Medicaid providers in Pullman billed a total of $805,554 for services under the Medicine Services and Procedures classification in 2024, drawn from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents an increase of 1.8% over 2023, when area providers claimed $791,322 for the same service group.
Medicaid is a state-run public health insurance program that receives funding jointly from federal and state government sources. Designed for low-income residents, seniors, children and people with disabilities, Medicaid remains one of the most significant components of American health care.
Since Medicaid payments rely on taxpayer contributions, local shifts in billing levels reveal how community public health funds are spent.
The “Medicine Services and Procedures” grouping refers to a set of Medicaid services specified by the type of care offered, as outlined in standard HCPCS and CPT code collections. For this report, each billing code was linked to just one service group based on code prefixes and ranges. This allowed similar services to be analyzed together, ensured accurate year-to-year comparisons and prevented double counting in aggregate tallies.
Although Medicaid spending climbed across a number of categories, Medicine Services and Procedures secured the second-highest overall payment ranking among Pullman service groups in 2024.
On a statewide basis, Medicine Services and Procedures ranked third across Washington for Medicaid payment totals this year.
From 2019 to 2024, Pullman Medicaid payments for Medicine Services and Procedures grew by $122,096, totaling a 17.9% rise. Spending gains were notably strong during several intervals, with larger year-over-year increases noted in both 2023 and 2021.
Though citywide payments covered multiple areas, the vast majority of Medicine Services and Procedures Medicaid payments in 2024 were recorded within just two ZIP codes. ZIP code 99163 accounted for $793,341 and ZIP code 99164 for $12,212. Together these ZIP codes represented 100% of total Medicaid payments in this category for Pullman during 2024.
Within this service group, Medicaid funds were primarily attributed to a few specific billing codes.
Medicaid payments for Medicine Services and Procedures in Pullman grew by 1.8% from 2023 to 2024, while claims across all Medicaid categories in the city increased by 6.8% during the same interval.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending hit roughly $871.7 billion in fiscal 2023, representing about 18% of all U.S. health costs. That is a steep rise from around $613.5 billion in 2019, prior to the COVID-19 pandemic period.
This growth indicates an increase of nearly 40% in a few years, primarily due to expanded Medicaid participation and utilization following the pandemic.
Recently enacted legislation under the Trump administration included substantial plans to cut federal Medicaid support. For example, the “One Big Beautiful Bill Act,” passed in 2025, is estimated to reduce federal Medicaid expenditures by more than $1 trillion over the coming decade. It introduces new work requirements and higher cost-sharing, changes projected to lower both funding and coverage for some recipients while shifting greater cost responsibility to states, even as millions continue to rely on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $683,458 | 0.9% |
| 2021 | $760,111 | 11.2% |
| 2022 | $646,093 | -15% |
| 2023 | $791,322 | 22.5% |
| 2024 | $805,554 | 1.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $2,709,383 | 5<0.1% |
| 2 | Medicine Services and Procedures | $805,554 | 14.9% |
| 3 | Radiology Procedures | $588,949 | 10.9% |
| 4 | Ambulance and Other Transport Services and Supplies | $563,665 | 10.4% |
| 5 | Pathology and Laboratory Procedures | $541,078 | 1<0.1% |
| 6 | Drugs Administered Other than Oral Method | $95,296 | 1.8% |
| 7 | Alcohol and Drug Abuse Treatment | $36,068 | 0.7% |
| 8 | Procedures / Professional Services | $32,598 | 0.6% |
| 9 | Surgery | $18,810 | 0.3% |
| 10 | Temporary Codes | $14,603 | 0.3% |
| 11 | National Codes Established for State Medicaid Agencies | $8,407 | 0.2% |
| 12 | Dental Services | $1,355 | <0.1% |
| 13 | Administrative, Miscellaneous and Investigational | $1,332 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 92507 | Tx sp lang voice comm indiv | $130,083 | 29 |
| 97530 | Therapeutic activities | $83,078 | 14 |
| 97110 | Therapeutic exercises | $78,476 | 14 |
| 96365 | Ther/proph/diag iv inf init | $64,872 | 11 |
| 96361 | Hydrate iv infusion add-on | $62,191 | 10 |
| 90837 | Psytx w pt 60 minutes | $54,698 | 73 |
| 93005 | Electrocardiogram tracing | $52,190 | 11 |
| 97140 | Manual therapy 1/> regions | $48,010 | 11 |
| 97112 | Neuromuscular reeducation | $35,325 | 11 |
| 96360 | Hydration iv infusion init | $30,188 | 9 |
| 96375 | Tx/pro/dx inj new drug addon | $22,514 | 11 |
| 96374 | Ther/proph/diag inj iv push | $16,807 | 11 |
| 94640 | Airway inhalation treatment | $15,432 | 10 |
| 93306 | Tte w/doppler complete | $13,232 | 9 |
| 97161 | Pt eval low complex 20 min | $11,588 | 9 |
| 92508 | Tx sp lang voice comm group | $8,275 | 10 |
| 90834 | Psytx w pt 45 minutes | $7,861 | 9 |
| 96366 | Ther/proph/diag iv inf addon | $7,861 | 3 |
| 96372 | Ther/proph/diag inj sc/im | $7,473 | 9 |
| 97803 | Med nutrition indiv subseq | $7,235 | 3 |
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.