Tigard Medicaid reimbursements for National Codes Established for State Medicaid Agencies reach $9,089,062 in 2024

In 2024, Medicaid providers in Tigard submitted $9,089,062 in claims for services in the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represents a 16.1% rise from 2023, when claims for the same category amounted to $7,825,286.

Medicaid, a public health insurance program managed by individual states and co-financed by federal and state governments, provides coverage for low-income people, families, seniors, children, and individuals with disabilities. It remains one of the largest components of the U.S. health care infrastructure.

Because Medicaid funding is taxpayer-based, shifts in local billing activity indicate changes in how health care resources are allocated within communities.

The “National Codes Established for State Medicaid Agencies” involves a set of Medicaid-billed services grouped by care type and categorized with standardized HCPCS and CPT code prefixes and ranges. This analysis assigned each code to a unique category, preventing double counting while ensuring accurate long-term comparisons.

While Medicaid payments rose across numerous service areas, the National Codes Established for State Medicaid Agencies category ranked highest for total reimbursements in Tigard in 2024.

Statewide in Oregon, this category was the fourth largest by payment amount in 2024.

During the five-year period ending in 2024, Tigard’s Medicaid disbursements for this category increased by $2,343,219—or 34.7%. Growth sped up at several points, especially in 2020 and 2022, which saw significant annual gains.

Spending in this category was seen throughout the city, though payments were primarily clustered in certain ZIP codes. In 2024, ZIP code 97223 generated $9,089,062 in Medicaid claims for this category. This was 100% of such claims in Tigard for the year.

Individual billing codes also accounted for most Medicaid dollars in the National Codes Established for State Medicaid Agencies category.

For reference, Medicaid spending tied to this category in Tigard climbed 16.1% between 2024 and 2023, while all Medicaid service categories combined reported a 9% increase citywide in the same span.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures totaled about $871.7 billion nationwide in fiscal 2023, or roughly 18% of all national health spending. This figure is up sharply from $613.5 billion in 2019, prior to the onset of COVID-19.

This jump reflects an approximately 40% increase in a short timeframe, mainly fueled by broader enrollment and greater utilization during and following the pandemic.

Recent federal budget measures introduced under the Trump administration propose sweeping changes to Medicaid funding and structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid outlays by over $1 trillion in the next 10 years and implements provisions like work requirements and higher cost-sharing, potentially decreasing coverage and dollars for some recipients. These revisions are anticipated to place greater financial responsibility on states and curb the future growth of federal Medicaid support, even as the program continues serving tens of millions across the nation.

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.