Spokane Medicaid payouts for Medicine Services and Procedures total $29,595,912 in 2024

In 2024, Medicaid providers in Spokane submitted $29,595,912 in claims for services falling under the Medicine Services and Procedures category, based on the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 0.6% rise from 2023, when claims for the same services totaled $29,415,538.

Medicaid serves as a public health insurance program managed by states and funded in partnership between federal and state governments. It covers individuals and families with low incomes, seniors, children, and those with disabilities, making it one of the nation’s largest health care programs.

Since Medicaid is taxpayer-funded, variations in local billing levels illustrate how public funds for health care are spent within communities.

The “Medicine Services and Procedures” category encompasses a range of Medicaid-billed services defined by care type, structured around standard HCPCS and CPT code ranges. In this analysis, each billing code was mapped to a single service category using uniform code groupings to permit accurate comparison and avoid overlap.

Even as Medicaid spending grew across multiple categories, Medicine Services and Procedures stood at third place for total Medicaid outlays in Spokane in 2024.

On a statewide basis, Medicine Services and Procedures was also Washington’s third-largest Medicaid spending category in 2024.

Between 2019 and 2024, Medicaid payments in Spokane tied to Medicine Services and Procedures increased by $4,877,673, or 19.7%. Certain years saw sharper growth, with significant increases recorded in 2021 and 2023.

Although expenditures in the Medicine Services and Procedures category were present citywide, a small number of ZIP codes accounted for most payments. In 2024, ZIP code 99204 led with $10,379,250, followed by 99202 with $5,765,015, and 99201 with $5,761,500. These three ZIP codes made up 74% of Spokane’s Medicaid payments for this category in 2024.

A few individual billing codes saw the majority of Medicaid payments within the Medicine Services and Procedures category.

For context, while Medicaid payments for Medicine Services and Procedures in Spokane rose by 0.6% from 2023 to 2024, overall Medicaid claims in the city rose by 6.6% over the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid payments totaled about $871.7 billion in fiscal year 2023, representing around 18% of the nation’s health expenditures, a steep climb from $613.5 billion in 2019, prior to the COVID-19 pandemic.

The increase marks about 40% growth over a few years, driven primarily by increased enrollment and a higher level of service use during and after the pandemic.

Recent federal budget packages enacted under the Trump administration included provisions to scale back federal Medicaid funds and amend program structure. For example, the “One Big Beautiful Bill Act,” signed in 2025, is expected to trim more than $1 trillion from federal Medicaid support over the next 10 years, introducing measures like work requirements and higher cost-sharing that may reduce both coverage and federal funding for some enrollees. These policies are projected to shift a larger share of Medicaid costs to states and restrain federal funding growth, even as the program continues to cover millions nationwide.

Note: HCPCS codes are provided for context within the category. The totals and category rankings featured here use standardized category groupings, not individual billing codes.

Information cited in this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.