In 2024, Medicaid providers in Hermiston billed a total of $1,035,446 for services in the Medicine Services and Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This represented an 8% increase from 2023, when billed claims for these services amounted to $958,393.
Medicaid, a public health insurance program managed by states and funded jointly by state and federal governments, provides coverage for low-income families and individuals, seniors, children, and people with disabilities. It forms a key component of the U.S. health care system.
Because Medicaid dollars come from taxpayers, local changes in claims reflect how public health funds are distributed within communities.
The Medicine Services and Procedures category encompasses a range of Medicaid services identified by care type through standardized HCPCS and CPT coding. In preparing this analysis, each billing code was assigned to a distinct category using consistent prefixes and numeric groups, allowing accurate trend comparisons and avoiding repeat counts over time.
Spending on Medicaid increased in several categories in Hermiston, with Medicine Services and Procedures ranking second by statewide payments in 2024.
Statewide in Oregon, Medicine Services and Procedures was the third-largest Medicaid payment category in 2024.
During the five years prior to 2024, Hermiston saw Medicaid payments for Medicine Services and Procedures rise by $455,904, or 78.7%. Accelerated growth appeared in select years, notably in 2022 and 2021.
Though service-related spending in this category was distributed citywide, the majority of payments in 2024 came from a small number of ZIP codes. ZIP code 97838 alone generated $1,035,445 in Medicaid claims for Medicine Services and Procedures, accounting for 100% of payments within Hermiston for the year.
Payments within Medicine Services and Procedures were concentrated among a limited number of specific billing codes.
For context, Medicaid payments for Medicine Services and Procedures in Hermiston rose 8% between 2024 and 2023, compared with a 4.7% growth rate seen across all Medicaid claim types in the city for the same period.
According to the Centers for Medicare & Medicaid Services, total federal and state spending on Medicaid reached about $871.7 billion for fiscal year 2023—approximately 18% of U.S. health expenditures—up sharply from $613.5 billion in 2019, before the COVID-19 pandemic.
This represents nearly 40% growth in only a few years, with much of it driven by higher enrollment and increased service use during and after the pandemic.
Recent congressional budget measures under the Trump administration have proposed major cuts to federal Medicaid funding and shifts in program structure. The “One Big Beautiful Bill Act,” signed into law in 2025, aims to reduce federal Medicaid spending by more than $1 trillion over the next 10 years, introducing work requirements and higher cost-sharing that could reduce both coverage and federal contributions for some enrollees. These changes are likely to increase state-level costs and limit further expansion of Medicaid funding, even as the program remains vital for millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $579,541 | -13.4% |
| 2021 | $723,600 | 24.9% |
| 2022 | $909,046 | 25.6% |
| 2023 | $958,392 | 5.4% |
| 2024 | $1,035,445 | 8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $5,936,340 | 66.4% |
| 2 | Medicine Services and Procedures | $1,035,445 | 11.6% |
| 3 | Alcohol and Drug Abuse Treatment | $806,911 | 9% |
| 4 | Radiology Procedures | $372,935 | 4.2% |
| 5 | Pathology and Laboratory Procedures | $274,423 | 3.1% |
| 6 | Ambulance and Other Transport Services and Supplies | $181,017 | 2% |
| 7 | Medical And Surgical Supplies | $98,040 | 1.1% |
| 8 | Durable Medical Equipment | $78,371 | 0.9% |
| 9 | Dental Services | $78,300 | 0.9% |
| 10 | Surgery | $37,220 | 0.4% |
| 11 | Drugs Administered Other than Oral Method | $21,840 | 0.2% |
| 12 | Temporary Codes | $15,074 | 0.2% |
| 13 | Procedures / Professional Services | $3,069 | <0.1% |
| 14 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $1,347 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90999 | Unlisted dialysis procedure | $161,740 | 10 |
| 92340 | Fit spectacles monofocal | $135,332 | 18 |
| 93005 | Electrocardiogram tracing | $107,765 | 64 |
| 96375 | Tx/pro/dx inj new drug addon | $85,787 | 55 |
| 96361 | Hydrate iv infusion add-on | $82,976 | 60 |
| 96374 | Ther/proph/diag inj iv push | $80,398 | 69 |
| 92014 | Compre oph exam est pt 1/> | $54,582 | 14 |
| 97110 | Therapeutic exercises | $47,749 | 38 |
| 92004 | Compre oph exam new pt 1/> | $42,126 | 11 |
| 97530 | Therapeutic activities | $34,657 | 36 |
| 93010 | Electrocardiogram report | $33,025 | 63 |
| 96365 | Ther/proph/diag iv inf init | $30,073 | 12 |
| 92507 | Tx sp lang voice comm indiv | $25,629 | 10 |
| 92015 | Determine refractive state | $19,850 | 23 |
| 97112 | Neuromuscular reeducation | $17,534 | 15 |
| 95806 | Sleep study unatt&resp efft | $8,773 | 3 |
| 97140 | Manual therapy 1/> regions | $7,178 | 14 |
| 96360 | Hydration iv infusion init | $6,549 | 5 |
| 96372 | Ther/proph/diag inj sc/im | $5,575 | 12 |
| 94640 | Airway inhalation treatment | $5,280 | 7 |
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.