | $7,302 | 9 |
| 92508 | Tx sp lang voice comm group | $6,902 | 18 |
Note: HCPCS codes appear in this table for reference within the category. Category amounts and rankings used in this article are based on standardized service groupings and not on individual billing codes.
This article’s source material comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the original dataset here.
