Sandy Medicaid providers billed $4,611,697 in 2024 for services within the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 38.5% rise from 2023, when providers filed $3,330,369 in claims for the same category.
Medicaid, a public health insurance program, is administered by states and jointly financed by federal and state governments. It provides coverage for low-income families and individuals, seniors, children, and people with disabilities, standing as one of the largest facets of the U.S. health care system.
Because Medicaid is funded through taxpayers, shifts in local billing levels highlight how public health care dollars are distributed within a community.
The category “National Codes Established for State Medicaid Agencies” encompasses Medicaid-billed services organized by the nature of care, utilizing standardized HCPCS and CPT codes. This analysis assigned each billing code to just one service category based on consistent code prefixes and numeric ranges, grouping related services for review, while preventing double counting and maintaining accurate year-to-year rankings.
Spending rose across several Medicaid service categories, but National Codes Established for State Medicaid Agencies recorded the highest total Medicaid payments in Sandy for 2024.
Statewide in Utah, National Codes Established for State Medicaid Agencies ranked fourth overall in total Medicaid payments for 2024.
From 2019 through 2024, Medicaid payments linked to the National Codes Established for State Medicaid Agencies category in Sandy went up by $937,458, or 25.5%. Certain periods saw accelerated growth, notably with substantial year-over-year increases in 2020 and 2021.
Though Medicaid payments for National Codes Established for State Medicaid Agencies services spanned Sandy, the majority of billing was concentrated in a few ZIP codes. In 2024, the highest payments were in ZIP code 84070, with $3,480,043, followed by 84093 at $603,540, and 84094 at $528,113. These top 3 ZIP codes together accounted for 100% of Medicaid payments for this category in Sandy that year.
Payments within the National Codes Established for State Medicaid Agencies category were also concentrated in a limited set of billing codes.
Comparatively, Medicaid payments for National Codes Established for State Medicaid Agencies in Sandy rose by 38.5% between 2024 and 2023, while all Medicaid claim categories in the city increased by 25.3% during the same span.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenses totaled about $871.7 billion in fiscal 2023, making up close to 18% of total national health expenditures, up significantly from $613.5 billion in 2019 prior to the COVID-19 pandemic.
This reflects approximately 40% growth within just a few years, largely due to expanded Medicaid enrollment and higher usage rates during and after the pandemic.
Recent federal budget measures under the Trump administration have included major efforts to reduce federal Medicaid contributions and make structural changes to the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut over $1 trillion from federal Medicaid spending over the next decade, introducing requirements like work conditions and more cost-sharing, which may lessen coverage and funding for some enrollees. Such measures could increase financial burden for states and limit federal Medicaid growth, even as millions of Americans continue to rely on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,674,238 | 68.2% |
| 2021 | $4,530,975 | 23.3% |
| 2022 | $2,898,212 | -36% |
| 2023 | $3,330,369 | 14.9% |
| 2024 | $4,611,697 | 38.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $4,611,697 | 44.7% |
| 2 | Medicine Services and Procedures | $2,987,529 | 29% |
| 3 | Evaluation and Management | $1,170,402 | 11.4% |
| 4 | Ambulance and Other Transport Services and Supplies | $613,692 | 6% |
| 5 | Alcohol and Drug Abuse Treatment | $461,378 | 4.5% |
| 6 | Medical And Surgical Supplies | $365,974 | 3.5% |
| 7 | Surgery | $34,261 | 0.3% |
| 8 | Hearing Services | $32,326 | 0.3% |
| 9 | Durable Medical Equipment | $16,507 | 0.2% |
| 10 | Dental Services | $9,021 | 0.1% |
| 11 | Pathology and Laboratory Procedures | $6,539 | 0.1% |
| 12 | Procedures / Professional Services | $234 | <0.1% |
| 13 | Diagnostic Radiology Services | $4 | <0.1% |
| 14 | Temporary Codes | $2 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1000 | Private duty/independent nsg | $3,278,068 | 11 |
| T1017 | Targeted case management | $319,714 | 12 |
| T2029 | Special med equip, noswaiver | $176,219 | 13 |
| T4527 | Adult size pull-on lg | $149,981 | 20 |
| T1001 | Nursing assessment/evaluatn | $135,058 | 12 |
| T4544 | Adlt disp und/pull on abv xl | $127,260 | 12 |
| T4526 | Adult size pull-on med | $104,223 | 22 |
| T4528 | Adult size pull-on xl | $97,021 | 17 |
| T4535 | Disposable liner/shield/pad | $80,830 | 22 |
| T1005 | Respite care service 15 min | $66,915 | 4 |
| T4524 | Adult size brief/diaper xl | $18,938 | 12 |
| T4523 | Adult size brief/diaper lg | $16,296 | 12 |
| T4534 | Youth size pull-on | $15,911 | 11 |
| T4522 | Adult size brief/diaper med | $12,936 | 11 |
| T4525 | Adult size pull-on sm | $12,320 | 12 |
| T1019 | Personal care ser per 15 min | $0 | 9 |
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.