Wenatchee sees $5,301,018 in 2024 Medicaid payments for national codes established by state agencies

In 2024, Wenatchee Medicaid providers billed $5,301,018 for services in the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This total is a 10.4% increase from 2023, when providers submitted $4,802,786 in claims for the same set of services.

Medicaid, one of the largest programs in the U.S. health care system, is a state-run public health insurance program funded jointly by federal and state governments. Its coverage includes low-income individuals, families, seniors, children and people with disabilities.

Because Medicaid is paid for by taxpayers, fluctuations in local billing reflect how community health care dollars are distributed and used.

The National Codes Established for State Medicaid Agencies category groups Medicaid-billed services by care type, using specific HCPCS and CPT code sets. Each billing code for this review was matched with a single service category based on standardized code prefixes and numeric ranges, which prevents duplicate counts and ensures reliability in rankings over time.

Spending in multiple Medicaid service categories climbed, but National Codes Established for State Medicaid Agencies was third highest by total Medicaid payments in Wenatchee for 2024.

At the state level in Washington, National Codes Established for State Medicaid Agencies was the top-ranked category by Medicaid spending in 2024.

Over the five years preceding 2024, Wenatchee’s Medicaid payments for the National Codes Established for State Medicaid Agencies category increased by $269,565, a gain of 5.4%. Some periods saw higher year-over-year growth, especially in 2020 and 2021.

Though spending in this category was spread citywide, payments were focused within a small number of ZIP codes. In 2024, ZIP code 98801 accounted for all $5,301,018 in Medicaid payments tied to the National Codes Established for State Medicaid Agencies category. This ZIP code made up 100% of such Medicaid payments in Wenatchee for the year.

Within the category, most Medicaid payments were clustered among a small group of billing codes.

By comparison, while National Codes Established for State Medicaid Agencies payments increased by 10.4% in Wenatchee between 2024 and 2023, the sum across all Medicaid claim categories in the city rose just 0.2% in that time span.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, roughly 18% of all national health expenditures. This represents a sharp increase from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

The jump reflects nearly 40% growth over several years, propelled by expanded enrollment and greater utilization during and after the pandemic period.

Recent federal budget measures passed under the Trump administration proposed substantial cuts and structural changes to Medicaid. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade. The legislation introduces work requirements and increased cost-sharing, which may reduce coverage and federal funding for certain recipients. This is likely to increase states’ costs and slow federal support growth, despite the program serving tens of millions.

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.