Medicaid payments tied to national billing codes in Umatilla total $731,711 in 2024, up 305.8%

In 2024, Medicaid providers in Umatilla submitted $731,711 worth of claims for services falling under the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents an increase of 305.8% compared to 2023, when claims for the same category totaled $180,300.

Medicaid is a state-managed public health insurance program that is funded by both federal and state governments. It supports low-income people and families, seniors, children, and people with disabilities, and it remains a major component of the U.S. health care system.

Because tax dollars fund Medicaid, shifts in local provider billing levels can highlight how a community allocates its public health care funding.

The “National Codes Established for State Medicaid Agencies” category includes a designated set of Medicaid-billed services identified by care type, as determined by standard HCPCS and CPT code clusters. For this report, each claim code was assigned one service category, using established code groupings and numeric patterns to examine similar services together, minimizing duplication and supporting clear annual rankings.

The largest portion of Medicaid spending in Umatilla in 2024 stemmed from the National Codes Established for State Medicaid Agencies service category, which led all others by total payment value.

Statewide in Oregon, the National Codes Established for State Medicaid Agencies ranked as the fourth largest category by total Medicaid payments for 2024.

Across the five years leading up to 2024, Medicaid payments in Umatilla for this category climbed by $731,711, or 0%. Periods of sharper annual increases took place in 2023 and 2022, supporting a trend of accelerating spending over those years.

A significant share of the city’s Medicaid spending in the National Codes Established for State Medicaid Agencies category came from a small number of ZIP codes. In 2024, ZIP code 97882 generated $731,710 in claims, accounting for 100% of the total Medicaid payments tied to this service category in Umatilla for the year.

Payments within this billing category were also concentrated in just a handful of individual claim codes.

To provide further context, payments in the National Codes Established for State Medicaid Agencies category grew 305.8% in Umatilla from 2023 to 2024, compared to an overall 115% rise for all Medicaid claim categories citywide in the same timeframe.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid payments amounted to about $871.7 billion during fiscal year 2023—around 18% of all United States health expenditures—rising sharply from roughly $613.5 billion in 2019 before the onset of the COVID-19 pandemic.

That growth amounts to about 40% in a span of a few years, primarily fueled by higher enrollment numbers and expanded care usage brought on during and after the pandemic.

The Trump administration enacted budget measures that featured large-scale proposals aimed at reducing federal Medicaid contributions and altering the structure of the program. For example, the “One Big Beautiful Bill Act,” became law in 2025, and is expected to cut more than $1 trillion from federal Medicaid allocations in the next 10 years, while introducing new limits such as work requirements and higher cost-sharing. These measures could result in diminished coverage and support for certain participants, shifting more expenses to states even as Medicaid serves millions nationwide.

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.