In 2024, providers in Lebanon billed $1,391,092 to Medicaid for services under the Medicine Services and Procedures category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 4.8% increase over 2023, when $1,327,081 was billed for the same services.
Medicaid is a health insurance program administered by states and funded together by federal and state governments. It serves low-income people, seniors, children, and those with disabilities, making it one of the largest segments of the American health care system.
Since Medicaid payments are sourced from taxpayers, fluctuations in local claims highlight how public health funding is distributed in a particular area.
The “Medicine Services and Procedures” grouping consists of Medicaid-billed services identified by the kind of care provided, with standardized HCPCS and CPT code groupings. For this analysis, each code was assigned to one service group using consistent prefixes and number ranges so that services could be evaluated accurately while avoiding double counting and ensuring valid rankings across time.
While Medicaid expenditures rose in several service areas, Medicine Services and Procedures ranked as Lebanon’s third-largest Medicaid payment category in 2024.
Across Oregon, Medicine Services and Procedures also placed third by total Medicaid payouts in 2024.
Between 2019 and 2024, Medicaid payments in Lebanon linked to the Medicine Services and Procedures category grew by $475,020, or 51.9%. Growth accelerated during certain years, with substantial year-to-year increases reported in 2021 and 2022.
The distribution of Medicaid spending in Medicine Services and Procedures spanned the city, though most payments were concentrated within a small set of ZIP codes. In 2024, ZIP code 97355 accounted for $1,391,091 of payments in this category. Collectively, the top ZIP code made up 100% of all Medicaid spending for Medicine Services and Procedures in Lebanon for the year.
Spending was also focused among a limited selection of billing codes within the Medicine Services and Procedures section.
To compare, Medicine Services and Procedures-related Medicaid claims in Lebanon increased by 4.8% from 2023 to 2024, compared to an overall 4.7% rise across all Medicaid service categories locally during the same window.
The Centers for Medicare & Medicaid Services reports that federal and state Medicaid spending combined reached approximately $871.7 billion in fiscal 2023, accounting for about 18% of total U.S. health expenditures, up significantly from $613.5 billion in 2019, before the COVID-19 pandemic.
This growth represents an increase of roughly 40% within a few years, mainly due to expanded enrollment and higher demand throughout and following the pandemic.
Recently, federal budget measures under the Trump administration introduced substantial changes aimed at reducing federal Medicaid funding and altering the structure of the program. As an example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years, imposing new requirements such as work qualifications and greater cost-sharing that could limit funding and coverage for various recipients. These adjustments are projected to increase state financial responsibility and slow the growth of federal Medicaid contributions, even as the program continues to cover tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $916,071 | -3.5% |
| 2021 | $1,186,587 | 29.5% |
| 2022 | $1,344,003 | 13.3% |
| 2023 | $1,327,081 | -1.3% |
| 2024 | $1,391,091 | 4.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $5,374,454 | 42.7% |
| 2 | National Codes Established for State Medicaid Agencies | $3,196,078 | 25.4% |
| 3 | Medicine Services and Procedures | $1,391,091 | 11% |
| 4 | Pathology and Laboratory Procedures | $641,263 | 5.1% |
| 5 | Alcohol and Drug Abuse Treatment | $539,340 | 4.3% |
| 6 | Radiology Procedures | $490,395 | 3.9% |
| 7 | Procedures / Professional Services | $336,924 | 2.7% |
| 8 | Ambulance and Other Transport Services and Supplies | $226,893 | 1.8% |
| 9 | Temporary National Codes (Non-Medicare) | $118,750 | 0.9% |
| 10 | Surgery | $109,586 | 0.9% |
| 11 | Temporary Codes | $86,955 | 0.7% |
| 12 | Drugs Administered Other than Oral Method | $56,710 | 0.5% |
| 13 | Dental Services | $20,975 | 0.2% |
| 14 | Administrative, Miscellaneous and Investigational | $8,726 | 0.1% |
| 15 | Medical And Surgical Supplies | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90837 | Psytx w pt 60 minutes | $661,920 | 53 |
| 90999 | Unlisted dialysis procedure | $240,951 | 8 |
| 96374 | Ther/proph/diag inj iv push | $102,240 | 61 |
| 93005 | Electrocardiogram tracing | $100,134 | 75 |
| 96375 | Tx/pro/dx inj new drug addon | $67,107 | 52 |
| 92340 | Fit spectacles monofocal | $49,140 | 20 |
| 92014 | Compre oph exam est pt 1/> | $22,565 | 16 |
| 92004 | Compre oph exam new pt 1/> | $21,950 | 13 |
| 96365 | Ther/proph/diag iv inf init | $20,844 | 16 |
| 90785 | Psytx complex interactive | $16,042 | 33 |
| 90832 | Psytx w pt 30 minutes | $12,743 | 9 |
| 96110 | Developmental screen w/score | $11,342 | 29 |
| 92015 | Determine refractive state | $9,351 | 24 |
| 90677 | Pcv20 vaccine im | $7,356 | 19 |
| 90961 | Esrd srv 2-3 vsts p mo 20+ | $6,511 | 3 |
| 90791 | Psych diagnostic evaluation | $6,170 | 2 |
| 97110 | Therapeutic exercises | $5,812 | 6 |
| 96361 | Hydrate iv infusion add-on | $5,128 | 7 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | $3,863 | 8 |
| 96372 | Ther/proph/diag inj sc/im | $3,371 | 6 |
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.
