Utah Medicaid payments for DME MACs services climb 31.4% to $310,213 in 2024

In 2024, Utah Medicaid spending reached $310,213 for services under the Durable medical equipment (DME) Medicare administrative contractors (MACs) category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 31.4% uptick from the 2023 total of $236,159 in provider claims.

Comparisons against the prior year in this report are based on the most recent available data.

Medicaid, a state-administered and federally supported public health insurance program, covers groups such as low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the nation’s health care structure. More details on its funding approach can be found here.

Since Medicaid is funded through taxpayer dollars, local shifts in billing figures reveal changes in community health care funding allocation.

The “Durable medical equipment (DME) Medicare administrative contractors (MACs)” grouping refers to Medicaid-billed services organized by the care provided and identified via consistent HCPCS and CPT code ranges and prefixes. The analysis assigns each code to an exclusive category, enabling meaningful comparisons over time and ensuring rankings remain accurate without double counting.

Some categories may span multiple kinds of services. Where that applies, services with common Medicaid billing practices—like diagnostic procedures, therapeutic interventions, and office visits—are included in the same category.

While these DME MACs service payments were made across Utah, the largest shares went to specific ZIP codes. In 2024, ZIP Code 84010 had the highest Medicaid payments for the category at $125,452 (40.4% of the total), followed by ZIP Code 84095 with $97,485 (31.4%) and ZIP Code 84120 with $35,452 (11.4%).

Altogether, those top three ZIP codes made up 83.3% of total Medicaid payments for this category in Utah that year.

In contrast, total Medicaid payments statewide for all claim types increased by 1.4% from 2023 to 2024.

Although overall Medicaid expenditures rose in several service categories, the Durable medical equipment (DME) Medicare administrative contractors (MACs) category ranked among the top 19 service types by total payments statewide in 2024.

The Centers for Medicare & Medicaid Services noted combined state and federal Medicaid expenditures reached approximately $871.7 billion in fiscal 2023—about 18% of nation-wide health spending—an increase from roughly $613.5 billion in 2019, prior to the COVID-19 emergency period.

This growth of around 40% over several years stems from broader enrollment and heightened service use during and following the pandemic.

Recent congressional budget measures during the Trump administration introduced marked proposals to curtail federal Medicaid funding and alter its structure. The “One Big Beautiful Bill Act”, passed in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion across the next decade, incorporating requirements such as work provisions and expanded cost-sharing, which may lessen benefits for some recipients. These adjustments will likely transfer a greater share of Medicaid financing responsibility to states and temper the expansion of federal support, despite the program’s continued reach to tens of millions of Americans.

Details for this article are based on the U.S. Department of Health and Human Services Medicaid Provider Spending database. The full dataset is available here.