Coquille sees $250,944 in Medicaid payments for medicine services, a 251% rise in 2024

Medicaid billing in Coquille for the Medicine Services and Procedures category totaled $250,944 in 2024, based on the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 251.3% jump over 2023, when claims for the same services totaled $71,438.

Medicaid is a state-run and federally supported public health insurance program, with financial backing from both levels of government. It provides coverage for low-income groups, seniors, children and those with disabilities, making it a key component of the national health care system.

Since Medicaid funding comes from tax dollars, fluctuations in local billing provide insight into the allocation of public health spending in each community.

The “Medicine Services and Procedures” label refers to a category of Medicaid-billed care assigned through HCPCS and CPT code families. In this report, each billing code is placed within a single category by matching code prefixes and ranges. This approach enables detailed grouping and ranked comparisons while preventing overlap in classifications.

Across major service categories, Medicine Services and Procedures held the third highest Medicaid payment total in Coquille for 2024.

Statewide, Medicine Services and Procedures was also the third-ranked category for Medicaid payments in Oregon for 2024.

Between 2019 and 2024, payments for Medicine Services and Procedures in Coquille rose by $177,764, or 242.9%. The growth rate accelerated in some years, notably during 2021 and 2022 with marked increases each year.

Although payments were spread through multiple areas, only a small group of ZIP codes accounted for most of this category’s expenses. In 2024, the top-paying ZIP code—97423—tallied $250,944. Altogether, this single ZIP code comprised 100% of Coquille’s Medicaid payments for Medicine Services and Procedures for the year.

Spending in the Medicine Services and Procedures classification was also then clustered among relatively few individual procedure codes.

For perspective, Medicine Services and Procedures payments in Coquille rose by 251.3% between 2023 and 2024; all Medicaid claim categories citywide climbed by 9.2% in the same timeframe.

As outlined by the Centers for Medicare & Medicaid Services, nationwide federal and state Medicaid expenditures reached approximately $871.7 billion for fiscal year 2023. This represented almost 18% of national health spending, a significant increase from $613.5 billion in 2019, prior to the onset of COVID-19.

The growth equates to roughly 40% over several years, primarily fueled by expanded Medicaid enrollments and higher utilization during the pandemic and its aftermath.

Recent federal budget policies from the Trump administration have introduced major proposals for reducing federal Medicaid funding and changing the program’s structure. The “One Big Beautiful Bill Act,” signed in 2025, is forecast to trim over $1 trillion in Medicaid spending over 10 years. Its provisions include work requirements and increased out-of-pocket costs, potentially narrowing coverage and funding for some recipients. These changes are expected to alter cost-sharing to the states and may limit federal Medicaid dollars in coming years, even as enrollment remains extensive.

Note: HCPCS codes are included for context within the broader category. Figures and rankings reflected here rely on uniform service groupings, rather than by individual codes.

Data cited in this article was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source files are available here.