In 2024, Medicaid providers in La Conner billed $56,791 for services grouped under the Medicine Services and Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 35.3% rise from 2023, when $41,970 in claims were submitted for these services.
Medicaid is a public health insurance initiative managed by states and financed with joint federal and state funding. It serves low-income groups, seniors, children, and individuals with disabilities, making it a major component of the U.S. health care landscape.
Because taxpayer money funds Medicaid, shifts in billing amounts locally demonstrate how public health care resources are distributed in the area.
The “Medicine Services and Procedures” designation covers a range of Medicaid-billed services defined by care type, using standardized HCPCS and CPT coding systems. For this report, each billing code was matched to one service category with consistent code groupings, allowing analysts to track related services while avoiding duplicate counts and to maintain precise year-to-year rankings.
Despite broader increases in Medicaid expenditures, Medicine Services and Procedures was the second-largest category by Medicaid payments in La Conner in 2024.
Statewide in Washington, Medicine Services and Procedures ranked third by total Medicaid spending in 2024.
Over the five years up to 2024, Medicaid payments for Medicine Services and Procedures in La Conner grew by $31,264, or 122.5%. There were significant surges in annual growth, particularly during 2023 and 2021.
Although Medicaid spending for Medicine Services and Procedures was spread across La Conner, the majority was concentrated in just a few ZIP codes. In 2024, ZIP code 98257 accounted for the full $56,791 in Medicaid payments for this care category. This single ZIP code represented all Medicaid spending on Medicine Services and Procedures in La Conner that year.
Within this category, payments were focused among a small set of distinct billing codes.
To compare, while Medicine Services and Procedures saw a 35.3% local increase between 2024 and 2023, overall Medicaid claim categories in La Conner rose only 4.1% in the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, representing roughly 18% of nationwide health spending—a significant increase from around $613.5 billion in 2019, prior to the COVID-19 pandemic.
The difference reflects growth of approximately 40% over just a few years, largely prompted by increased enrollment and service use stemming from the pandemic and its aftermath.
Recent federal budgets during the Trump administration included major proposals to reduce federal Medicaid funding and reshape the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid spending by more than $1 trillion over 10 years and bring policies such as work requirements and higher cost-sharing, which could restrict coverage and funding for certain beneficiaries. These revisions are anticipated to transfer more financial responsibility to states and limit further federal Medicaid expansion, even as the program serves tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $25,526 | -26.5% |
| 2021 | $37,049 | 45.1% |
| 2022 | $23,958 | -35.3% |
| 2023 | $41,970 | 75.2% |
| 2024 | $56,791 | 35.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $1,707,000 | 94.9% |
| 2 | Medicine Services and Procedures | $56,791 | 3.2% |
| 3 | Evaluation and Management | $32,524 | 1.8% |
| 4 | Dental Services | $1,569 | 0.1% |
| 5 | Surgery | $37 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90837 | Psytx w pt 60 minutes | $33,816 | 10 |
| 92507 | Tx sp lang voice comm indiv | $10,704 | 5 |
| 97530 | Therapeutic activities | $9,616 | 5 |
| 92508 | Tx sp lang voice comm group | $2,500 | 5 |
| 90471 | Immunization admin | $152 | 1 |
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.
