Medicaid providers invoiced $88,728,402 in Salt Lake City for Medicine Services and Procedures in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That figure is up 3.9% from 2023, when providers billed $85,368,310 for these services.
Medicaid is a state-administered program with joint state and federal funding provided by both levels of government. It helps cover medical costs for low-income people, older adults, families, children, and those with disabilities, making it a major component of the U.S. health care landscape.
Because taxpayer dollars ultimately fund Medicaid payments, shifts in local billing reflect how public health care money is distributed in the community.
The “Medicine Services and Procedures” classification groups Medicaid services by type of care, organized using standardized HCPCS and CPT coding systems. In this analysis, each billing code was mapped to a single service designation based on code prefixes and numeric intervals, which supports analysis of similar services together, allows accurate trend comparisons over time, and prevents double counting.
Medicine Services and Procedures had the highest Medicaid payment total among all categories in Salt Lake City during 2024, with increases noted across multiple service areas.
This category also ranked No. 1 statewide in Utah for Medicaid outlays in 2024.
In the five years before 2024, Medicaid payments for this category in Salt Lake City grew by $50,830,480, or 134.1%, with spending accelerating at certain points and significant annual increases recorded in both 2020 and 2021.
Spending on Medicine Services and Procedures was distributed citywide but heavily concentrated in specific ZIP codes. In 2024, three ZIP codes—84115 ($63,309,962), 84111 ($6,712,200), and 84124 ($3,522,889)—made up 82.9% of Salt Lake City’s Medicaid billings in the category.
Payments within the Medicine Services and Procedures category were similarly concentrated among a small set of billing codes.
From 2023 to 2024, Medicaid spending on this category rose 3.9% in Salt Lake City, while the aggregate across all Medicaid billing categories increased by 2.4% in the same timeframe.
According to the Centers for Medicare & Medicaid Services, Medicaid expenditures nationwide—combined state and federal—reached about $871.7 billion in fiscal year 2023, or approximately 18% of total national health spending, a sharp increase from roughly $613.5 billion in 2019 prior to the COVID-19 pandemic.
The roughly 40% rise over just a few years has been attributed principally to higher enrollment and increased demand during and after the pandemic.
Recent federal budget actions under the Trump administration have included major proposals aimed at cutting federal Medicaid support and restructuring the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by over $1 trillion over 10 years and introduces work requirements along with higher cost-sharing, both of which could limit access and shift costs to states for some recipients. These policy changes are anticipated to further restrain the federal Medicaid growth rate while the program remains a critical coverage source for tens of millions of Americans.
| 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 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.
