Yakima Medicaid payments for national codes category reach $17,633,038 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Yakima billed $17,633,038 for services under the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This totaled an 8.1% increase compared to 2023, when claims for these services reached $16,312,168.

Medicaid operates as a state-managed public health insurance program jointly financed by state and federal governments. It serves low-income groups, including families, seniors, children, and people with disabilities, making it a significant segment of the U.S. health system.

Because Medicaid uses taxpayer funds, local shifts in billing indicate how public health resources are directed within a community.

The “National Codes Established for State Medicaid Agencies” category represents groups of Medicaid-billed services, identified by care type using standardized HCPCS and CPT code groupings. For this report, each billing code fell into a single category based on specific prefixes and number ranges, ensuring services were reviewed collectively and both duplicate counting and ranking errors were avoided.

Even as Medicaid expenditures increased for several service categories, National Codes Established for State Medicaid Agencies placed second in Yakima for total Medicaid payouts for 2024.

Across Washington, the National Codes Established for State Medicaid Agencies category was the top-ranked category by Medicaid payment volume in 2024.

During the five-year period leading to 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Yakima rose by $4,980,889, or 22%. Growth accelerated at times, with notable year-over-year jumps in 2023 and 2020.

Despite distribution throughout the city, Medicaid payments for the National Codes Established for State Medicaid Agencies category converged mainly in a few ZIP codes. In 2024, 98902 received $7,839,332, 98901 received $6,521,354, and 98908 reported $2,986,910. Combined, the 3 leading ZIP codes made up 98.4% of Yakima’s Medicaid payments for the National Codes Established for State Medicaid Agencies services that year.

Within the category, individual billing codes concentrated much of the Medicaid payment amount.

For reference, Yakima’s Medicaid payments in this category increased 8.1% from 2023 to 2024, while overall Medicaid claim categories across the city climbed 9.7% in the same span.

According to the Centers for Medicare & Medicaid Services, joint federal-state Medicaid spending hit approximately $871.7 billion in fiscal 2023, accounting for around 18% of national health expenditures—up substantially from $613.5 billion in 2019, before COVID-19.

The growth equals an increase of about 40% in several years, led by rising enrollment and higher demand for care during and after the pandemic.

Recent federal budget plans during the Trump administration included large-scale proposals for reduced federal Medicaid funding and program changes. As one example, the “One Big Beautiful Bill Act,” enacted in 2025, is forecast to lower federal Medicaid expenditures by more than $1 trillion over 10 years and to implement work requirements along with increased cost-sharing. These adjustments are projected to reduce both funding and coverage for certain recipients, lead to greater financial burden on individual states, and slow the growth of federal support as the program continues serving tens of millions of Americans.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Yakima, Washington Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $22,613,927 6.3%
2021 $18,157,707 -19.7%
2022 $15,250,293 -16%
2023 $16,312,167 7%
2024 $17,633,037 8.1%
Top Categories by Medicaid Payments in Yakima, Washington, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $22,809,960 29.1%
2 National Codes Established for State Medicaid Agencies $17,633,037 22.5%
3 Evaluation and Management $12,842,912 16.4%
4 Medicine Services and Procedures $9,232,182 11.8%
5 Procedures / Professional Services $3,958,195 5%
6 Dental Services $2,407,765 3.1%
7 Radiology Procedures $1,990,578 2.5%
8 Ambulance and Other Transport Services and Supplies $1,892,424 2.4%
9 Surgery $1,627,830 2.1%
10 Temporary National Codes (Non-Medicare) $1,107,567 1.4%
11 Durable Medical Equipment $728,247 0.9%
12 Enteral and Parenteral Therapy $639,525 0.8%
13 Medical And Surgical Supplies $501,804 0.6%
14 Pathology and Laboratory Procedures $496,956 0.6%
15 Drugs Administered Other than Oral Method $185,705 0.2%
16 Chemotherapy Drugs $106,567 0.1%
17 Anesthesia $78,656 0.1%
18 Durable medical equipment (DME) Medicare administrative contractors (MACs) $64,651 0.1%
19 Orthotic Procedures and services $48,460 0.1%
20 Temporary Codes $22,279 <0.1%
21 Outpatient PPS $10,113 <0.1%
22 Vision Services $8,292 <0.1%
23 Pathology and Laboratory Services $4,618 <0.1%
24 Administrative, Miscellaneous and Investigational $0 <0.1%
24 Diagnostic Radiology Services $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Yakima, Washington, 2024

HCPCS Code Description Medicaid Payments Claims
T1015 Clinic service $8,171,663 522
T1000 Private duty/independent nsg $5,700,056 22
T1041 Comm bh clinic svc per month $2,171,042 13
T2035 Utility services waiver $399,552 24
T2023 Targeted case mgmt per month $368,305 11
T1002 Rn services up to 15 minutes $128,320 72
T4527 Adult size pull-on lg $121,539 13
T4526 Adult size pull-on med $81,962 12
T4541 Large disposable underpad $68,538 16
T4537 Reusable underpad bed size $63,380 23
T4544 Adlt disp und/pull on abv xl $61,477 11
T4528 Adult size pull-on xl $58,077 12
T4532 Ped size pull-on lg $34,820 11
T1017 Targeted case management $34,532 37
T4535 Disposable liner/shield/pad $31,612 13
T4522 Adult size brief/diaper med $27,101 11
T1027 Family training & counseling $25,708 12
T2022 Case management, per month $24,953 1
T4534 Youth size pull-on $22,241 11
T4524 Adult size brief/diaper xl $12,273 8

Note: HCPCS codes are provided for category context. The article’s totals and rankings use standardized service groupings, not single billing codes.

This article draws its information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the original source data here.



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