Forks posts $881,478 in Medicaid payments for state-specific national codes in 2024

In 2024, Medicaid providers in Forks billed a total of $881,478 for services categorized under National Codes Established for State Medicaid Agencies, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 100.2% gain over 2023, when service claims in this category amounted to $440,373.

Medicaid, a public health insurance initiative managed by the states but jointly funded by federal and state governments, offers coverage to low-income households, seniors, children and individuals with disabilities, making it a major part of the U.S. health care system. More on financing can be found through the Commonwealth Fund.

As Medicaid dollars are sourced from taxpayers, the local rise in billing signals changes in how a community’s health care funding is spent.

The “National Codes Established for State Medicaid Agencies” grouping identifies services billed through specific standardized HCPCS and CPT code sets. Within this analysis, each relevant code was included in a unique service category based on standardized code prefixes and number ranges, allowing similar types of services to be grouped, preventing repeat counting and supporting consistent comparisons over time.

Though overall Medicaid spending grew in several categories, National Codes Established for State Medicaid Agencies placed second in Forks for total Medicaid payments in 2024.

Across Washington, this category ranked first among service groupings by Medicaid claim totals for the year.

Between 2019 and 2024, Forks saw Medicaid payments within this category rise by $474,043, representing a 116.3% increase. There were sharper year-over-year increases, notably in both 2022 and 2022.

Most of the Medicaid payments for services in the National Codes Established for State Medicaid Agencies category were concentrated in specific ZIP codes. In 2024, ZIP code 98331 accounted for $881,477 of these payments, which was 100% of Medicaid payments tied to this category in Forks for the year.

Payments in this category were further focused on only a few individual billing codes.

From 2023 to 2024, the 100.2% increase in Medicaid payments for this category in Forks outpaced the 4.9% rise across all Medicaid claim categories in the area during the same timeframe.

According to the Centers for Medicare & Medicaid Services, joint federal-state spending on Medicaid totaled an estimated $871.7 billion for fiscal year 2023, making up about 18% of all U.S. health expenditures, up significantly from $613.5 billion in 2019 before the COVID-19 pandemic.

The approximately 40% spike in Medicaid outlays in recent years has been fueled largely by greater enrollment and use of health services during and after the pandemic period.

Recent federal budget measures enacted under the Trump administration included major plans to cut federal Medicaid allocations and restructure core elements of the program. Notably, the “One Big Beautiful Bill Act,” signed in 2025, is slated to reduce federal spending on Medicaid by more than $1 trillion over 10 years, adding stipulations like work requirements and higher cost-sharing, which could limit both coverage and funding for certain enrollees. These reforms are likely to shift a greater share of Medicaid costs to states and slow the rate of federal program growth, even as Medicaid continues to serve millions nationwide.

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.