Klamath Falls sees $82,393 in Medicaid payments for vision services in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Klamath Falls billed $82,393 for Vision Services in 2024. That total represents a 6.7% uptick over 2023, when providers billed $77,236 for similar services.

Medicaid operates as a state-managed public health insurance program funded in partnership by federal and state governments. The program insures low-income children, adults, seniors and people with disabilities, forming one of the nation’s largest health care segments.

Since Medicaid spending originates from taxpayers, changes in local billing indicate how a community allocates health care dollars from public funds.

The “Vision Services” designation covers services grouped by the type of care, derived from set HCPCS and CPT code clusters. This review designated each code to a unique service category by following uniform prefixes and ranges, enabling aggregated analysis while avoiding replication or misrankings over time.

The rise in Medicaid spending encompassed several categories; Vision Services ranked as the 10th largest in Klamath Falls in 2024 by total Medicaid payments.

Statewide in Oregon, Vision Services was the 17th highest Medicaid payment category in 2024.

Across the five years preceding 2024, Vision Services Medicaid payments in Klamath Falls grew by $2,511, an increase of 3.1%. Certain periods, including 2022 and 2020, saw spending escalate more rapidly with notable annual increases.

Although citywide spending for Vision Services was distributed broadly, most payments in 2024 originated from just one ZIP code. The 97601 ZIP code accounted for $82,393, representing 100% of related Medicaid payments in Klamath Falls during that year.

Medicaid payments within the Vision Services group were also focused among a select group of billing codes.

To compare, Vision Services-related Medicaid payments in Klamath Falls increased 6.7% between 2024 and 2023, while all Medicaid claim categories jumped 19.4% in the city during that same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled approximately $871.7 billion in the 2023 fiscal year, making up nearly 18% of health expenditures nationwide—up from around $613.5 billion in 2019, before the COVID-19 pandemic.

This increase amounts to roughly 40% growth over a few years, driven mainly by wider enrollment and higher health service usage during and after the pandemic.

Recent federal budget laws enacted during the Trump administration introduced significant reductions to federal Medicaid support and program structure. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is forecast to cut federal Medicaid spending by more than $1 trillion across the next 10 years. The new law also brings in policies like work requirements and higher cost-sharing for some recipients, which may reduce the coverage scope and restrict funding growth—potentially shifting additional responsibility onto individual states as the program maintains its reach to millions of Americans.

Medicaid Payments Tied to Vision Services in Klamath Falls, Oregon Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $79,881 5.9%
2021 $72,556 -9.2%
2022 $112,053 54.4%
2023 $77,235 -31.1%
2024 $82,393 6.7%
Top Categories by Medicaid Payments in Klamath Falls, Oregon, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $4,057,094 30.9%
2 Evaluation and Management $3,588,490 27.3%
3 Medicine Services and Procedures $3,106,809 23.7%
4 National Codes Established for State Medicaid Agencies $1,025,524 7.8%
5 Radiology Procedures $290,834 2.2%
6 Durable Medical Equipment $283,183 2.2%
7 Ambulance and Other Transport Services and Supplies $272,923 2.1%
8 Medical And Surgical Supplies $118,813 0.9%
9 Procedures / Professional Services $107,746 0.8%
10 Vision Services $82,393 0.6%
11 Pathology and Laboratory Procedures $77,762 0.6%
12 Temporary Codes $55,575 0.4%
13 Drugs Administered Other than Oral Method $25,867 0.2%
14 Surgery $25,503 0.2%
15 Durable medical equipment (DME) Medicare administrative contractors (MACs) $6,087 <0.1%
16 Dental Services $5,039 <0.1%
17 Temporary National Codes (Non-Medicare) $2,224 <0.1%
Top 20 HCPCS Codes Within the Vision Services Category in Klamath Falls, Oregon, 2024

HCPCS Code Description Medicaid Payments Claims
V2020 Vision svcs frames purchases $46,900 33
V2782 Lens, 1.54-1.65 p/1.60-1.79g $26,190 23
V2103 Spherocylindr 4.00d/12-2.00d $7,052 24
V2784 Lens polycarb or equal $2,250 8

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.



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