Vancouver Medicaid providers submitted $7,700,646 in claims during 2024 for services labeled under the National Codes Established for State Medicaid Agencies, based on the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 6.2% rise from 2023, when the total was $7,251,699 for the same category of services.
Medicaid, which covers low-income residents including older adults, children and people with disabilities, is overseen by states and funded by both federal and state governments. The program is a major feature of the U.S. health care system.
Because Medicaid payments use taxpayer funding, shifts in local billing indicate how public dollars are spent within a community health system.
The National Codes Established for State Medicaid Agencies group includes Medicaid-billed services organized by care type, based on defined HCPCS and CPT code groupings. Individual billing codes are assigned to specific service categories using code prefixes and numeric ranges, ensuring related services are analyzed together, proper classification, and unduplicated rankings.
Across service groups where Medicaid spending increased, National Codes Established for State Medicaid Agencies were ranked fourth in Vancouver by aggregate Medicaid payments for 2024.
Statewide in Washington, this service category stood first for total Medicaid payments in 2024.
Over the previous five years ending in 2024, Medicaid outlays for this category in Vancouver climbed $8,257,414, marking a 51.7% jump. Pace of growth increased, including substantial year-over-year rises in both 2023 and 2022.
While Medicaid spending in the National Codes Established for State Medicaid Agencies was distributed citywide, most payments were concentrated within a few ZIP codes. In 2024, the ZIP codes with the largest payment volumes were 98665 ($4,370,596), 98661 ($1,613,839), and 98683 ($718,723). Collectively, these 3 ZIP codes made up 87% of the total Medicaid payments linked to this service group in Vancouver for the year.
Payments in this service category were also heavily weighted toward a limited group of individual billing codes.
Medicaid payments attributable to the National Codes Established for State Medicaid Agencies increased by 6.2% in Vancouver from 2023 to 2024, compared with an overall 12% increase across all Medicaid category claims in the city during that period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled about $871.7 billion in fiscal 2023, which made up around 18% of the nation’s total health expenses. That figure represents a sharp climb from $613.5 billion in 2019, before the COVID-19 pandemic.
This jump, close to 40%, was driven by increases in enrollment and greater use of services during and after the pandemic years.
Federal budget laws passed during the Trump administration included major proposals to reduce federal Medicaid funding and change the program. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid outlays by more than $1 trillion over 10 years and brings in provisions like work requirements and higher cost-sharing, which could restrict coverage and funds for some enrollees. These changes are likely to shift greater costs onto states and slow federal Medicaid growth, while the program still covers millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $15,958,059 | -2.8% |
| 2021 | $14,290,165 | -10.5% |
| 2022 | $7,331,886 | -48.7% |
| 2023 | $7,251,698 | -1.1% |
| 2024 | $7,700,646 | 6.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $18,325,966 | 24.2% |
| 2 | Medicine Services and Procedures | $15,271,520 | 20.1% |
| 3 | Alcohol and Drug Abuse Treatment | $13,921,873 | 18.4% |
| 4 | National Codes Established for State Medicaid Agencies | $7,700,646 | 10.2% |
| 5 | Procedures / Professional Services | $5,061,087 | 6.7% |
| 6 | Radiology Procedures | $3,576,789 | 4.7% |
| 7 | Ambulance and Other Transport Services and Supplies | $2,154,800 | 2.8% |
| 8 | Surgery | $2,053,480 | 2.7% |
| 9 | Dental Services | $1,976,135 | 2.6% |
| 10 | Pathology and Laboratory Procedures | $1,861,195 | 2.5% |
| 11 | Temporary National Codes (Non-Medicare) | $1,426,124 | 1.9% |
| 12 | Medical And Surgical Supplies | $727,378 | 1% |
| 13 | Durable Medical Equipment | $591,954 | 0.8% |
| 14 | Temporary Codes | $474,121 | 0.6% |
| 15 | Drugs Administered Other than Oral Method | $467,068 | 0.6% |
| 16 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $130,728 | 0.2% |
| 17 | Anesthesia | $83,168 | 0.1% |
| 18 | Orthotic Procedures and services | $17,375 | <0.1% |
| 19 | Outpatient PPS | $10,664 | <0.1% |
| 20 | Administrative, Miscellaneous and Investigational | $2,291 | <0.1% |
| 21 | Hearing Services | $1,510 | <0.1% |
| 22 | Prosthetic Procedures | $420 | <0.1% |
| 23 | Pathology and Laboratory Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $4,107,208 | 211 |
| T1000 | Private duty/independent nsg | $2,327,486 | 11 |
| T1002 | Rn services up to 15 minutes | $1,075,831 | 25 |
| T1017 | Targeted case management | $71,073 | 25 |
| T1999 | Noc retail items andsupplies | $54,591 | 12 |
| T4527 | Adult size pull-on lg | $22,214 | 12 |
| T1016 | Case management | $12,234 | 11 |
| T4535 | Disposable liner/shield/pad | $9,444 | 11 |
| T4541 | Large disposable underpad | $8,030 | 12 |
| T1027 | Family training & counseling | $7,932 | 12 |
| T4528 | Adult size pull-on xl | $3,551 | 3 |
| T1001 | Nursing assessment/evaluatn | $1,047 | 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.
