In 2024, Medicaid providers in Fort Washakie submitted $668,670 in claims for Medicine Services and Procedures, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represented a dramatic 428534.6% rise from 2023, when only $156 was billed for the same category.
Medicaid, a state-run public health insurance program funded jointly by federal and state governments, provides coverage to low-income individuals and families, seniors, children, and people with disabilities. It remains one of the largest components of the U.S. health care system.
Because Medicaid draws on taxpayer funding, shifts in local billing levels reflect how a community allocates its public health care resources.
The “Medicine Services and Procedures” classification encompasses Medicaid-billed services determined by the specific type of care provided, organized by standardized HCPCS and CPT code groupings. For this evaluation, billing codes were assigned to service categories using set code prefixes and number ranges so related services could be compared and ranked over time without duplication.
Medicaid spending climbed across several service categories, with Medicine Services and Procedures placing second by total payments in Fort Washakie for 2024.
Statewide, Medicine Services and Procedures ranked third in Wyoming for total Medicaid payments during 2024.
Between the five years leading up to 2024, Medicaid payments for the Medicine Services and Procedures category in Fort Washakie grew by $668,670, or 0%. Some periods saw spending increases accelerate, including notable jumps in 2023 and 2022.
While payments for Medicine Services and Procedures were logged across Fort Washakie, most funds were concentrated in a small number of ZIP codes. In 2024, ZIP code 82514 accounted for $668,670 in Medicaid payments for this category. The top one ZIP code made up 100% of the total Medicaid spending for Medicine Services and Procedures in the city for the year.
Payment levels within Medicine Services and Procedures also centered on a few specific billing codes.
To provide context, Medicaid payments for Medicine Services and Procedures in Fort Washakie rose by 428534.6% from 2023 to 2024, while all Medicaid claim categories in the city showed a 51.7% change over this period.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures totaled approximately $871.7 billion in fiscal year 2023, or nearly 18% of national health spending—up from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.
This increase translates to about 40% growth over a few years, mostly driven by expanded eligibility and higher usage during and after the pandemic.
Federal budget legislation during the Trump administration has brought major proposals to reduce federal Medicaid spending and change the program’s structure. The “One Big Beautiful Bill Act,” signed in 2025, is expected to cut federal Medicaid funds by more than $1 trillion over the next decade, introducing changes like work requirements and greater cost-sharing, which could affect coverage and funding for various beneficiaries. These policy adjustments are poised to shift increased financial responsibility to states and slow the growth of federal Medicaid support, while the program continues to serve tens of millions of people.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $0 | – |
| 2021 | $0 | – |
| 2022 | $0 | – |
| 2023 | $156 | – |
| 2024 | $668,670 | 428260% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $1,266,878 | 65.4% |
| 2 | Medicine Services and Procedures | $668,670 | 34.5% |
| 3 | Evaluation and Management | $403 | <0.1% |
| 4 | Dental Services | $0 | <0.1% |
| 4 | Drugs Administered Other than Oral Method | $0 | <0.1% |
| 4 | Medical And Surgical Supplies | $0 | <0.1% |
| 4 | Pathology and Laboratory Procedures | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90962 | Esrd serv 1 visit p mo 20+ | $668,670 | 7 |
| 90686 | Iiv4 vacc no prsv 0.5 ml im | $0 | 2 |
| 90999 | Unlisted dialysis procedure | $0 | 1 |
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.
