Puyallup Medicaid providers submitted $11,593,842 in claims for the Medicine Services and Procedures category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This amount represents a 21.8% increase from 2023, when $9,517,590 was billed for the same category of service.
Medicaid is a public health coverage program overseen by individual states with joint federal and state funding. It covers low-income people and families, seniors, children, and individuals with disabilities, making it a major part of the national health system.
Since Medicaid payments rely on taxpayer funding, fluctuations in local billing reflect the flow of public health care dollars in a given area.
The “Medicine Services and Procedures” classification is a group of Medicaid-billed care types defined through standard HCPCS and CPT code ranges. This analysis assigned service codes to single categories according to established numeric and prefix conventions, ensuring similar services remain grouped while double counting is avoided and time-based ranking precision is maintained.
Medicine Services and Procedures topped all Medicaid service categories in 2024 by total payments in Puyallup, despite several other categories also rising in spending.
Across Washington, Medicine Services and Procedures ranked third by total Medicaid payments for 2024.
From five years prior to 2024, Puyallup Medicaid payments in this category rose by $5,303,161, or 84.3%. Certain years, including 2021 and 2023, saw especially strong growth rates.
Payments were widely distributed but concentrated in a handful of ZIP codes. In 2024, the 98372 ZIP code saw $9,078,228 in Medicaid medicine spending, followed by 98373 at $1,178,805, and 98375 at $686,164. In total, these top 3 ZIP codes made up 94.4% of all Medicaid payments in the Medicine Services and Procedures category for Puyallup this year.
A small collection of billing codes accounted for most Medicaid funds spent within the Medicine Services and Procedures grouping.
When comparing categories, Medicine Services and Procedures payments in Puyallup rose 21.8% from 2023 to 2024, outpacing the 4.2% overall growth rate among all Medicaid claim categories in the city for the same period.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, or around 18% of all U.S. health care spending—up significantly from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.
This translates to an increase of about 40% in just a few years, primarily caused by expanding enrollment and greater utilization during and after the pandemic period.
Recent federal budget actions under the Trump administration presented substantial measures to reduce federal Medicaid funds and restructure the program. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is slated to cut more than $1 trillion in federal Medicaid spending throughout the next decade, adding work requirements and higher cost-sharing that could lower coverage and resources for certain beneficiaries. These changes are projected to shift additional financial responsibility to states and slow federal Medicaid funding growth, though the program still supports tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $6,290,681 | -28.8% |
| 2021 | $8,129,274 | 29.2% |
| 2022 | $8,105,898 | -0.3% |
| 2023 | $9,517,589 | 17.4% |
| 2024 | $11,593,841 | 21.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $11,593,841 | 36.4% |
| 2 | Evaluation and Management | $10,887,877 | 34.2% |
| 3 | Alcohol and Drug Abuse Treatment | $3,755,309 | 11.8% |
| 4 | Radiology Procedures | $2,221,436 | 7% |
| 5 | Dental Services | $999,286 | 3.1% |
| 6 | Surgery | $821,893 | 2.6% |
| 7 | National Codes Established for State Medicaid Agencies | $585,957 | 1.8% |
| 8 | Pathology and Laboratory Procedures | $286,954 | 0.9% |
| 9 | Procedures / Professional Services | $230,914 | 0.7% |
| 10 | Medical And Surgical Supplies | $216,755 | 0.7% |
| 11 | Durable Medical Equipment | $131,540 | 0.4% |
| 12 | Drugs Administered Other than Oral Method | $79,375 | 0.2% |
| 13 | Administrative, Miscellaneous and Investigational | $6,363 | <0.1% |
| 14 | Pathology and Laboratory Services | $3,018 | <0.1% |
| 15 | Outpatient PPS | $2,022 | <0.1% |
| 16 | Temporary Codes | $300 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90837 | Psytx w pt 60 minutes | $2,797,377 | 412 |
| 96361 | Hydrate iv infusion add-on | $2,188,613 | 12 |
| 90791 | Psych diagnostic evaluation | $1,133,650 | 133 |
| 90999 | Unlisted dialysis procedure | $891,347 | 21 |
| 96165 | Hlth bhv ivntj grp ea addl | $687,031 | 55 |
| 90834 | Psytx w pt 45 minutes | $535,284 | 128 |
| 97530 | Therapeutic activities | $413,868 | 118 |
| 92507 | Tx sp lang voice comm indiv | $356,986 | 135 |
| 90847 | Family psytx w/pt 50 min | $290,071 | 63 |
| 96365 | Ther/proph/diag iv inf init | $229,312 | 12 |
| 96360 | Hydration iv infusion init | $215,345 | 11 |
| 90832 | Psytx w pt 30 minutes | $201,585 | 85 |
| 92609 | Use of speech device service | $160,294 | 43 |
| 96164 | Hlth bhv ivntj grp 1st 30 | $143,196 | 55 |
| 95810 | Polysom 6/> yrs 4/> param | $138,885 | 11 |
| 97153 | Adaptive behavior tx by tech | $129,441 | 8 |
| 96366 | Ther/proph/diag iv inf addon | $127,758 | 11 |
| 97535 | Self care mngment training | $106,825 | 34 |
| 97533 | Sensory integration | $105,452 | 10 |
| 97110 | Therapeutic exercises | $71,338 | 35 |
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.
