Rathdrum Medicaid spending for Medicine Services and Procedures up 3.1% in 2024

In 2024, Medicaid providers in Rathdrum submitted $341,097 in claims under the Medicine Services and Procedures category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 3.1% jump compared with 2023, when billings for the same service type reached $330,870.

Medicaid, a major U.S. public insurance program, is administered by states and receives joint funding from federal and state governments. Its coverage includes low-income individuals and families, seniors, children, and people with disabilities, making it a leading component of the national health care framework. For more details, see this explanation of Medicaid financing.

Since Medicaid funds rely on taxpayer contributions, shifts in local billing directly illustrate how communities allocate public dollars to health services.

The “Medicine Services and Procedures” designation covers a set of Medicaid-billed services grouped by the kind of care delivered, using nationally recognized HCPCS and CPT coding structures. For this report, every code was placed in one category through systematic use of code prefixes and ranges, which allowed grouping of similar services while avoiding double counting to maintain accuracy over time.

While spending increased across several categories, the Medicine Services and Procedures category accounted for the highest amount of Medicaid reimbursements in Rathdrum during 2024.

Statewide in Idaho, this category was the fourth largest by overall Medicaid spending in 2024.

In Rathdrum, Medicaid payments linked to the Medicine Services and Procedures category climbed $123,560 between 2019 and 2024—a gain of 56.8%. Notably sharp annual increases occurred in both 2023 and 2022.

Though care within this category took place throughout the city, the bulk of payments were in a select number of ZIP codes. In 2024, ZIP code 83858 was responsible for $341,096 in such Medicaid spending, representing the entirety of the city’s payments for Medicine Services and Procedures that year.

Payments for the Medicine Services and Procedures category were also concentrated among relatively few individual billing codes.

For perspective, the city’s spending in this category grew 3.1% between 2024 and 2023, while the total for all Medicaid billing categories saw a 23.8% change within the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays rose to about $871.7 billion in fiscal 2023, making up close to 18% of national health spending—a significant rise from about $613.5 billion in 2019, prior to COVID-19.

This rise equals nearly 40% growth in just a few years, mainly fueled by increased enrollment and a spike in health care use during and after the pandemic.

Recent federal budget actions during the Trump administration have introduced substantial measures aimed at cutting federal Medicaid funding and restructuring program requirements. The “One Big Beautiful Bill Act,” signed into law in 2025, is anticipated to reduce federal Medicaid spending by more than $1 trillion over the coming decade and brings new policies including work mandates and greater cost-sharing, which could restrict support and eligibility for some recipients. These changes are likely to shift greater financial responsibility to states and contain the federal government’s portion of program growth, while Medicaid continues to assist tens of 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.