Salt Lake City Medicaid payments for Medicine Services and Procedures hit $88.7 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

In 2024, Salt Lake City Medicaid providers reported $88,728,402 in billed Medicine Services and Procedures services, based on the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure is 3.9% higher than in 2023, when $85,368,310 was billed for the same category of services.

Medicaid operates as a joint federal-state public insurance plan that helps cover health care costs for low-income families, seniors, children and people with disabilities. As one of the largest U.S. health care programs, it is funded both by federal and state governments.

Fluctuations in Medicaid billing levels in a community highlight how taxpayer-funded health care dollars are distributed locally.

The “Medicine Services and Procedures” designation pertains to a range of Medicaid-billed care types organized using standardized HCPCS and CPT code groupings. This analysis mapped each billing code to a single category with consistent code prefixes and numbers, ensuring that similar services could be reviewed collectively without double counting and to enable accurate longitudinal comparisons.

Among all Medicaid categories, Medicine Services and Procedures received the largest payment total in Salt Lake City in 2024.

Across Utah as a whole, Medicine Services and Procedures also recorded the highest Medicaid payment total in 2024.

From 2019 through 2024, Salt Lake City’s Medicaid payments for Medicine Services and Procedures showed an increase of $50,830,480, equating to 134.1%. Certain years, including 2020 and 2021, experienced accelerated growth year over year.

Although services in this category were available across the city, only a few ZIP codes accounted for most Medicaid payments. In 2024, ZIP codes 84115, 84111 and 84124 reported the highest payments for Medicine Services and Procedures at $63,309,962, $6,712,200 and $3,522,889, respectively. Cumulatively, these three ZIP codes made up 82.9% of related Medicaid payments in Salt Lake City for that year.

Payments within Medicine Services and Procedures were further concentrated among select individual billing codes.

Year over year, Medicaid payments for Medicine Services and Procedures in Salt Lake City increased 3.9% between 2024 and 2023, slightly outpacing the overall 2.4% rise among all local Medicaid claim categories in that period.

According to the Centers for Medicare & Medicaid Services, national Medicaid spending across federal and state sources totaled approximately $871.7 billion in fiscal year 2023, accounting for about 18% of overall U.S. health expenditures, up from $613.5 billion reported in 2019, before the onset of COVID-19.

This increase marks roughly 40% growth over several years, as expanded enrollment and increased utilization during and following the pandemic played key roles.

Recent federal budget actions under the Trump administration featured major proposals to trim Medicaid funding and alter its structure. Notably, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid expenditures by over $1 trillion in the next decade and implement new requirements for work and cost-sharing, which may reduce benefits for certain groups. These measures could transfer additional financial responsibilities to states and limit the rate of increase in federal Medicaid contributions, while the program maintains coverage for millions.

Medicaid Payments Tied to Medicine Services and Procedures in Salt Lake City, Utah Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $37,897,921 37.9%
2021 $51,632,261 36.2%
2022 $63,959,863 23.9%
2023 $85,368,310 33.5%
2024 $88,728,402 3.9%
Top Categories by Medicaid Payments in Salt Lake City, Utah, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $88,728,402 29.1%
2 Alcohol and Drug Abuse Treatment $69,025,937 22.7%
3 Evaluation and Management $42,118,218 13.8%
4 National Codes Established for State Medicaid Agencies $29,612,025 9.7%
5 Ambulance and Other Transport Services and Supplies $26,347,478 8.7%
6 Pathology and Laboratory Procedures $18,891,463 6.2%
7 Temporary National Codes (Non-Medicare) $8,000,981 2.6%
8 Procedures / Professional Services $6,470,092 2.1%
9 Surgery $3,637,873 1.2%
10 Durable Medical Equipment $3,484,461 1.1%
11 Anesthesia $2,597,065 0.9%
12 Radiology Procedures $2,270,894 0.7%
13 Dental Services $1,289,578 0.4%
14 Medical And Surgical Supplies $1,057,240 0.3%
15 Drugs Administered Other than Oral Method $747,111 0.2%
16 Vision Services $96,799 <0.1%
17 Administrative, Miscellaneous and Investigational $55,595 <0.1%
18 Durable medical equipment (DME) Medicare administrative contractors (MACs) $46,270 <0.1%
19 Enteral and Parenteral Therapy $15,615 <0.1%
20 Orthotic Procedures and services $2,946 <0.1%
21 Temporary Codes $62 <0.1%
22 Outpatient PPS $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Salt Lake City, Utah, 2024

HCPCS Code Description Medicaid Payments Claims
97153 Adaptive behavior tx by tech $50,903,517 21
97155 Adapt behavior tx phys/qhp $10,470,954 20
90837 Psytx w pt 60 minutes $8,010,337 312
90853 Group psychotherapy $3,785,771 86
97110 Therapeutic exercises $2,130,352 116
90791 Psych diagnostic evaluation $1,696,356 159
90834 Psytx w pt 45 minutes $1,467,653 132
97530 Therapeutic activities $1,352,392 133
97151 Bhv id assmt by phys/qhp $885,515 13
90832 Psytx w pt 30 minutes $818,541 142
97112 Neuromuscular reeducation $672,703 92
97156 Fam adapt bhv tx gdn phy/qhp $561,418 12
97140 Manual therapy 1/> regions $409,609 69
97162 Pt eval mod complex 30 min $337,810 59
92004 Compre oph exam new pt 1/> $335,362 48
92014 Compre oph exam est pt 1/> $281,939 57
97161 Pt eval low complex 20 min $277,817 46
90792 Psych diag eval w/med srvcs $276,513 44
92507 Tx sp lang voice comm indiv $251,931 58
90847 Family psytx w/pt 50 min $200,704 33

Note: HCPCS codes are included for category context. This article’s totals and rankings are based on standardized groupings, not individual codes.

The U.S. Department of Health and Human Services Medicaid Provider Spending database supplied the data in this article. The source data is available here.



Related

Cheryl K. Acton, Utah State Representative for 38th District

CherylKActon discusses spirituality and urban beauty in May 2026 social media posts

CherylKActon shared insights on faith and community on May 19, 2026.

Kristen Chevrier, Utah State Representative for 54th District

Kristen Chevrier comments on data and MAHA’s influence following Cassidy’s primary

Kristen Chevrier shared several posts between May 17 and May 19, addressing election data and referencing MAHA’s impact on Cassidy’s primary.

Cheryl K. Acton, Utah State Representative for 38th District

CherylKActon comments on Mia Love’s congressional service and Neal A. Maxwell’s legacy

In tweets posted on May 17 and May 18, CherylKActon reflected on Mia Love’s tenure representing Utah in Congress and highlighted Neal A. Maxwell’s career shift from academia to religious leadership.

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from SLC Times.