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.
| 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% |
| 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% |
| 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.


