La Grande Medicaid providers submitted $35,841 in claims for services identified as Procedures / Professional Services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That represents a 45.2% increase from 2023, when the total was $24,682 for the same set of services.
Medicaid is a public health insurance system administered by states and funded by both federal and state governments. It provides coverage for low-income families and individuals, seniors, children, and people with disabilities and remains one of the nation’s most extensive health care programs.
Since taxpayer resources support Medicaid payments, shifts in local billing levels help illustrate how health care funds are distributed within a community.
The Procedures / Professional Services category groups Medicaid-billed care by type, based on HCPCS and CPT standards. Each billing code in this analysis was matched to a designated service class using established prefixes and number ranges. This approach enables analysis of related services while minimizing overlap and ensuring accuracy over time.
While several Medicaid service categories experienced payment growth, Procedures / Professional Services ranked eighth among La Grande’s categories of Medicaid payments for 2024.
On the statewide level in Oregon, Procedures / Professional Services also placed eighth in total Medicaid payments for 2024.
Across the five years preceding 2024, Medicaid payments connected to Procedures / Professional Services in La Grande rose by $28,045, marking a 359.7% increase. Growth accelerated during certain intervals, notably in 2021 and 2022 when large year-over-year jumps were observed.
Although care tied to Procedures / Professional Services was billed across the city, payments were mainly focused within a few ZIP codes. In 2024, ZIP code 97850 accounted for $35,841 in Medicaid costs for this category, representing 100% of La Grande’s payments in this area.
Within this service grouping, most Medicaid payments were also concentrated among a small number of individual codes.
When comparing growth, payments for Procedures / Professional Services in La Grande rose 45.2% from 2023 to 2024, whereas all Medicaid claim categories combined in the city increased by 10.5% over the same period.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid costs reached about $871.7 billion in fiscal 2023, accounting for about 18% of nationwide health spending, which was a sharp rise compared to $613.5 billion in 2019 before the COVID-19 pandemic.
This marks roughly 40% growth within several years, attributed to increasing enrollment and greater service use around and after the pandemic period.
Recent major federal budget policies enacted during the Trump administration feature several large-scale plans to reduce federal Medicaid expenditure and restructure the program. The “One Big Beautiful Bill Act,” passed into law in 2025, is projected to trim federal Medicaid support by more than $1 trillion over 10 years, adding measures such as work requirements and higher cost-sharing that could lessen coverage and funding for some beneficiaries. These policy shifts are expected to transfer more costs onto states while restricting the rise of federal Medicaid contributions, even as the program remains essential to millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $7,796 | -59% |
| 2021 | $53,958 | 592.1% |
| 2022 | $34,866 | -35.4% |
| 2023 | $24,681 | -29.2% |
| 2024 | $35,841 | 45.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $3,084,915 | 62.1% |
| 2 | National Codes Established for State Medicaid Agencies | $670,458 | 13.5% |
| 3 | Medicine Services and Procedures | $482,744 | 9.7% |
| 4 | Pathology and Laboratory Procedures | $231,903 | 4.7% |
| 5 | Durable Medical Equipment | $172,741 | 3.5% |
| 6 | Medical And Surgical Supplies | $127,374 | 2.6% |
| 7 | Ambulance and Other Transport Services and Supplies | $95,265 | 1.9% |
| 8 | Procedures / Professional Services | $35,841 | 0.7% |
| 9 | Drugs Administered Other than Oral Method | $20,939 | 0.4% |
| 10 | Radiology Procedures | $20,255 | 0.4% |
| 11 | Surgery | $11,280 | 0.2% |
| 12 | Temporary Codes | $8,324 | 0.2% |
| 13 | Anesthesia | $5,245 | 0.1% |
| 14 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $2,358 | <0.1% |
| 15 | Vision Services | $255 | <0.1% |
| 16 | Temporary National Codes (Non-Medicare) | $130 | <0.1% |
| 17 | Dental Services | $0 | <0.1% |
| 17 | Other Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G0463 | Hospital outpt clinic visit | $22,198 | 5 |
| G2211 | Complex e/m visit add on | $11,851 | 106 |
| G0127 | Trim nail(s) | $1,148 | 10 |
| G9005 | Mccd, risk adj, maintenance | $641 | 1 |
| G8427 | Docrev cur meds by elig clin | $0 | 10 |
| G8428 | Cur meds not document | $0 | 1 |
| G9903 | Pt scrn tbco id as non user | $0 | 5 |
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.