Gold Beach saw $103,789 in Medicaid Surgery payments in 2024

Providers in Gold Beach billed Medicaid $103,789 for Surgery-related services in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount marks a 2.7% rise from 2023, with providers having submitted $101,096 in claims for these services the year before.

Medicaid is a state-administered public health insurance program that receives funding from both federal and state governments. The program serves low-income people and families, seniors, children, and individuals with disabilities, making it a core part of the nation’s health care system.

Since Medicaid is taxpayer funded, trends in local billing levels reflect how health care dollars are distributed within each community.

The “Surgery” designation encompasses a collection of Medicaid-billed services, categorized by the nature of care given and defined using established HCPCS and CPT code groups. In this analysis, each billing code is allocated to one service category using consistent prefixes and ranges, enabling comprehensive review of similar services while preventing duplicate counting and ensuring accurate ranking comparisons over time.

Although spending increased in several categories, Surgery was third among Medicaid service categories in Gold Beach by total payment in 2024.

Statewide, the Surgery category ranked 13th in Oregon for overall Medicaid payments during 2024.

From 2019 through 2024, Medicaid payments for Surgery in Gold Beach grew by $88,873, representing a 595.8% jump. The rate of growth accelerated at points, with significant annual increases occurring in 2023 and 2021.

While Surgery spending was distributed across Gold Beach, payments were primarily concentrated in a small number of ZIP codes. In 2024, ZIP code 97444 accounted for $103,789, making up 100% of payments linked to Surgery in the city that year.

Within the Surgery grouping, Medicaid payments were focused among a small set of billing codes.

To compare, Surgery-related Medicaid payments in Gold Beach increased 2.7% from 2023 to 2024, while all Medicaid categories together saw a 21.3% change in the city over the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023. This represented about 18% of the nation’s total health expenditures—an increase from $613.5 billion in 2019, the year before the COVID-19 pandemic began.

The change reflects roughly 40% growth in just a few years, largely attributed to increased enrollment and greater service use during and after the pandemic.

Major federal budget bills passed under the Trump administration have featured substantial proposals to trim federal Medicaid outlays and restructure the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over the coming decade and features policies including work requirements and higher cost-sharing, which could narrow coverage and funding for certain enrollees. These measures are anticipated to shift more financial responsibility to states and restrict the rate at which federal Medicaid dollars grow, even as the program remains critical for tens of millions of Americans.

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.